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A Latent Class Analysis: Identifying Pregnancy Intention Classes Among U.S. Adolescents
Asari Offiong1, Terrinieka W Powell1, Derek T Dangerfield2
1Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Summary
Most adolescents delay childbearing, but some intend to have children sooner. Identifying these distinct pregnancy intention profiles is crucial for tailoring adolescent sexual and reproductive health services.
Area of Science:
- Reproductive Health
- Adolescent Health
- Sociology
Background:
- Adolescent pregnancy intention is complex and understudied nationally, especially male perspectives.
- Understanding diverse adolescent pregnancy intentions is vital for effective sexual and reproductive health strategies.
Purpose of the Study:
- To identify and describe distinct pregnancy intention profiles among U.S. adolescents.
- To examine differences in these profiles between male and female adolescents.
Main Methods:
- Latent class analysis of data from the National Survey of Family Growth (2015-2019).
- Included 3,812 U.S. adolescents aged 15-19, stratified by sex.
- Used six indicators related to desires, feelings, timing, and social acceptability of pregnancy.
Main Results:
- Three pregnancy intention classes identified for each sex: Delayed Pro-pregnancy, Near Pro-pregnancy, and sex-specific classes (Ambivalent-pregnancy for females, Anti-pregnancy for males).
- Delayed Pro-pregnancy was most common for both sexes (53% females, 82% males).
- Near Pro-pregnancy females and Anti-pregnancy males shared characteristics like sexual activity, older age, Hispanic ethnicity, public assistance, and teen mothers.
Conclusions:
- Subsets of adolescents desire earlier childbearing, challenging the assumption of universal delayed childbearing intentions.
- Distinct pregnancy intention profiles necessitate tailored sexual and reproductive health services for diverse adolescent populations.
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