Are Uncertain Fertility Intentions a Temporary or Long-term Outlook? Findings from a Panel Study
- PMID: 27838033
- PMCID: PMC5289295
- DOI: 10.1016/j.whi.2016.10.001
Are Uncertain Fertility Intentions a Temporary or Long-term Outlook? Findings from a Panel Study
Abstract
Objectives: Research suggests that a substantial minority of women are unsure if they want to have (more) children. This study examines whether this is a temporary or long-term outlook and which characteristics are associated with uncertainty about future childbearing intentions.
Methods: Panel data from a national sample of 2,353 nonsterilized U.S. women aged 18 to 39 years were gathered at three points in time between 2012 and 2013. Women who indicated they were "not sure" if they wanted to have any (more) children were classified as uncertain. Random effects and fixed effects logistic regression were used to determine which baseline and time-varying characteristics were associated with fertility uncertainty and changes in uncertainty.
Results: Although 39% of the sample reported uncertain fertility intentions on at least one survey, only 9% were uncertain at all three. Characteristics associated with uncertainty included being ages 30 and older, having one or more children, perceiving one's partner to have uncertain childbearing intentions, and having a strong desire to avoid pregnancy. Characteristics associated with a decreased likelihood of uncertainty included relationship happiness and having a recent discussion about childbearing intentions with a health care provider.
Conclusions: At a given point in time, a substantial minority of women is uncertain whether they want to have more children, but it seems to be a temporary or transitional stage for most.
Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
Similar articles
-
Declining realisation of reproductive intentions with age.Hum Reprod. 2019 Oct 2;34(10):1906-1914. doi: 10.1093/humrep/dez150. Hum Reprod. 2019. PMID: 31560763
-
Uncertainty and flexibility of fertility intentions.Adv Life Course Res. 2024 Sep;61:100618. doi: 10.1016/j.alcr.2024.100618. Epub 2024 May 13. Adv Life Course Res. 2024. PMID: 38889542
-
The correspondence between intention to avoid childbearing and subsequent fertility: a prospective analysis.Fam Plann Perspect. 1999 Sep-Oct;31(5):220-7. Fam Plann Perspect. 1999. PMID: 10723646
-
Disposition intentions of elective egg freezers toward their surplus frozen oocytes: a systematic review and meta-analysis.Fertil Steril. 2021 Dec;116(6):1601-1619. doi: 10.1016/j.fertnstert.2021.07.1195. Epub 2021 Aug 25. Fertil Steril. 2021. PMID: 34452749
-
Stability and change in fertility intentions in Britain, 1991-2007.Popul Trends. 2010 Autumn;(141):10-32. doi: 10.1057/pt.2010.19. Popul Trends. 2010. PMID: 20927027 Review.
Cited by
-
Is pregnancy fatalism normal? An attitudinal assessment among women trying to get pregnant and those not using contraception.Contraception. 2018 Oct;98(4):255-259. doi: 10.1016/j.contraception.2018.05.015. Epub 2018 May 21. Contraception. 2018. PMID: 29792840 Free PMC article.
-
Perceptions of the Future and Pregnancy Avoidance in the U.S.Popul Res Policy Rev. 2025;44(3):36. doi: 10.1007/s11113-025-09962-2. Epub 2025 Jun 10. Popul Res Policy Rev. 2025. PMID: 40510746 Free PMC article.
-
Self-assessed Physical and Mental Health and Fertility Expectations of Men and Women Across the Life Course.Demography. 2025 Apr 1;62(2):543-569. doi: 10.1215/00703370-11873109. Demography. 2025. PMID: 40162883 Free PMC article.
-
Effect of Changes in Response Options on Reported Pregnancy Intentions: A Natural Experiment in the United States.Public Health Rep. 2020 May/Jun;135(3):354-363. doi: 10.1177/0033354920914344. Epub 2020 Apr 17. Public Health Rep. 2020. PMID: 32302249 Free PMC article.
-
How do changes in motivation to prevent pregnancy influence contraceptive continuation? Results from a longitudinal study with women who receive family planning services from Community Pharmacists and Patent and Proprietary Medicine Vendors in Nigeria.Reprod Health. 2022 Feb 8;19(1):39. doi: 10.1186/s12978-022-01326-9. Reprod Health. 2022. PMID: 35135583 Free PMC article.
References
-
- Allison PD. Longitudinal data analysis using Stata. Ardmore, PA: Statistical Horizons; 2012.
-
- Bachrach CA, Newcomer S. Intended pregnancies and unintended pregnancies: distinct categories or opposite ends of a continuum? Family Planning Perspectives. 1999;31:252–253. - PubMed
-
- Bellanca HK, Hunter MS. One Key Question: Preventive reproductive health is part of high quality primary care. Contraception. 2013;88:3–6. - PubMed
-
- Bhrolchain M, Beaujouan E. How real are reproductive goals? Uncertainty and the construction of fertility preferences. [Accessed 28.09.16];ESRC Centre for Population Change Working Paper. 2015 73 http://eprints.soton.ac.uk/385269/1/2015_WP73_How_real_are_reproductive_....
-
- Committee on Health Care for Underserved Women. Reproductive Life Planning to Reduce Unintended Pregnancy. Washington, DC: American College of Obstetricians and Gynecologists; 2016. Rep. No. ACOG Committee Opinion Number 654. - PubMed
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources