Do adolescents want to avoid pregnancy? Attitudes toward pregnancy as predictors of pregnancy

Purpose: To document the extent to which adolescents feel ambivalent towards getting pregnant and to examine the relationship between pregnancy attitudes and the occurrence of a pregnancy one year later. Demographic correlates of pregnancy attitudes also were examined. Methods: This was a prospective study using a sub-sample of the National Longitudinal Study of Adolescent Health (Add Health) data base. The sample was 4869 adolescent females in grades 9 through 11 who completed two interviews at a one year interval. Logistic regression analyses were used to predict occurrence of a pregnancy at wave 2 from attitudes toward pregnancy at wave 1. Results: A substantial number of adolescent females (15%-30%) reported some degree of ambivalence toward becoming pregnant relative to their peers. Adolescent females' attitudes towards pregnancy were predictive of the occurrence of a pregnancy one year later. Additionally, demographic correlates of the pregnancy attitude were identified, including differences due to ethnicity, age, relationship status, mother's education level, and whether the adolescent came from a one or a two parent home. Conclusions: Results suggest that a significant minority of adolescents have some ambivalence toward pregnancy relative to their peers and that these attitudes are predictive of the occurrence of pregnancy. (C) Society for Adolescent Medicine, 2003.