A Prospective Cohort Study of the Effect of Receiving versus Being Denied an Abortion on Educational Attainment |
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| Institution: | 1. Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, Oakland, California;2. Goldman School of Public Policy, University of California Berkeley, Berkeley, California;1. Office of Population Affairs, US Department of Health and Human Services, Rockville, Maryland;2. University of Southern Maine, Muskie School of Public Service, Public Health Program, Portland, Maine;3. University of Maryland, Department of Family Science, College Park, Maryland;1. Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut;2. Yale School of Medicine, New Haven, Connecticut;3. Yale School of Nursing, West Haven, Connecticut;1. University of Michigan, Women''s and Gender Studies Program & Department of Health & Human Services, Dearborn, Michigan;2. University of Michigan, Institute for Research on Women and Gender, Ann Arbor, Michigan;3. University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, Michigan;1. Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan;2. University of Michigan Institute of Healthcare Policy and Innovation, Ann Arbor, Michigan;3. University of Michigan Medical School, Ann Arbor, Michigan;4. Department of Internal Medicine, University of Michigan Department of Internal Medicine, Ann Arbor, Michigan;5. University of Michigan School of Public Health, Ann Arbor, Michigan;6. University of Michigan Center for Value-Based Insurance Design, Ann Arbor, Michigan;1. Department of Sociology, The University of Utah, Salt Lake City, Utah;2. Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah |
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| Abstract: | BackgroundResearch on the effects of unintended childbearing has been limited in its ability to disentangle the direct effects of childbearing from common selection factors that predispose women to both unintended childbearing and lower educational attainment.MethodsUsing data from a 5-year prospective cohort study of 876 individuals seeking abortion care, some of whom were denied care because they presented beyond a facility's gestational age limit, we used discrete time survival models to estimate the hazard of graduating and dropping out among those enrolled in high school, college, or other type of school (n = 280). We also examined cluster-adjusted bivariable differences in degrees completed by receipt versus denial of a wanted abortion.ResultsParticipants denied an abortion who parented were equally likely to be in school as compared with women who received a wanted abortion (33 vs. 28%; p = .19); however, they were more likely to be seeking a high school diploma (40 vs. 24%; p = .05) than a higher degree. In adjusted models, there were no differences in the hazard of graduating (adjusted hazard ratio, 0.76; 95% confidence interval, 0.36–1.61) or dropping out (adjusted hazard ratio, 1.12; 95% confidence interval, 0.67–1.88) between those who were denied versus received an abortion. Among graduates, participants denied a wanted abortion less often completed a postsecondary degree (27%) compared with those who received a wanted abortion (71%; p = .002).ConclusionsUnintended childbirth was not associated with graduating or dropping out in this population, a finding that is at least partially explained by differences in degrees sought at the time of abortion seeking. |
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