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<title xml:lang="en">Death and Desirability: Retrospective Reporting of Unintended Pregnancy after a Child’s Death</title>
<author>
<name sortKey="Smith Greenaway, Emily" sort="Smith Greenaway, Emily" uniqKey="Smith Greenaway E" first="Emily" last="Smith-Greenaway">Emily Smith-Greenaway</name>
</author>
<author>
<name sortKey="Sennott, Christie" sort="Sennott, Christie" uniqKey="Sennott C" first="Christie" last="Sennott">Christie Sennott</name>
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<idno type="pmid">27150965</idno>
<idno type="pmc">4884011</idno>
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<idno type="doi">10.1007/s13524-016-0475-9</idno>
<date when="2016">2016</date>
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<title xml:lang="en" level="a" type="main">Death and Desirability: Retrospective Reporting of Unintended Pregnancy after a Child’s Death</title>
<author>
<name sortKey="Smith Greenaway, Emily" sort="Smith Greenaway, Emily" uniqKey="Smith Greenaway E" first="Emily" last="Smith-Greenaway">Emily Smith-Greenaway</name>
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<author>
<name sortKey="Sennott, Christie" sort="Sennott, Christie" uniqKey="Sennott C" first="Christie" last="Sennott">Christie Sennott</name>
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<title level="j">Demography</title>
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<p id="P1">Social scientists have long debated how to best measure pregnancy intentions. The standard measure relies on mothers’ retrospective reports of their intentions at the time of their conception. Because women have already given birth at the time of this report, the resulting children’s health—including their vital status—may influence their mothers’ responses. We hypothesize that women are less likely to report deceased children were from unintended pregnancies, and this may explain why some longitudinal studies have shown that children from unintended pregnancies have lower survival, but cross-sectional studies produce counter findings. Using Demographic and Health Survey data from 31 sub-Saharan African countries, we confirm that mothers are less likely to report deceased children resulted from unintended pregnancies compared to surviving children, although the opposite is true for unhealthy children, who mothers more commonly report were from unintended pregnancies compared to healthier children. The results suggest that mothers (1) revise their recall of intentions after the traumatic experience of child death and/or (2) alter their reports in the face-to-face interview. The study challenges the reliability of retrospective reports of pregnancy intentions in high mortality settings, and thus our current knowledge of the levels and consequences of unintended pregnancies in these contexts.</p>
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<journal-id journal-id-type="nlm-journal-id">0226703</journal-id>
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<journal-id journal-id-type="iso-abbrev">Demography</journal-id>
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<journal-title>Demography</journal-title>
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<article-title>Death and Desirability: Retrospective Reporting of Unintended Pregnancy after a Child’s Death</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Smith-Greenaway</surname>
<given-names>Emily</given-names>
</name>
<xref rid="FN1" ref-type="author-notes">1</xref>
<aff id="A1">University of Southern California</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sennott</surname>
<given-names>Christie</given-names>
</name>
<aff id="A2">Purdue University</aff>
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<author-notes>
<corresp id="FN1">
<label>1</label>
<email>smithgre@usc.edu</email>
, 851 Downey Way, HSH, Office 309, Department of Sociology, University of Southern California, Los Angeles, CA 90089, 213.740.8869</corresp>
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<pub-date pub-type="nihms-submitted">
<day>13</day>
<month>5</month>
<year>2016</year>
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<pub-date pub-type="ppub">
<month>6</month>
<year>2016</year>
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<pub-date pub-type="pmc-release">
<day>01</day>
<month>6</month>
<year>2016</year>
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<volume>53</volume>
<issue>3</issue>
<fpage>805</fpage>
<lpage>834</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s13524-016-0475-9</pmc-comment>
<abstract>
<p id="P1">Social scientists have long debated how to best measure pregnancy intentions. The standard measure relies on mothers’ retrospective reports of their intentions at the time of their conception. Because women have already given birth at the time of this report, the resulting children’s health—including their vital status—may influence their mothers’ responses. We hypothesize that women are less likely to report deceased children were from unintended pregnancies, and this may explain why some longitudinal studies have shown that children from unintended pregnancies have lower survival, but cross-sectional studies produce counter findings. Using Demographic and Health Survey data from 31 sub-Saharan African countries, we confirm that mothers are less likely to report deceased children resulted from unintended pregnancies compared to surviving children, although the opposite is true for unhealthy children, who mothers more commonly report were from unintended pregnancies compared to healthier children. The results suggest that mothers (1) revise their recall of intentions after the traumatic experience of child death and/or (2) alter their reports in the face-to-face interview. The study challenges the reliability of retrospective reports of pregnancy intentions in high mortality settings, and thus our current knowledge of the levels and consequences of unintended pregnancies in these contexts.</p>
</abstract>
<kwd-group>
<kwd>Unintended Pregnancy</kwd>
<kwd>Measurement</kwd>
<kwd>Child Mortality</kwd>
<kwd>Child Health</kwd>
<kwd>sub-Saharan Africa</kwd>
</kwd-group>
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</front>
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