US Poor Women 5x More Likely to Have Unintended Births

Alexandria Icenhower writes: New research suggests that a single woman’s income can be a factor in whether or not she has an unintended birth. In fact, poor, single women ages 15 to 44 in the U.S. have over five times more unintended births than affluent women.

A comprehensive review of single women’s sexual activity, contraception use, and abortion rates show major trends by income level that directly affect unintended childbearing rates. Since an unintended birth can shape a family for generations, it is important to examine the implications of this income gap and then work to narrow it.

Preventing an unintended birth could allow single mothers “to get more education [and] earn more,” Isabel Sawhill and Joanna Venator concluded in a recent paper.  But too often, low-income women are not provided education about and access to the most effective birth control, which would help prevent these pregnancies.

Furthermore, there are serious financial barriers involved. Abortions for low-income women must be paid for out of pocket, since Medicaid and many private insurers are prohibited from covering them. IAn unintended birth not only has an impact on the single mother, but also on her children. “[T]here are significant and important improvements in the lives of children who would have otherwise been ‘born too soon,’” Sawhill and Venator’s research found. Improvements include “cognitive scores in childhood, high school graduation rates, rates of teen pregnancy, college graduation rates, and lifetime income.”

Sex, Contraception, or Abortion?

 

Sexual activity rates do not vary along class lines. Around two-thirds of women were having sex at each income level. “Policies for abstinence are fighting against the tide,” they argue. Chastity is not the reason more affluent women have fewer unintended pregnancies.

Women with incomes below the federal poverty line were “twice as likely to have had sex without protection” compared to women with incomes four times the poverty line, Reeves and Venator found. The fact that poor women are not using birth control as frequently (or effectively) results in more unplanned pregnancies and contributes to the class gap. They suspect that lack of education about and access to contraception contributes to less effective use.

Poor women are less like to have abortios.

Contraception could reduce unintended birth more than abortion.

Unfortunately, there are no easy answers to solve this problem. Education and access are key in every scenario to reducing unintended births. The Affordable Care Act (ACA) has made strides in increasing access to contraception, as it covers birth control across all insurance plans. However, women and the medical community need to be better educated about IUDs and implants.

Abortion is more problematic. Besides the moral, political, and personal issues surrounding abortion, there is a wider gap in access to abortion than there is contraception. This problem will not be solved unless women have access to abortion clinics and education about their options.

 

 

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.