Empirical data from the past 50 years have illuminated some of the factors that influence pregnancy decision-making. Yet, formal models of pregnancy decision-making are uncommon and rarely incorporate cultural perspectives. In order to address this gap in the literature, we propose the Pregnancy Decision-Making Model (PDMM), a comprehensive model of the factors that are likely to affect pregnancy decisions in the context of unintended pregnancy, with special attention to relational and intersectional components of pregnancy decisions. The PDMM begins with three primary Evaluation factors: Evaluation of Capital, Evaluation of Values, and Evaluation of Narratives. Barriers to Access are proposed to be a key factor in limiting agency and autonomy and determining pregnancy outcomes. Social Influences are also hypothesized to influence Evaluation factors and their relationship with outcome variables, which include the Pregnancy Outcome, Decisional Certainty, and Decisional Satisfaction. As the PDMM is designed to be flexible in its prediction of a variety of outcomes, we consider a number of possible permutations of the model. Finally, we discuss the utility of the PDMM for inspiring future research, as well as the practical implications of the model.

中文翻译：

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怀孕决策模型：影响意外怀孕的心理、关系和文化因素

过去 50 年的经验数据阐明了影响怀孕决策的一些因素。然而，正式的怀孕决策模型并不常见，而且很少包含文化观点。为了弥补文献中的这一空白，我们提出了妊娠决策模型 (PDMM)，这是一个综合模型，该模型可能会影响意外怀孕背景下的妊娠决策，并特别关注相关性和交叉性组件怀孕的决定。PDMM 从三个主要评估因素开始：资本评估、价值评估和叙述评估。访问障碍被认为是限制能动性和自主性以及决定怀孕结果的关键因素。社会影响也被假设影响评估因素及其与结果变量的关系，包括怀孕结果、决策确定性和决策满意度。由于 PDMM 被设计为灵活地预测各种结果，我们考虑了模型的许多可能的排列。最后，我们讨论了 PDMM 在激发未来研究方面的效用，以及该模型的实际意义。