Evidence map›Paper›PMID 22521458›Full record

ArticleAmerican journal of obstetrics and gynecology2012

Knowledge of contraceptive effectiveness.

David L Eisenberg, Gina M Secura, Tessa E Madden, Jenifer E Allsworth, Qiuhong Zhao, Jeffrey F Peipert

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01986439 (The Contraceptive Choice Project), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01986439 unknown statusnot on this map

The Contraceptive Choice Project

TypeobservationalSponsorEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)Ran2007 to 2016Enrolled9,256ConditionsUnintended Pregnancy, Teen Births, Abortion, Contraception
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  6. Article
  7. Culture and COVID-19 Related Impacts on Alcohol-Exposed Pregnancy Risk Among Urban American Indian and Alaska Native Young Adults: A Path Analysis.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  18. Observational
  19. Article
  20. Accuracy of information about the intrauterine device on the Internet.American journal of obstetrics and gynecology · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

David L EisenbergDivision of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA. eisenbergd@wustl.edu
Gina M Secura
Tessa E Madden
Jenifer E Allsworth
Qiuhong Zhao
Jeffrey F Peipert
Washington University in St. Louis · US

Funding

MIDCAREER INVESTIGATOR AWARD IN WOMEN'S HEALTH RESEARCHK24HD001298 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI PEIPERT, JEFFREY FRANK · 2000 to 2009
$1.1M
EVALUATION AND TESTING OF A DECISION SUPPORT AID IN CONTRACEPTIVE DECISION MAKINGK23HD070979 · NICHD · WASHINGTON UNIVERSITY · PI MADDEN, TESSA · 2012 to 2014
$367k
NICHD NIH HHS K23 HD070979NICHD NIH HHS K24 HD001298
6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine women's knowledge of contraceptive effectiveness. STUDY

designWe performed a cross-sectional analysis of a contraceptive knowledge questionnaire that had been completed by 4144 women who were enrolled in the Contraceptive CHOICE Project before they received comprehensive contraceptive counseling and chose their method. For each contraceptive method, women were asked "what percentage would get pregnant in a year: <1%, 1-5%, 6-10%, >10%, don't know."

resultsOverall, 86% of subjects knew that the annual risk of pregnancy is >10% if no contraception is used. More than 45% of women overestimate the effectiveness of depo-medroxyprogesterone acetate, pills, the patch, the ring, and condoms. After adjustment for age, education, and contraceptive history, the data showed that women who chose the intrauterine device (adjusted relative risk, 6.9; 95% confidence interval, 5.6-8.5) or implant (adjusted relative risk, 5.9; 95% confidence interval, 4.7-7.3) were significantly more likely to identify the effectiveness of their method accurately compared with women who chose either the pill, patch, or ring.

conclusionThis cohort demonstrated significant knowledge gaps regarding contraceptive effectiveness and over-estimated the effectiveness of pills, the patch, the ring, depo-medroxyprogesterone acetate, and condoms.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultCondomsContraceptionContraceptive Agents, FemaleContraceptive Devices, FemaleCross-Sectional StudiesFemaleHumansMiddle AgedMissouriMultivariate AnalysisPoisson DistributionProspective StudiesRegression AnalysisContraceptive Agents, Female

Identifiers

PMID22521458
PMCPMC4007217
OpenAlexW1995433961

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.