ArticlePerspectives on sexual and reproductive health2012
Primary care physicians' perceptions of barriers to preventive reproductive health care in rural communities.
Article in Perspectives on sexual and reproductive health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Preconception, Interconception, and reproductive health screening tools: A systematic review.Health services research · 2023Pooled it
- Co-Creating an Interconception Infographic for Women From Priority Populations for Inclusion in the Baby Bundle at a Victorian Hospital: A Feasibility and Acceptability Pilot Study.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Advancing Equitable, Person-Centered Contraceptive Care Using Data-Driven Quality Improvement.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Enhancing Youth Access to Reproductive Health Services in Rural Communities Through Clinical and Educational Interventions in Upstate New York, USA.Perspectives on sexual and reproductive health · 2025Article
- Virtual Preconception Risk Assessment and Counseling In Primary Health Care.Journal of the American Board of Family Medicine : JABFM · 2025Article
- "Sex Out of Boredom": Key Stakeholders' Perspectives on Teen Pregnancy Prevention in Emerging Immigrant Latino Rural Communities.Sexuality research & social policy : journal of NSRC : SR & SP · 2025Article
- The Impact of Rural Environments on Reproductive Autonomy Among Women in Appalachia: A Qualitative Analysis.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Reproductive health services: A missed opportunity in VA primary care?Contraception · 2023Article
- The Perfect Storm: Perceptions of Influencing Adults Regarding Latino Teen Pregnancy in Rural Communities.Maternal and child health journal · 2023Article
- Article
- Health Education about Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Qualitative Study of Healthcare Providers' Views in Germany.International journal of environmental research and public health · 2022Article
- Health Care Providers Perceptions About Preconception Care in Ibadan, Southwest Nigeria: A Qualitative Study.Maternal and child health journal · 2022Article
- Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion.Frontiers in public health · 2022Article
- Determinants of preconception care among pregnant women in an urban and a rural health facility in Kenya: a qualitative study.BMC pregnancy and childbirth · 2021Article
- Development and Pilot Testing of a Patient-Centered Web-Based Reproductive Decision Support Tool for Primary Care.Journal of general internal medicine · 2021Article
- Family Planning Practices in Appalachia: Focus Group Perspectives on Service Needs in the Context of Regional Substance Abuse.International journal of environmental research and public health · 2020Article
- Providing Family Planning Services at Primary Care Organizations after the Exclusion of Planned Parenthood from Publicly Funded Programs in Texas: Early Qualitative Evidence.Health services research · 2018Article
- Developing social marketed individual preconception care consultations: Which consumer preferences should it meet?Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Should a history of assisted reproductive technology be another consideration when assessing cardiovascular risk?Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- Reproductive Life Planning: A Cross-Sectional Study of What College Students Know and Believe.Maternal and child health journal · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
contextWomen residing in rural areas are less likely than urban women to receive preventive reproductive health care, but reasons for this disparity remain largely unexplored.
methodsIn 2010, semistructured interviews were conducted with 19 rural primary care physicians in central Pennsylvania regarding their experiences in two domains of preventive reproductive health-contraceptive care and preconception care. Major themes were identified using a modified grounded theory approach.
resultsPhysicians perceived that they had a greater role in providing contraceptive care than did nonrural physicians and that contraceptives were widely accessible to patients in their communities; however, the scope of contraceptive services they provided varied widely. Participants were aware of the importance of optimal health prior to pregnancy, but most did not routinely initiate preconception counseling. Physicians perceived rural community norms of unintended pregnancies, large families, and indifference toward career and educational goals for young women as the biggest barriers to both contraceptive and preconception care, as these attitudes resulted in a lack of patient interest in family planning. Lack of time and resources were identified as additional barriers to providing preconception care.
conclusionsRural women's low use of contraceptive and preconception care services may reflect that preventive reproductive health care is not a priority in rural communities, rather than that it is inaccessible. Efforts to motivate rural women to engage in reproductive life planning, including more proactive counseling by providers, merit examination as ways to improve use of services.
Indexed as
Identifiers
What OpenQuestion holds
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.