ArticleContraception2013
Psychological distress and post-abortion contraceptive method effectiveness level chosen at an urban clinic.
Article in Contraception, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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
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Who cites it
20 citing papers in PubMed, 31 citations in OpenAlex.
- Mental Health Distress and Delayed Contraception Among Older Adolescents and Young Adults.Journal of women's health (2002) · 2024Article
- Pathways to reproductive autonomy: Using path analysis to predict family planning outcomes in the United States.Health & social care in the community · 2022Article
- Article
- The association between depression and contraceptive behaviors in a diverse sample of new prescription contraception users.Contraception · 2022Article
- Types of Lifetime Reproductive Coercion and Current Contraceptive Use.Journal of women's health (2002) · 2021Article
- Intimate Partner Violence and Effectiveness Level of Contraceptive Selection Post-Abortion.Journal of women's health (2002) · 2020Article
- Current and past depressive symptoms and contraceptive effectiveness level method selected among women seeking reproductive health services.Social science & medicine (1982) · 2018Article
- Cost-effectiveness of emergency contraception options over 1 year.American journal of obstetrics and gynecology · 2018Article
- The effects of preabortion depressive symptoms on postabortion contraceptive effectiveness level chosen among women seeking abortions.Contraception · 2018Article
- Contraceptive Use over Five Years After Receipt Or Denial of Abortion Services.Perspectives on sexual and reproductive health · 2018Article
- Social Disparities in the Relationship Between Depression and Unintended Pregnancy During Adolescence and Young Adulthood.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017Article
- Stressful Life Events Around the Time of Unplanned Pregnancy and Women's Health: Exploratory Findings from a National Sample.Maternal and child health journal · 2017Article
- Psychosocial factors and pre-abortion psychological health: The significance of stigma.Social science & medicine (1982) · 2016Article
- Contraception and mental health: a commentary on the evidence and principles for practice.American journal of obstetrics and gynecology · 2015Review
- Childhood Sexual Violence and Consistent, Effective Contraception Use among Young, Sexually Active Urban Women.Behavioral sciences (Basel, Switzerland) · 2015Article
- Social discrimination, stress, and risk of unintended pregnancy among young women.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2015Article
- Psychological Aspects of Contraception, Unintended Pregnancy, and Abortion.Policy insights from the behavioral and brain sciences · 2014Article
- Stress symptoms and frequency of sexual intercourse among young women.The journal of sexual medicine · 2014Article
- The risk of unintended pregnancy among young women with mental health symptoms.Social science & medicine (1982) · 2014Article
- Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveWe investigated whether more psychological distress before an abortion is associated with the effectiveness of contraception selected (low, moderate, or high effectiveness) at an abortion clinic visit.
methodUsing data from 253 women attending an urban abortion clinic that primarily serves low-income women, we tested the association between pre-abortion psychological distress and the effectiveness level of post-abortion contraceptive choice. Based on typical use failure rates, we classified effectiveness of contraceptive choice into three levels-low, moderate, and high effectiveness. We measured psychological distress with four validated measures of depressive, anxious, and stress symptoms, and negative affect, as well as with a global measure comprising these four measures. We used multivariable ordinal logistic regression to measure the association of each psychological distress measure with post-abortion contraceptive method effectiveness level, adjusting for sociodemographic factors, pregnancy history, trimester of abortion, and importance of avoiding pregnancy in the next year.
resultsWe found that compared to women experiencing less stress symptoms, negative affect and global psychological distress, women experiencing more stress symptoms [AOR=1.028, 95% CI: 1.001-1.050], negative affect [AOR=1.05, 95% CI: 1.01-1.09] and global psychological distress [AOR=1.46, 95% CI: 1.09-1.95] were more likely to choose more effective versus less effective methods, p<.05, in adjusted models. Using dichotomous psychological measures we found similar results.
conclusionsWomen experiencing more psychological distress before an abortion selected more effective contraceptive methods after their abortion. Future research should examine whether this distress is associated with subsequent contraceptive use or continuation. IMPLICATIONS: The current study suggests that contraceptive providers should not assume that women experiencing more psychological distress prefer to use less effective contraceptive methods.
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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.