Evidence map›Paper›PMID 24393726›Full record

ArticleInternational perspectives on sexual and reproductive health2013

The Oportunidades conditional cash transfer program: effects on pregnancy and contraceptive use among young rural women in Mexico.

Blair G Darney, Marcia R Weaver, Sandra G Sosa-Rubi, Dilys Walker, Edson Servan-Mori, Sarah Prager, Emmanuela Gakidou

Registry-linked trialAbstract read
In one paragraph

Article in International perspectives on sexual and reproductive health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04222959 (Girls Invest), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04222959 nacompletednot on this mapstarted 2021, after this paper: background citation

Girls Invest: A Mobile-Enabled Economic Empowerment Intervention for Girls

TypeinterventionalSponsorSan Diego State UniversityRan2021 to 2023Enrolled240ConditionsBehavioral ChangesArmsGirls Invest Intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Adolescent pregnancy, public policies, and targeted programs in Latin America and the Caribbean: a systematic review.Revista panamericana de salud publica = Pan American journal of public health · 2021
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  20. Comparison of family-planning service quality reported by adolescents and young adult women in Mexico.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2016
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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

7 authors.

Blair G DarneyDoctoral Student, Department of Health Services, School of Public Health, University of Washington, Seattle, USA, darneyb@ohsu.edu.
Marcia R Weaver
Sandra G Sosa-Rubi
Dilys Walker
Edson Servan-Mori
Sarah Prager
Emmanuela Gakidou

Funding

University of Washington Health Services Research Training ProgramT32HS013853 · AHRQ · UNIVERSITY OF WASHINGTON · PI WEINER, BRYAN J., WILLIAMS, EMILY CATERINA · 2003 to 2024
$6.9M
Institute for Translational Health Science (TL1)TL1RR025016 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$2.7M
Oregon multidisciplinary training program in health services researchT32HS017582 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI MORRIS, CYNTHIA D · 2008 to 2012
$1.7M
AHRQ HHS HS013853AHRQ HHS HS017582AHRQ HHS T32 HS013853AHRQ HHS T32 HS017582NCRR NIH HHS TL1 RR025016PHS HHS NCRR025016
6 · The paper itself

Abstract

contextOportunidades is a large conditional cash transfer program in Mexico. It is important to examine whether the program has any direct effect on pregnancy experience and contraceptive use among young rural women, apart from those through education.

methodsData from the 1992, 2006 and 2009 waves of a nationally representative, population-based survey were used to describe trends in pregnancy experience, contraceptive use and education among rural adolescent (15-19) and young adult (20-24) women in Mexico. To examine differences in pregnancy experience and current modern contraceptive use among young women, multivariable logistic regression analyses were conducted between matched 2006 samples of women with and without exposure to Oportunidades, predicted probabilities were calculated and indirect effects were estimated.

resultsOver the three survey waves, the proportion of adolescent and young adult women reporting ever being pregnant stayed flat (33-36%) and contraceptive use increased steadily (from 13% in 1992 to 19% in 2009). Educational attainment rose dramatically: The proportion of women with a secondary education increased from 28% in 1992 to 46% in 2009. In multivariable analyses, exposure to Oportunidades was not associated with pregnancy experience among adolescents. Educational attainment, marital status, pregnancy experience and access to health insurance--but not exposure to Oportunidades--were positively associated with current modern contraceptive use among adolescent and young adult women.

conclusionThrough its effect on education, Oportunidades indirectly influences fertility among adolescents. It is important for Mexico to focus on strategies to increase contraceptive use among young rural nulliparous women, regardless of whether they are enrolled in Oportunidades.

Indexed as

AdolescentContraceptionContraceptive Agents, FemaleFamily Planning ServicesFemaleFinancing, GovernmentHealth EducationHealth Services AccessibilityHumansMaternal WelfareMexicoPatient Education as TopicPovertyPregnancyRural Health ServicesRural PopulationContraceptive Agents, Female

Identifiers

PMID24393726
PMCPMC4096692

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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.