Evidence map›Paper›PMID 24486008›Full record

ArticleContraception2014

Contraceptive method selection by women with inflammatory bowel diseases: a cross-sectional survey.

Lori M Gawron, Andrew J Gawron, Amanda Kasper, Cassing Hammond, Laurie Keefer

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Conception, pregnancy and inflammatory bowel disease-Current concepts for the practising clinician.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  3. Online decision aids for contraceptive choices in women with chronic conditions: A systematic review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Updates on Women's Health Issues in Patients with Inflammatory Bowel Disease.Current treatment options in gastroenterology · 2018
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Sex-Specific Issues in Inflammatory Bowel Disease.Gastroenterology & hepatology · 2015
    Article
  16. 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

5 authors at 1 institution in 1 country.

Lori M GawronDepartment of Obstetrics and Gynecology, Section of Family Planning, Northwestern University, Chicago, IL, USA. Electronic address: lgawron@northwestern.edu.
Andrew J GawronDivision of Hepatology and Gastroenterology, Northwestern University, Chicago, IL, USA.
Amanda KasperNorthwestern University, Chicago, IL, USA.
Cassing HammondDepartment of Obstetrics and Gynecology, Section of Family Planning, Northwestern University, Chicago, IL, USA.
Laurie KeeferDivision of Hepatology and Gastroenterology, Northwestern University, Chicago, IL, USA.
Northwestern University · US

Funding

Research Career Development in Obstetrics and GynecologyK12HD050121 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Serdar E. Bulun · 2005 to 2026
$7.2M
NICHD NIH HHS K12 HD050121
6 · The paper itself

Abstract

objectiveWomen with inflammatory bowel diseases (IBDs) utilize contraception at a lower rate than the general population. We sought to identify factors associated with contraceptive use and selection of more effective methods in IBD patients at risk for unintended pregnancy. STUDY

designAn online survey was distributed to women with IBD in January 2013. Contraceptive methods were categorized by effectiveness and associations with use explored by demographics, disease characteristics and reproductive goals.

resultsA total of 162 respondents were analyzed: 62% had Crohn's disease and 38% ulcerative colitis. Mean age was 31 (range 20-45), 97% identified as White, and 53% were nulliparas. Seventy-four percent were currently using IBD medications. A quarter of participants (23%) used no contraception, 17% used highly effective methods, 41% used short-term hormonal methods, and 19% chose barrier/behavioral methods. Prior IBD-related surgery, biologic therapy use and low education attainment were associated with no contraception use. Of contraceptive users, age, parity, insurance status, IBD surgery and prior immunomodulator use were associated with highly effective method selection.

conclusionsA quarter of women with IBD at risk for pregnancy in this study population reported no contraceptive method use. Higher levels of IBD activity influence contraceptive use and method selection, which could guide future patient and provider educational interventions. IMPLICATIONS: Pregnancy planning is important for women with inflammatory bowel diseases to avoid adverse outcomes in a disease-poor state. Use of contraception assists in avoidance of unintended pregnancy. IBD characteristics are targets for educational interventions to improve uptake of highly effective contraceptive methods.

Indexed as

Inflammatory Bowel DiseasesAdultContraception BehaviorCross-Sectional StudiesFemaleHumansImmunosuppressive AgentsMaleMethotrexateMiddle AgedYoung AdultImmunosuppressive AgentsMethotrexateChronic diseaseContraceptive efficacyReproductive health

Identifiers

PMID24486008
PMCPMC4019681
OpenAlexW1993317794

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.