ArticlePerspectives on sexual and reproductive health2014
Counseling about IUDs: a mixed-methods analysis.
Article in Perspectives on sexual and reproductive health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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.
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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
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Medications to ease intrauterine device insertion: a systematic review.Contraception · 2016Pooled it
- Meeting Contraceptive Preferences Among Low-Income Postpartum Texans: A Counterfactual Analysis of Pregnancy Trajectories.Studies in family planning · 2025Article
- The importance of patient-centered contraceptive care: Linking provider contraceptive coercion to patient psychological distress and mental well-being.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2025Article
- Patient Barriers to Discontinuing Long-Acting Reversible Contraception.Maternal and child health journal · 2024Article
- Review
- "She should support me, she's my doctor:" Patient perceptions of agency in contraceptive decision-making in the clinical encounter in Northern California.Perspectives on sexual and reproductive health · 2023Article
- Article
- Attitudes Toward the Copper IUD in Sweden: A Survey Study.Frontiers in global women's health · 2022Article
- Using Application Programming Interfaces (APIs) to Access Google Data and Gain Insights Into Searches on Birth Control in Louisiana and Mississippi, 2014-2018: Infoveillance Study.Journal of medical Internet research · 2021Article
- Meeting Women's Requests for Intrauterine Device and Contraceptive Implant Discontinuation: An Exploratory Survey of Physicians.Hawai'i journal of health & social welfare · 2020Article
- Pill, patch or ring? A mixed methods analysis of provider counseling about combined hormonal contraception.Contraception · 2019Article
- Interdependent Barriers to Providing Adolescents with Long-Acting Reversible Contraception: Qualitative Insights from Providers.Journal of pediatric and adolescent gynecology · 2016Article
- A checklist approach to caring for women seeking pregnancy testing: effects on contraceptive knowledge and use.Contraception · 2015Article
- Contraceptive counseling: best practices to ensure quality communication and enable effective contraceptive use.Clinical obstetrics and gynecology · 2014Review
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 3 institutions in 2 countries.
Funding
Abstract
contextIUDs are infrequently used in the United States. Assessing how counseling about this method is delivered can help identify barriers to IUD use that might be overcome by improving services.
methodsA sample of 342 family planning visits at six clinics in the San Francisco Bay Area in 2009-2012 were audio-recorded, and patients completed surveys both before and after their visits. Descriptive quantitative analyses of counseling were performed, and correlates of IUDs' being mentioned during counseling were investigated using logistic regression. Qualitative analyses investigated the counseling women received about IUDs generally (in a subset of 42 visits), as well as counseling for women who already had an IUD in place (13 visits) or who felt their provider inappropriately expressed a preference for IUDs (five visits).
resultsIUDs were mentioned in 75% of visits. Patient-initiated mention of IUDs was more likely in visits by women aged 35 or older than in those by women younger than 20 (odds ratio, 6.4); provider-initiated discussion of this method was less common if the provider was older than 55 than if he or she was younger than 46 (0.3). Providers more often discussed potential adverse effects of IUD use than benefits; counseling often was noninteractive and did not address how patient preferences related to characteristics of IUDs. Counseling was frequently fragmented by the need for return visits or referral elsewhere for insertion.
conclusionsIUD counseling may be improved by enhancing comprehensiveness and patient-centeredness, and by decreasing fragmentation of care.
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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.