Evidence map›Paper›PMID 24894425›Full record

ArticleThe journal of sexual medicine2014

Stress symptoms and frequency of sexual intercourse among young women.

Kelli Stidham Hall, Yasamin Kusunoki, Heather Gatny, Jennifer Barber

Open access · bronzeAbstract read
In one paragraph

Article in The journal of sexual medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  8. Bidirectional associations between daily subjective stress and sexual desire, arousal, and activity in healthy men and women.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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  18. Impact of Work from Home Policy during the COVID-19 Pandemic on Mental Health and Reproductive Health of Women in Indonesia.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
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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

4 authors at 2 institutions in 1 country.

Kelli Stidham HallDepartment of Obstetrics and Gynecology, University of Michigan Health System, Ann Arbor, MI, USA; Population Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Yasamin Kusunoki
Heather Gatny
Jennifer Barber
SoundRocket (United States) · USUniversity of Michigan–Ann Arbor · US

Funding

Population Studies Center Infrastructure GrantR24HD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMOCK, PAMELA J. · 2001 to 2016
$13.2M
Michigan BIRCWH Career Development ProgramK12HD001438 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JOHNSON, TIMOTHY RB · 2000 to 2014
$6.7M
Intergenerational Influences on Family Formation in a Changing Social ContextR01HD032912 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AXINN, WILLIAM G. · 1994 to 2011
$3.9M
Young Women's Relationships, Contraception, and Unintended PregnancyR01HD050329 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BARBER, JENNIFER S. · 2007 to 2011
$3.3M
Electronic Journal Data Collection Technologies for Interdisciplinary ResearchR21DA024186 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AXINN, WILLIAM G., COUPER, MICK P · 2007 to 2010
$1.2M
NICHD NIH HHS K12 HD001438NICHD NIH HHS K12HD001438NICHD NIH HHS R01 HD032912NICHD NIH HHS R01 HD050329NICHD NIH HHS R24 HD041028NICHD NIH HHS R24HD041028NIDA NIH HHS R21 DA024186NIDA NIH HHS R21-DA024186PHS HHS R01-HDHD050329
6 · The paper itself

Abstract

introductionWe have previously documented the relationships between stress and depression symptoms and adolescent women's nonuse and misuse of condoms and other contraceptive methods and on their unintended pregnancy rates.

aimHere, we examine relationships between mental health symptoms and another understudied adolescent reproductive health behavior-frequency of sexual intercourse.

main outcome measureOur outcome was weekly sexual intercourse activity.

methodsWe used panel data from a longitudinal, population-based cohort study of 992 women ages 18-20. Weekly journals measured sociodemographic, relationship, reproductive, and mental health characteristics, sexual and contraceptive behaviors, and pregnancy history. We examined 27,130 surveys from 952 women during the first study year. Predictors of weekly sexual intercourse were moderate to severe stress (Perceived Stress Scale-4) and depression (Center for Epidemiologic Studies Depression Scale-5) symptoms measured at baseline. Multilevel, mixed-effects logistic regression models estimated the relationships between stress and depression symptoms and the weekly odds of sexual intercourse while adjusting for covariate fixed effects and random woman effects.

resultsNearly a quarter of the sample had moderate to severe stress (23%) and depression (24%) symptoms at baseline. Women reported sexual intercourse in 36% of weeks. Proportions of sexually active weeks were higher among women with stress (43%) and depression (40%) compared with those without symptoms (35% and 35%, respectively; P values<0.001). Controlling for covariates, women with baseline stress symptoms had 1.6 times higher weekly odds of sexual intercourse compared with women without stress (adjusted odds ratio 1.6, confidence interval [1.1, 2.5]; P=0.04). Depression symptoms were not associated with sexual intercourse frequency in adjusted models.

conclusionsStress symptoms were positively associated with sexual intercourse frequency among these young women. Research and practice efforts are needed to identify effective sexual health promotion and risk-reduction strategies, including contraceptive education and counseling, in the context of mental health symptoms and unintended pregnancy.

Indexed as

AdolescentCoitusContraceptionContraception BehaviorDepressionFemaleHumansLogistic ModelsLongitudinal StudiesOdds RatioParityPregnancyStress, PsychologicalYoung AdultMental HealthSexual HealthSexual IntercourseStressUnintended Pregnancy

Identifiers

PMID24894425
PMCPMC4115031
OpenAlexW2155295016

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.