Evidence map›Paper›PMID 25935780›Full record

ArticleAmerican journal of obstetrics and gynecology2015

A population-based study of US women's preferred versus usual sources of reproductive health care.

Kelli Stidham Hall, Elizabeth W Patton, Halley P Crissman, Melissa K Zochowski, Vanessa K Dalton

Abstract readComparative Study
In one paragraph

Article in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 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.

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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Where U.S. Women Receive Primary Care: A Cross-Sectional Analysis.Journal of general internal medicine · 2026
    Article
  6. Article
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  8. Virtual Preconception Risk Assessment and Counseling In Primary Health Care.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
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  11. Article
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  16. 'Taking Care': A qualitative study of emerging adult-aged women's sexual and reproductive health definitions.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2023
    Article
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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

5 authors.

Kelli Stidham HallDepartment of Obstetrics and Gynecology, Institute for Social Research, University of Michigan, Ann Arbor, MI. Electronic address: hkelli@umich.edu.
Elizabeth W PattonRobert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, MI.
Halley P CrissmanSchool of Medicine, University of Michigan, Ann Arbor, MI.
Melissa K ZochowskiDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
Vanessa K DaltonDepartment of Obstetrics and Gynecology, Program on Women's Health Care Effectiveness Research, and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI.

Funding

Michigan BIRCWH Career Development ProgramK12HD001438 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JOHNSON, TIMOTHY RB · 2000 to 2014
$6.7M
Stress and Unintended Pregnancy in Adolescence and Young AdulthoodK01HD080722 · NICHD · EMORY UNIVERSITY · PI HALL, KELLI STIDHAM · 2015 to 2018
$512k
NICHD NIH HHS K01 HD080722NICHD NIH HHS K12 HD001438NICHD NIH HHS K12HD001438
6 · The paper itself

Abstract

objectiveWe characterized US women's preferred and usual sources of reproductive health care. STUDY

designData were drawn from the Women's Health Care Experiences and Preferences Study, an Internet survey of 1078 women aged 18-55 years randomly sampled from a national probability panel. We described and compared women's preferred and usual sources of care (women's health specialists including obstetricians-gynecologists and family-planning clinics, primary care, other) for Papanicolaou/pelvic examination, contraception, and sexually transmitted infection (STI) services using χ(2), logistic regression, and kappa statistics.

resultsAmong women reporting health service utilization (n = 984, 92% overall; 77% Papanicolaou/pelvic; 33% contraception; 8% STI), women's health specialists were the most used sources of care for Papanicolaou/pelvic (68%), contraception (74%), and STI (75%) services. Women's health specialists were also the most preferred care sources for Papanicolaou/pelvic (68%), contraception (49%), and STI (35%) services, whereas the remainder of women preferred primary care/other sources or not to get care. Differences in preferred and usual care sources were noted across sociodemographic groups, including insurance status and income level (P < .05). Preference for women's health specialists was the strongest predictor of women's health specialist utilization for Papanicolaou/pelvic (adjusted odds ratio, 48.8; 95% confidence interval, 25.9-91.8; P < .001) and contraceptive (adjusted odds ratio, 194.5; 95% confidence interval, 42.3-894.6; P < .001) services. Agreement between preferred and usual-care sources was high for Papanicolaou/pelvic (85%, kappa, 0.63) and contraception (86%; kappa, 0.64) services; disagreement (range, 15-22%) was associated with insurance, employment, income, race, and religion (P < .05).

conclusionWomen's preferences for and use of women's health specialists for reproductive health care has implications for efforts to define the role of obstetricians-gynecologists and family planning clinics in current health systems.

Indexed as

Patient PreferenceAdolescentAdultAmbulatory Care FacilitiesContraceptionEarly Detection of CancerFemaleGynecologyHumansIncomeInsurance, HealthLogistic ModelsMiddle AgedObstetricsPapanicolaou TestPrimary Health Carehealth service preferencesreproductive health carewomen’s health service utilization

Identifiers

PMID25935780
PMCPMC4556560

What OpenQuestion holds

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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.