Evidence map›Paper›PMID 26026477›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2015

Cervical Cancer Screening, Pelvic Examinations, and Contraceptive Use Among Adolescent and Young Adult Females.

Kavita S Vinekar, Anjel Vahratian, Kelli S Hall, Brady T West, Amy Caldwell, Jason D Bell, Vanessa K Dalton

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Kavita S VinekarProgram on Women's Health Care Effectiveness Research, Department of Obstetrics and Gynecology, L4000 Women's Hospital, University of Michigan Medical School, Ann Arbor, Michigan.
Anjel VahratianProgram on Women's Health Care Effectiveness Research, Department of Obstetrics and Gynecology, L4000 Women's Hospital, University of Michigan Medical School, Ann Arbor, Michigan.
Kelli S HallProgram on Women's Health Care Effectiveness Research, Department of Obstetrics and Gynecology, L4000 Women's Hospital, University of Michigan Medical School, Ann Arbor, Michigan; Institute for Social Research, Population Studies Center, University of Michigan, Ann Arbor, Michigan.
Brady T WestSurvey Research Center and Center for Statistical Consultation and Research, University of Michigan, Ann Arbor, Michigan.
Amy CaldwellProgram on Women's Health Care Effectiveness Research, Department of Obstetrics and Gynecology, L4000 Women's Hospital, University of Michigan Medical School, Ann Arbor, Michigan.
Jason D BellProgram on Women's Health Care Effectiveness Research, Department of Obstetrics and Gynecology, L4000 Women's Hospital, University of Michigan Medical School, Ann Arbor, Michigan.
Vanessa K DaltonProgram on Women's Health Care Effectiveness Research, Department of Obstetrics and Gynecology, L4000 Women's Hospital, University of Michigan Medical School, Ann Arbor, Michigan. Electronic address: daltonvk@med.umich.edu.

Funding

Michigan BIRCWH Career Development ProgramK12HD001438 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JOHNSON, TIMOTHY RB · 2000 to 2014
$6.7M
Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Erin Bakshis Ware · 2017 to 2026
$6.5M
University of Michigan WRHR Career Development ProgramK12HD065257 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FENNER, DEE ELLEN · 2010 to 2019
$3.4M
NICHD NIH HHS K12 HD001438NICHD NIH HHS K12HD001438NICHD NIH HHS K12 HD065257NICHD NIH HHS K12HD065257NICHD NIH HHS P2C HD041028
6 · The paper itself

Abstract

purposeThe purpose of this study was to characterize the association between pelvic examination and adolescent contraceptive method use in two time periods in the 2006-2010 National Survey of Family Growth (NSFG).

methodsUsing data from the 2006-2010 NSFG, we used descriptive statistics and multivariable regression models to examine the association between pelvic examination and/or Pap smear and use of effective or highly effective contraceptive methods during two time periods (2006-2008 and 2008-2010). We used the design characteristics of the NSFG to produce population estimates.

resultsMore than half (57.3%) of our target population reported that they had a pelvic examination and/or Pap smear in the preceding 12 months. After considering health service use, pregnancy history, and demographic characteristics, receipt of pelvic/Pap remained significantly associated with use of effective or highly effective methods of contraception. Adjusted odds ratio = 1.86; 95% confidence interval (CI), 1.17-2.97. When we examined the relationship between pelvic/Pap and use of effective or highly effective methods within time periods, we found that the odds of effective contraception use were higher among adolescents who had received a Pap/pelvic examination in Period 1 (June 2006-May 2008) but not in Period 2 (June 2008-May 2010). Odds ratio = 3.05; 95% CI, 1.53-6.03 and odds ratio = 1.52; 95% CI, .88-2.62, Periods 1 and 2 respectively.

conclusionsThis finding provides some reassurance that although indications for pelvic examination and Pap smear among adolescents have decreased, the previously documented association between pelvic examination and effective or highly effective contraception appears to have decreased.

Indexed as

AdolescentAdultContraceptionContraception BehaviorEarly Detection of CancerFemaleGynecological ExaminationHumansMultivariate AnalysisOdds RatioPapanicolaou TestPregnancyRegression AnalysisTime FactorsUterine Cervical NeoplasmsYoung AdultAdolescentsContraceptionPelvic examination

Identifiers

PMID26026477
PMCPMC4580912

What OpenQuestion holds

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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.