Evidence map›Paper›PMID 26152648›Full record

ArticleJournal of pediatric and adolescent gynecology2015

Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women.

Melissa Kottke, Maura K Whiteman, Joan Marie Kraft, Peggy Goedken, Jeffrey Wiener, Athena P Kourtis, Ralph DiClemente

Abstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Melissa KottkeDepartment of Gynecology and Obstetrics, Emory University, School of Medicine, Atlanta, Georgia. Electronic address: mkottke@emory.edu.
Maura K WhitemanDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Joan Marie KraftDepartment of Behavioral Science and Health Education, Emory University, Rollins School of Public Health, Atlanta, Georgia.
Peggy GoedkenDepartment of Gynecology and Obstetrics, Emory University, School of Medicine, Atlanta, Georgia.
Jeffrey WienerDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Athena P KourtisDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ralph DiClementeDepartment of Behavioral Science and Health Education, Emory University, Rollins School of Public Health, Atlanta, Georgia.

Funding

EMORY PREVENTION RESEARCH CENTERU48DP001909 · DP · EMORY UNIVERSITY · PI KEGLER, MICHELLE C · 2009 to 2013
$10.7M
NCCDPHP CDC HHS U48 DP001909NCCDPHP CDC HHS U48DP001909-01
6 · The paper itself

Abstract

STUDY

objectiveTo characterize factors associated with dual method contraceptive use in a sample of adolescent women. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND

main outcome measuresWe conducted a cross-sectional survey of sexually active African American women aged 14-19 years who attended an urban Title X clinic in Georgia in 2012 (N = 350). Participants completed a computerized survey to assess contraceptive and condom use during the past 2 sexual encounters with their most recent partner. Dual method use was defined as use of a hormonal contraceptive or intrauterine device and a condom. We applied multinomial logistic regression, using generalized estimating equations, to examine the adjusted association between dual method use (vs use of no methods or less effective methods alone; eg, withdrawal) and select characteristics.

resultsDual methods were used by 20.6% of participants at last sexual intercourse and 23.6% at next to last sexual intercourse. Having a previous sexually transmitted disease (adjusted odds ratio [aOR], 2.30; 95% confidence interval [CI], 1.26-4.18), negative attitude toward pregnancy (aOR, 2.25; 95% CI, 1.19-4.28), and a mother who gave birth as a teen (aOR, 2.34; 95% CI, 1.21-4.52) were associated with higher odds of dual method use. Having no health insurance (aOR, 0.39; 95% CI, 0.18-0.82), 4 or more lifetime sexual partners (aOR, 0.42; 95% CI, 0.22-0.78), sex at least weekly (aOR, 0.54; 95% CI, 0.29-0.99), and agreeing to monogamy with the most recent partner (aOR, 0.40; 95% CI, 0.16-0.96) were associated with decreased odds of dual method use.

conclusionDual method use was uncommon in our sample. Efforts to increase use of dual methods should address individual and relationship factors.

Indexed as

Pregnancy, UnplannedAdolescentAttitude to HealthBlack or African AmericanCombined Modality TherapyCondomsContraceptionContraceptives, Oral, HormonalCross-Sectional StudiesFemaleGeorgiaHumansIntrauterine DevicesLogistic ModelsPregnancySexual BehaviorContraceptives, Oral, HormonalAdolescentAfrican AmericanCondomsDual method use

Identifiers

PMID26152648
PMCPMC4618263

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.