Evidence map›Paper›PMID 26546851›Full record

ArticleAmerican journal of obstetrics and gynecology2016

Pregnancy among US women: differences by presence, type, and complexity of disability.

Willi Horner-Johnson, Blair G Darney, Sheetal Kulkarni-Rajasekhara, Brian Quigley, Aaron B Caughey

Abstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Willi Horner-JohnsonInstitute on Development and Disability, Oregon Health and Science University, Portland, OR. Electronic address: hornerjo@ohsu.edu.
Blair G DarneyDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR; National Institute of Public Health, Center for Health Systems Research, Cuernavaca, Mexico.
Sheetal Kulkarni-RajasekharaInstitute on Development and Disability, Oregon Health and Science University, Portland, OR.
Brian QuigleyDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR.
Aaron B CaugheyDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR.
Oregon Health & Science University · USTechnological Assistance Institute for Intellectual Disability · US

Funding

Oregon Patient Centered Outcomes Research K12 ProgramK12HS022981 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUISE, JEANNE-MARIE · 2014 to 2018
$4.1M
OHSU Women's Reproductive Health Research K12 ProgramK12HD085809 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Aaron B Caughey · 2015 to 2026
$4.0M
Prevalence and outcomes of pregnancy in women with disabilitiesR21HD081309 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI HORNER-JOHNSON, WILLI · 2014 to 2015
$419k
AHRQ HHS K12 HS022981AHRQ HHS K12HS022981NICHD NIH HHS K12 HD085809NICHD NIH HHS R21 HD081309NICHD NIH HHS R21HD081309
6 · The paper itself

Abstract

backgroundApproximately 12% of women of reproductive age have some type of disability. Very little is known about sexual and reproductive health issues among women with disabilities, including what proportion of women with disabilities experience pregnancy. Data on pregnancy are important to inform needs for preconception and pregnancy care for women with disabilities.

objectiveThe purpose of this study was to describe the occurrence of pregnancy among women with various types of disability and with differing levels of disability complexity, compared with women without disabilities, in a nationally representative sample. STUDY

designWe conducted cross-sectional analyses of 2008-2012 Medical Expenditure Panel Survey annualized data to estimate the proportion of women aged 18-44 years with and without disabilities who reported a pregnancy during 1 year of participation on the survey panel. We used a multivariable logistic regression to test the association of pregnancy with presence, type, and complexity of disability, controlling for other factors associated with pregnancy.

resultsSimilar proportions of women with and without disabilities reported a pregnancy (10.8% vs 12.3%, with 95% confidence intervals overlapping). Women with the most complex disabilities (those that impact activities such as self-care and work) were less likely to have been pregnant (adjusted odds ratio, 0.69, 95% confidence interval, 0.52-0.93), but women whose disabilities affected only basic actions (seeing, hearing, movement, cognition) did not differ significantly from women with no disabilities.

conclusionWomen with a variety of types of disabilities experience pregnancy. Greater attention is needed to the reproductive health care needs of this population to ensure appropriate contraceptive, preconception, and perinatal care.

Indexed as

Pregnancy RateAdolescentAdultCross-Sectional StudiesFemaleHealth SurveysHumansMultivariate AnalysisPersons with DisabilitiesPregnancySeverity of Illness IndexUnited StatesYoung Adultpeople with disabilitiespopulation-based datapregnancywomen

Identifiers

PMID26546851
PMCPMC4821180
OpenAlexW1919741428

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.