Evidence map›Paper›PMID 26828625›Full record

ArticleContraception2016

The relationship of age and place of delivery with postpartum contraception prior to discharge in Mexico: A retrospective cohort study.

Blair G Darney, Sandra G Sosa-Rubi, Edson Servan-Mori, Maria I Rodriguez, Dilys Walker, Rafael Lozano

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Contraception, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 39 citations in OpenAlex.

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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

6 authors at 4 institutions in 3 countries.

Blair G DarneyCenter for Health Systems Research, National Institute of Public Health (INSP), Cuernavaca, Morelos, Mexico; Oregon Health & Science University, Department of Obstetrics & Gynecology, Portland, OR. Electronic address: blair.darney@insp.mx.
Sandra G Sosa-RubiCenter for Health Systems Research, National Institute of Public Health (INSP), Cuernavaca, Morelos, Mexico.
Edson Servan-MoriCenter for Health Systems Research, National Institute of Public Health (INSP), Cuernavaca, Morelos, Mexico.
Maria I RodriguezOregon Health & Science University, Department of Obstetrics & Gynecology, Portland, OR; World Health Organization, Department of Reproductive Health and Research, Geneva, Switzerland.
Dilys WalkerUniversity of California, San Francisco, San Francisco, CA.
Rafael LozanoCenter for Health Systems Research, National Institute of Public Health (INSP), Cuernavaca, Morelos, Mexico; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA.
Instituto Nacional de Salud Pública · MXInstitute for Health Metrics and Evaluation · USUniversity of California, San Francisco · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesTo test the association of age (adolescents vs. older women) and place of delivery with receipt of immediate postpartum contraception in Mexico. STUDY

designRetrospective cohort study, Mexico, nationally representative sample of women 12-39years old at last delivery. We used multivariable logistic regression to test the association of self-reported receipt of postpartum contraception prior to discharge with age and place of delivery (public, employment based, private, or out of facility). We included individual and household-level confounders and calculated relative and absolute multivariable estimates of association.

resultsOur analytic sample included 7022 women (population, N=9,881,470). Twenty percent of the population was 12-19years old at last birth, 55% aged 20-29 and 25% 30-39years old. Overall, 43% of women reported no postpartum contraceptive method. Age was not significantly associated with receipt of a method, controlling for covariates. Women delivering in public facilities had lower odds of receipt of a method (Odds Ratio=0.52; 95% Confidence Interval (CI)=0.40-0.68) compared with employment-based insurance facilities. We estimated 76% (95% CI=74-78%) of adolescents (12-19years) who deliver in employment-based insurance facilities leave with a method compared with 59% (95% CI=56-62%) who deliver in public facilities.

conclusionBoth adolescents and women ages 20-39 receive postpartum contraception, but nearly half of all women receive no method. Place of delivery is correlated with receipt of postpartum contraception, with lower rates in the public sector. Lessons learned from Mexico are relevant to other countries seeking to improve adolescent health through reducing unintended pregnancy. IMPLICATIONS: Adolescents receive postpartum contraception as often as older women in Mexico, but half of all women receive no method.

Indexed as

Age FactorsDelivery, ObstetricPostpartum PeriodAdolescentAdultChildContraceptionDelivery of Health CareFamily Planning ServicesFemaleHumansIntrauterine DevicesLogistic ModelsMexicoMultivariate AnalysisOdds RatioAdolescentsIUDMexicoPostpartum contraception

Identifiers

PMID26828625
PMCPMC4863522
OpenAlexW2253748306

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.