Evidence map›Paper›PMID 26994674›Full record

ArticleContraception2016

Effects of relationship context on contraceptive use among young women.

Ushma D Upadhyay, Sarah Raifman, Tina Raine-Bennett

Abstract read
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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. A Randomized Controlled Trial of a Digital Intervention to Improve the Sexual Health of Adolescent and Young Adult Male Emergency Department Patients.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Trial
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  5. Contraceptive use and counselling in women with mental illness: KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
    Article
  6. Reasons given by women for discontinuing the use of progestogen implants at Koster Hospital, North West province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022
    Article
  7. A Questionnaire-Based Study to Evaluate Health-Related Behaviors in 602 Women of Reproductive Age in Poland.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
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  20. Hybrid Masculinity and Young Men's Circumscribed Engagement in Contraceptive Management.Gender & society : official publication of Sociologists for Women in Society · 2018
    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

3 authors.

Ushma D UpadhyayAdvancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA 94612. Electronic address: Ushma.Upadhyay@ucsf.edu.
Sarah RaifmanAdvancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA 94612. Electronic address: Sarah.Raifman@ucsf.edu.
Tina Raine-BennettWomen's Health Research Institute, Division of Research, Kaiser Permanente Northern California, 2000 Broadway, 3rd Floor, 032R06, Oakland, CA 94612. Electronic address: tina.r.raine-bennett@kp.org.

Funding

Combined Hormonal Contraceptive Use in High Risk WomenR01HD045480 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAINE-BENNETT, TINA RENEE · 2004 to 2008
$1.6M
Gender, Autonomy, and Contraceptive Use Among Young PeopleK01HD077064 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI UPADHYAY, USHMA DESAI · 2014 to 2018
$722k
NICHD NIH HHS K01 HD077064NICHD NIH HHS R01 HD045480
6 · The paper itself

Abstract

objectivesTo understand how relationship status influences contraceptive use among young people. STUDY

designData were collected as part of a longitudinal study on hormonal contraception among unmarried adolescent and young women who wanted to avoid pregnancy for at least one year, recruited at family planning clinics in the San Francisco Bay Area. Follow-up surveys were completed at 3, 6, and 12months. Longitudinal analysis was used to examine whether relationship characteristics, including type and length of sexual relationship are associated with current use of effective contraception.

resultsAmong women with a partner at baseline, 78%, 70%, and 61% had the same partner at 3, 6, and 12months follow up, respectively. Women in casual relationships were less likely to use effective contraceptive methods, compared to women in consistent relationships (AOR=0.67, p<.01). Women in new relationships (0-3months) were less likely to use effective contraceptive methods (AOR=0.60, p<.001) compared to women in relationships more than one year in length. Younger women (AOR=0.76, p<.05), black women (AOR=0.67, p<.05) and Latina women (AOR=0.73, p<.05) were also significantly less likely to use effective contraception. These effects remained even after controlling for condom use.

conclusionsRelationship type and length are independently significantly associated with current effective contraceptive use among adolescent and young women. Women in casual relationships and new relationships were significantly less likely to use effective contraceptive methods. IMPLICATIONS: Family planning providers should discuss women's relationship context and association with contraceptive use in order to help women think of contraception as a long-term personal strategy. Since relationship status affects contraceptive use, providers and programs that aim to reduce unintended pregnancy can consider strategies to create a paradigm shift around contraceptive use that focuses on the woman's reproductive goals, current life stage, and life goals.

Indexed as

Pregnancy, UnplannedSexual PartnersAdolescentAdultBlack or African AmericanContraceptionContraception BehaviorContraceptive DevicesFamily Planning ServicesFemaleHispanic or LatinoHumansLongitudinal StudiesPregnancySan FranciscoSex EducationadolescentscommitmentContraceptive uselongitudinalrelationshipsyoung women

Identifiers

PMID26994674
PMCPMC4884532

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.