Evidence map›Paper›PMID 27004949›Full record

ArticleJournal of racial and ethnic health disparities2017

A Mixed Methods Study of Contraceptive Effectiveness in a Relationship Context Among Young Adult, Primarily Low-Income African American Women.

Mary T Paterno, Matthew J Hayat, Jennifer Wenzel, Jacquelyn C Campbell

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 8 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

4 authors at 3 institutions in 1 country.

Mary T PaternoCollege of Nursing, University of Massachusetts Amherst, Amherst, MA, USA. mtpaterno@umass.edu.
Matthew J HayatDivision of Epidemiology and Biostatistics, Georgia State University, School of Public Health, Atlanta, GA, USA.
Jennifer WenzelSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Jacquelyn C CampbellSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Johns Hopkins University · USAmherst College · USGeorgia State University · US

Funding

Institute for Clinical and Translational Research (TL1)TL1RR025007 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$2.6M
INTERDISCIPLINARY RESEARCH TRAINING ON VIOLENCET32MH020014 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CAMPBELL, JACQUELYN CUTLER · 1999 to 2009
$2.3M
Inderdisciplinary Training on Preventing and Addressing Violence in FamiliesT32HD064428 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CAMPBELL, JACQUELYN CUTLER · 2010 to 2014
$1.7M
NCRR NIH HHS TL1 RR025007NICHD NIH HHS T32 HD064428NIMH NIH HHS T32 MH020014
6 · The paper itself

Abstract

backgroundUnintended pregnancy is an important public health issue. Rates of unintended pregnancy are disproportionately higher among women from racial and ethnic minority groups among whom rates of contraceptive use are lower. Women's multifaceted feelings about pregnancy and perceptions of their intimate relationships may influence contraceptive behavior.

methodsWe used mixed methods to examine women's perceptions of pregnancy, motherhood, and contraceptives within the context of their intimate relationships. A convenience sample of 130 primarily low-income African American women ages 18-29 completed a cross-sectional, computerized survey; 12 women provided in-depth qualitative interview data. Generalized linear mixed models were used to identify associations between study variables and contraceptive effectiveness. Interview data were analyzed using qualitative descriptive methods and integrated with quantitative data.

resultsHigher positive pregnancy attitude [odds ratio (OR) 0.78; 95 % confidence interval (CI) 0.63, 0.98], lower contraceptive attitude (OR 1.17; 95 % CI 1.01, 1.36), and more than one recent sexual partner (OR 0.03; 95 % CI <0.01, 0.60) were associated with less effective contraceptive use. Qualitative results included three themes: You get pregnant that's on you; Motherhood means everything; and Make sure you're stable. Women's qualitative reports primarily supported but occasionally diverged from quantitative findings, reflecting discrepancies from their stated ideals, personal goals, and behavior.

conclusionThe incongruities between women's ideals and their actual contraceptive behavior demonstrate the complexity of making reproductive decisions based on existing life circumstances and challenges. Health care providers should have broad understanding of women's pregnancy goals in order to recommend the most appropriate contraceptive methods and pre-conception counseling.

Indexed as

Attitude to HealthBlack or African AmericanContraceptionContraception BehaviorContraceptive EffectivenessInterpersonal RelationsPovertyAdolescentAdultCross-Sectional StudiesFemaleHumansLinear ModelsOdds RatioPregnancyPregnancy, UnplannedContraceptiveMixed methodsMotherhoodPregnancy attitudeRelationships

Identifiers

PMID27004949
PMCPMC5033664
OpenAlexW2309127165

What OpenQuestion holds

Textmetadata
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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.