Evidence map›Paper›PMID 27049877›Full record

ArticlePatient education and counseling2016

"Doctors are in the best position to know…": The perceived medicalization of contraceptive method choice in Ibadan and Kaduna, Nigeria.

Hilary M Schwandt, Joanna Skinner, Abdulmumin Saad, Lisa Cobb

Open access · hybridAbstract read
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-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

4 citing papers in PubMed, 15 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 2 institutions in 1 country.

Hilary M SchwandtFairhaven College, Western Washington University, Bellingham, USA; Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. Electronic address: Hilary.schwandt@wwu.edu.
Joanna SkinnerCenter for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Abdulmumin SaadNigerian Urban Reproductive Health Initiative, Abuja, Nigeria.
Lisa CobbCenter for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Johns Hopkins University · USWestern Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe medicalization and clinic-based distribution of contraceptive methods have been criticized as barriers to increasing levels of contraceptive use in Nigeria and other settings; however, our understanding of how clients themselves perceive the contraceptive method decision-making process is very limited.

methodsFocus group discussions among men and women in Ibadan and Kaduna, Nigeria, were used to examine attitudes and norms surrounding contraceptive method decision-making in September and October of 2010.

resultsChoosing a family planning method was presented as a medical decision: best done by a doctor who conducts clinical tests on the client to determine the best, side effect free, contraceptive method for each client. An absolute trust in health professionals, hospitals, and governments to provide safe contraception was evident.

conclusionThe level of medicalization placed on contraceptive method choice by urban Nigerians is problematic, especially since a test that can determine what contraceptive methods will cause side effects in an individual does not exist, and side effects often do occur with contraceptive method use. PRACTICE IMPLICATIONS: Provider and client education approaches would help to improve client involvement in contraceptive decision-making and method choice.

Indexed as

Choice BehaviorDecision MakingHealth Knowledge, Attitudes, PracticeMedicalizationAdolescentAdultContraceptionContraception BehaviorFamily Planning ServicesFemaleFocus GroupsHealth PersonnelHealth Services AccessibilityHumansMiddle AgedNigeriaFamily planningHormonal contraceptionNigeriaService deliveryService provisionUrban

Identifiers

PMID27049877
PMCPMC4942560
OpenAlexW2308811026

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.