ArticleJournal of women's health (2002)2016
Chronic Diseases and Use of Contraception Among Women at Risk of Unintended Pregnancy.
Article in Journal of women's health (2002), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review.BMC public health · 2025Pooled it
- From Awareness to Action: Bridging Knowledge and Practice Gaps in Contraceptive Counselling for Women with Chronic Medical Conditions-A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Online decision aids for contraceptive choices in women with chronic conditions: A systematic review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Review
- Pregnancy outcomes among medically complex populations with high risk of pregnancy mortality in Virginia: a retrospective observational study.BMC medicine · 2026Observational
- A Web-Based Contraception Decision Tool for Individuals With Health Conditions in US Outpatient Clinics: Protocol for a Mixed Methods Cluster Randomized Controlled Trial.JMIR research protocols · 2025Article
- Prevalence and Factors Influencing Family Planning Use among Women with Non-Communicable Diseases in Urban Areas in Rwanda.Rwanda journal of medicine and health sciences · 2025Article
- Contraceptive use and pregnancy in cystic fibrosis: Survey findings from 10 cystic fibrosis centers.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025Article
- Family planning behaviours among women with diabetes mellitus: a scoping review.European journal of medical research · 2024Article
- Supporting reproductive health among birthing persons with chronic conditions in the United States: A qualitative multilevel study using systems thinking to inform action.Health services research · 2023Article
- Acceptance of Pregnancy-Induced Disease and Intrapersonal Resistance Resources of Pregnant Women-Preliminary Report.International journal of environmental research and public health · 2023Article
- Patterns of contraceptive use through later reproductive years: A cohort study of Australian women with chronic disease.PloS one · 2023Article
- Trusted contraception information sources for individuals with opioid use disorder.Health services research · 2022Article
- Patterns of contraceptive use among young Australian women with chronic disease: findings from a prospective cohort study.Reproductive health · 2022Article
- Contraceptive use in women with inherited metabolic disorders: a retrospective study and literature review.Orphanet journal of rare diseases · 2022Review
- Preconception Counseling, Contraceptive Counseling, and Long-Acting Reversible Contraception Use in Women with Type I Diabetes: A Retrospective Cohort Study.Women's health reports (New Rochelle, N.Y.) · 2020Article
- Trends and Disparities in Sexual and Reproductive Health Behaviors and Service Use Among Young Adult Women (Aged 18-25 Years) in the United States, 2002-2015.American journal of public health · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundWomen with chronic diseases are at increased risk of having unintended pregnancies. Little is known whether chronic diseases are associated with increased likelihood of effective/highly effective contraceptive use.
methodsWe analyzed 2008-2010 Florida Behavioral Risk Factor Surveillance System data for women aged 18-44 years who were at risk of unintended pregnancy. Multivariable Poisson regression estimated adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) for contraceptive use in relation to diabetes, cardiovascular disease (CVD), and current asthma. We assessed the association of chronic disease status with use of three different contraception outcomes: (1) any method versus none, (2) less effective methods (methods associated with ≥10 unintended pregnancies/100 women/year) versus none, and (3) effective/highly effective methods (<10 unintended pregnancies/100 women/year) versus none.
resultsAmong 4473 women at risk for unintended pregnancy, 87% were using any method of contraception (22.5% less effective methods and 64.5% effective/highly effective methods). Women with CVD were more likely than those without CVD to use any contraception (aPR = 1.09, 95% CI: 1.04, 1.15), less effective (aPR = 1.39, 95% CI: 1.13, 1.70), and effective/highly effective (aPR = 1.10, 95% CI: 1.03, 1.19) contraception. Women with diabetes were more likely to use less effective methods than women without diabetes (aPR = 1.34, 95% CI: 1.05, 1.72). No significant associations were observed for asthma, regardless of contraceptive effectiveness.
conclusionsSelf-reported use of effective/highly effective contraception was higher than nonuse or use of less effective methods among all women at risk of unintended pregnancy, but could be improved, especially among women with chronic diseases.
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Registered trials
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.