Evidence map›Paper›PMID 28277358›Full record

ArticleObstetrics and gynecology2017

Postabortion Contraceptive Use and Continuation When Long-Acting Reversible Contraception Is Free.

Vinita Goyal, Caitlin Canfield, Abigail R A Aiken, Amna Dermish, Joseph E Potter

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

  1. Abortion Surveillance - United States, 2022.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2024
    Article
  2. Abortion Surveillance - United States, 2021.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2023
    Article
  3. Abortion Surveillance - United States, 2020.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2022
    Article
  4. Abortion Surveillance - United States, 2019.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2021
    Article
  5. Article
  6. Abortion Surveillance - United States, 2018.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2020
    Article
  7. Article
  8. Abortion Surveillance - United States, 2015.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2018
    Article
  9. Article
  10. Article
  11. Article
  12. Women's Postabortion Contraceptive Preferences and Access to Family Planning Services in Mississippi.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  13. Reproductive Health Services in Abortion-Providing Clinics: A Scoping Review of Provision and Policy Contexts.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  14. Mapping Long-acting Reversible Contraceptive Interventions to the Social Ecological Model: A Scoping Review.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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

5 authors at 1 institution in 1 country.

Vinita GoyalPopulation Research Center and LBJ School of Public Affairs, University of Texas at Austin, and Planned Parenthood of Greater Texas, Austin, Texas.
Caitlin Canfield
Abigail R A Aiken
Amna Dermish
Joseph E Potter
Planned Parenthood · US

Funding

Population Research CenterR24HD042849 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI UMBERSON, DEBRA J. · 2002 to 2016
$8.4M
Training Program in Population StudiesT32HD007081 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI Aprile Dawn Benner, Abigail Mae Weitzman · 1985 to 2026
$6.8M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
NICHD NIH HHS P2C HD042849NICHD NIH HHS R24 HD042849NICHD NIH HHS T32 HD007081
6 · The paper itself

Abstract

objectiveTo compare preference for long-acting contraception (LARC) and subsequent use, year-long continuation, and pregnancy among women after induced abortion who were and were not eligible to participate in a specialized funding program that provided LARC at no cost.

methodsBetween October 2014 and March 2016, we conducted a prospective study of abortion patients at Planned Parenthood in Austin, Texas (located in Travis County). We compared our primary outcome of interest, postabortion LARC use, among women who were eligible for the specialized funding program (low-income, uninsured, Travis County residents) and two groups who were ineligible (low-income, uninsured, non-Travis County residents, and higher income or insured women). Secondary outcomes of interest included preabortion preference for LARC and 1-year continuation and pregnancy rates among the three groups.

resultsAmong 518 women, preabortion preference for LARC was high among all three groups (low-income eligible: 64% [91/143]; low-income ineligible: 44% [49/112]; and higher income 55% [146/263]). However, low-income eligible participants were more likely to receive LARC (65% [93/143] compared with 5% [6/112] and 24% [62/263], respectively, P<.05). Specifically, after adjusting for age, race-ethnicity, and education, low-income eligible participants had a 10-fold greater incidence of receiving postabortion LARC compared with low-income ineligible participants (incidence rate ratio 10.13, 95% confidence interval [CI] 4.68-21.91). Among low-income eligible and higher income women who received postabortion LARC, 1-year continuation was 90% (95% CI 82-97%) and 86% (95% CI 76-97%), respectively. One-year pregnancy risk was higher among low-income ineligible than low-income eligible women (hazard ratio 3.28, 95% CI 1.15-9.31).

conclusionPreference for postabortion LARC was high among all three eligibility groups, yet women with access to no-cost LARC were more likely to use and continue these methods. Low-income ineligible women were far more likely to use less effective contraception and become pregnant. Specialized funding programs can play an important role in immediate postabortion contraceptive provision, particularly in settings where state funding is limited.

Indexed as

ContraceptionDelayed-Action PreparationsGovernment ProgramsAbortion, InducedAdultContraception BehaviorEligibility DeterminationFemaleHumansOutcome Assessment, Health CarePregnancyPregnancy RateProspective StudiesSocioeconomic FactorsTexasDelayed-Action Preparations

Identifiers

PMID28277358
PMCPMC5364035
OpenAlexW2594284105

What OpenQuestion holds

Textmetadata
LicenceTDM
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.