Evidence map›Paper›PMID 28284587›Full record

SynthesisWomen's health issues : official publication of the Jacobs Institute of Women's Health

Multiple Unintended Pregnancies in U.S. Women: A Systematic Review.

E Angel Aztlan-James, Monica McLemore, Diana Taylor

Abstract readSystematic Review
In one paragraph

Synthesis in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Immediate versus delayed postabortal insertion of contraceptive implant.The Cochrane database of systematic reviews · 2022
    Pooled it
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  4. Strategies to Develop Na,K-ATPase-α4 Inhibitors as Male Contraceptives.International journal of molecular sciences · 2025
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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

3 authors at 2 institutions in 1 country.

E Angel Aztlan-JamesUniversity of Illinois at Chicago, College of Nursing, Chicago, Illinois. Electronic address: eangelaztlan@gmail.com.
Monica McLemoreUniversity of California, San Francisco, School of Nursing, San Francisco, California.
Diana TaylorAdvancing new Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, University of California, San Francisco, California; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California.
University of California, San Francisco · USUniversity of Illinois Chicago · US

Funding

Risk Factors Associated with Unintended PregnanciesF31NR014094 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JAMES, EVELYN ANGEL · 2013 to 2014
$68k
NINR NIH HHS F31 NR014094
6 · The paper itself

Abstract

backgroundEach year, nearly one-half of all pregnancies in the United States are unintended. Risk factors of unintended pregnancy have been studied without attention to whether the pregnancy was the woman's first unintended pregnancy or whether she had had more than one. Little is known about the prevalence, incidence, and risk factors for multiple unintended pregnancies. The purpose of this paper is to present a systematic review of the extant literature on the risk factors for multiple unintended pregnancies in women in the United States, and whether these factors are specific to multiple unintended pregnancies.

methodsPubMed, PsychInfo, CINAHL, Web of Science, and JSTOR databases were searched for empirical research studies performed after 1979, in the United States, with a primary outcome of multiple unintended pregnancies. Articles that did not establish the intendedness of the studied pregnancies were excluded.

resultsSeven studies were identified. For multiple unintended pregnancies, incidence rates ranged from 7.4 to 30.9 per 100 person-years and prevalence rates ranged from 17% to 31.6%. Greater age; identifying as Black or Hispanic; nonvoluntary first intercourse, particularly at a young age; sex trade involvement; and previous abortion were found to be associated with multiple unintended pregnancies. Use of intrauterine devices or combined oral contraceptives were found to decrease the risk of multiple unintended pregnancies.

conclusionsThis review suggests a small number of modifiable factors that may be used to better predict and manage multiple unintended pregnancies.

Indexed as

PovertyPregnancy, UnplannedRapeAbortion, InducedAdolescentAdultCoitusFemaleHumansIncomeIntrauterine DevicesMarital StatusPregnancyRisk FactorsUnited StatesYoung Adult

Identifiers

PMID28284587
PMCPMC5511571
OpenAlexW2594204413

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.