Evidence map›Paper›PMID 28322769›Full record

ArticleContraception2017

Racial and ethnic disparities in contraceptive knowledge among women veterans in the ECUUN study.

Elian Rosenfeld, Lisa S Callegari, Florentina E Sileanu, Xinhua Zhao, E Bimla Schwarz, Maria K Mor, Sonya Borrero

Abstract read
In one paragraph

Article in Contraception, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. What's Behind the Dramatic Pre-2020 Declines in Hispanic/Latina Adolescent Childbearing? Decomposing Change by Age, Origin, and Nativity.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  5. Review
  6. Review
  7. Contraceptive Behavior in Appalachia: Exploring Use, Nonuse, and Contraceptive Attitudes.International journal of environmental research and public health · 2023
    Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Contraceptive Care in the Veterans Health Administration.Seminars in reproductive medicine · 2019
    Review
  14. Article
  15. Women's perceptions of contraceptive efficacy and safety.Contraception and reproductive medicine · 2017
    Article
  16. 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

7 authors.

Elian RosenfeldCenter for Health Equity Research and Promotion, VA Pittsburgh Health Care System, University Drive (151C), Pittsburgh, PA 15240.
Lisa S CallegariHealth Services Research and Development, VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108; Department of Obstetrics & Gynecology, University of Washington School of Medicine, Box 356460, Seattle, WA 98195-6460.
Florentina E SileanuCenter for Health Equity Research and Promotion, VA Pittsburgh Health Care System, University Drive (151C), Pittsburgh, PA 15240.
Xinhua ZhaoCenter for Health Equity Research and Promotion, VA Pittsburgh Health Care System, University Drive (151C), Pittsburgh, PA 15240.
E Bimla SchwarzDivision of General Internal Medicine, University of California, Davis School of Medicine, 4150 V Street, Suite 3100, Sacramento, CA 95817.
Maria K MorCenter for Health Equity Research and Promotion, VA Pittsburgh Health Care System, University Drive (151C), Pittsburgh, PA 15240; Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, 130 De Soto St., Pittsburgh, PA 15261.
Sonya BorreroCenter for Health Equity Research and Promotion, VA Pittsburgh Health Care System, University Drive (151C), Pittsburgh, PA 15240; Center for Research on Health Care, University of Pittsburgh School of Medicine, Suite 600, 230 McKee Place, Pittsburgh, PA 15213. Electronic address: borrerosp@upmc.edu.

Funding

Examining Contraceptive Use and Unmet Need Among Women VeteransI01HX000908 · VA · VETERANS HEALTH ADMINISTRATION · PI BORRERO, SONYA B. · 2013 to 2015
–
HSRD VA I01 HX000908HSRD VA IK2 HX001736
6 · The paper itself

Abstract

objectiveTo assess whether racial/ethnic disparities in contraceptive knowledge observed in the general US population are also seen among women Veterans served by the Veterans Affairs (VA) healthcare system. STUDY

designWe analyzed data from a national telephone survey of 2302 women Veterans aged 18-44 who had received care within VA in the prior 12 months. Twenty survey items assessed women's knowledge about various contraceptive methods. Multivariable logistic regression was used to examine racial/ethnic variation in contraceptive knowledge items, adjusting for age, marital status, education, income, parity, and branch of military service.

resultsContraceptive knowledge was low among all participants, but black and Hispanic women had lower knowledge scores than whites in almost all knowledge domains. Compared to white women, black women were significantly less likely to answer correctly 15 of the 20 knowledge items, with the greatest adjusted difference observed in the item assessing knowledge about the reversibility of tubal sterilization (adjusted percentage point difference (PPD): -23.0; 95% CI: -27.8, -18.3). Compared to white women, Hispanic women were significantly less likely to answer correctly 11 of the 20 knowledge items, with the greatest adjusted difference also in the item assessing tubal sterilization reversibility (PPD: -13.1; 95% CI: -19.5, -6.6).

conclusionContraceptive knowledge among women Veterans served by VA is suboptimal, especially among racial/ethnic minority women. Improving women's knowledge about important aspects of available contraceptive methods may help women better select and effectively use contraception. IMPLICATIONS: Providers in the VA healthcare system should assess and address contraceptive knowledge gaps as part of high-quality, patient-centered reproductive health care.

Indexed as

Women's HealthAdolescentAdultBlack or African AmericanContraceptionContraception BehaviorEthnicityFemaleHealthcare DisparitiesHealth EducationHealth Knowledge, Attitudes, PracticeHispanic or LatinoHumansPregnancyPregnancy, UnplannedRacial GroupsContraceptionFamily planningRaceUnintended pregnancyVA

Identifiers

PMID28322769
PMCPMC5511758

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.