Evidence map›Paper›PMID 28432564›Full record

ArticleJournal of general internal medicine2017

Unintended Pregnancy and Contraceptive Use Among Women Veterans: The ECUUN Study.

Sonya Borrero, Lisa S Callegari, Xinhua Zhao, Maria K Mor, Florentina E Sileanu, Galen Switzer, Susan Zickmund, Donna L Washington, Laurie C Zephyrin, E Bimla Schwarz

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  10. Maternal chronic hypertension in women veterans.Health services research · 2024
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Sonya BorreroCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive (151 C), Building #30, Pittsburgh, PA, 15240, USA. Sonya.Borrero@va.gov.
Lisa S CallegariHealth Services Research and Development, VA Puget Sound Health Care System, Seattle, WA, USA.
Xinhua ZhaoCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive (151 C), Building #30, Pittsburgh, PA, 15240, USA.
Maria K MorCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive (151 C), Building #30, Pittsburgh, PA, 15240, USA.
Florentina E SileanuCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive (151 C), Building #30, Pittsburgh, PA, 15240, USA.
Galen SwitzerCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive (151 C), Building #30, Pittsburgh, PA, 15240, USA.
Susan ZickmundVA HSR&D Informatics, Decision-Enhancement and Analytic Sciences Center, VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Donna L WashingtonVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Laurie C ZephyrinWomen's Health Services, Department of Veterans Affairs, Washington, D.C., USA.
E Bimla SchwarzDivision of General Internal Medicine, University of California Davis School of Medicine, Sacramento, CA, USA.
VA Pittsburgh Healthcare System · USUniversity of Pittsburgh · USHealth Services Research & Development · USNew York University · USUniversity of California, Davis · USUniversity of California, Los Angeles · USVA Salt Lake City Healthcare System · US

Funding

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

Abstract

backgroundLittle is known about contraceptive care for the growing population of women veterans who receive care in the Veterans Administration (VA) healthcare system.

objectiveTo determine rates of contraceptive use, unmet need for prescription contraception, and unintended pregnancy among reproductive-aged women veterans. DESIGN AND

participantsWe conducted a cross-sectional, telephone-based survey with a national sample of 2302 women veterans aged 18-44 years who had received primary care in the VA within the prior 12 months. MAIN MEASURES: Descriptive statistics were used to estimate rates of contraceptive use and unintended pregnancy in the total sample. We also estimated the unmet need for prescription contraception in the subset of women at risk for unintended pregnancy. For comparison, we calculated age-adjusted US population estimates using data from the 2011-2013 National Survey of Family Growth (NSFG). KEY

resultsOverall, 62% of women veterans reported current use of contraception, compared to 68% of women in the age-adjusted US population. Among the subset of women at risk for unintended pregnancy, 27% of women veterans were not using prescription contraception, compared to 30% in the US population. Among women veterans, the annual unintended pregnancy rate was 26 per 1000 women; 37% of pregnancies were unintended. In the age-adjusted US population, the annual rate of unintended pregnancy was 34 per 1000 women; 35% of pregnancies were unintended.

conclusionsWhile rates of contraceptive use, unmet contraceptive need, and unintended pregnancy among women veterans served by the VA are similar to those in the US population, these rates are suboptimal in both populations, with over a quarter of women who are at risk for unintended pregnancy not using prescription contraception, and unintended pregnancies accounting for over a third of all pregnancies. Efforts to improve contraceptive service delivery and to reduce unintended pregnancy are needed for both veteran and civilian populations.

Indexed as

Attitude to HealthPregnancy, UnplannedVeterans HealthWomen's HealthAdolescentAdultContraceptionContraceptive Agents, FemaleCross-Sectional StudiesFemaleHumansPregnancyRetrospective StudiesSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsContraceptive Agents, Femalecontraceptionfamily planningVA

Identifiers

PMID28432564
PMCPMC5515789
OpenAlexW2606607479

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.