ArticleThe Journal of pediatrics2017
Examining the Role of the Pediatric Emergency Department in Reducing Unintended Adolescent Pregnancy.
Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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.
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.
Who cites it
17 citing papers in PubMed, 28 citations in OpenAlex.
- Feasibility of adolescent contraceptive care in the pediatric emergency department: A pilot randomized controlled trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Trial
- Electronic Screening for Adolescent Risk Behaviors in the Emergency Department: A Randomized Controlled Trial.The western journal of emergency medicine · 2022Trial
- A multi-media digital intervention to improve the sexual and reproductive health of female adolescent emergency department patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Trial
- Brief Motivational Intervention to Improve Adolescent Sexual Health Service Uptake: A Pilot Randomized Controlled Trial in the Emergency Department.The Journal of pediatrics · 2021Trial
- Contraception in the ED: Understanding Education and Opportunities for Clinicians to Advise Patients.The western journal of emergency medicine · 2026Article
- Contraception Initiation in the Emergency Department: Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Contraception Use and Pregnancy Risk Among Adolescents in Pediatric Emergency Departments.JAMA network open · 2024Article
- Expanding Access to Contraception for Adolescents-Reproductive Justice and the Emergency Department.JAMA network open · 2024Article
- Expanding Contraceptive Access for Teens-Leveraging the Pediatric Emergency Department.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Sexual Health Behaviors and Pregnancy Risk Among Hospitalized Female Adolescents.Hospital pediatrics · 2021Article
- Asymptomatic Adolescent HIV: Identifying a Role for Universal HIV Screening in the Pediatric Emergency Department.AIDS patient care and STDs · 2020Article
- Sex Without Contraceptives in a Multicenter Study of Adolescent Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Article
- A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Article
- A Pediatric Emergency Department Intervention to Increase Contraception Initiation Among Adolescents.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Article
- Development of a Novel Computerized Clinical Decision Support System to Improve Adolescent Sexual Health Care Provision.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Article
- Emergency Department Directors Are Willing to Expand Reproductive Health Services for Adolescents.Journal of pediatric and adolescent gynecology · 2019Article
- A prospective measure of unintended pregnancy in the United States.Contraception · 2018Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo determine pregnancy risk and receptiveness to emergency department (ED)-based pregnancy prevention interventions among adolescents accessing care in the ED. STUDY
designCross-sectional electronic survey of adolescent females in a pediatric ED used to calculate the Pregnancy Risk Index, a validated measure estimating the annual risk of becoming pregnant based on recent sexual activity, contraceptive method(s), method-specific contraceptive failure rates, and interest in receipt of ED-based contraceptive services.
resultsOf 229 participants, 219 were not pregnant, and 129 reported sexual experience. Overall, 72.4% (n = 166) endorsed negative pregnancy intentions. The overall Pregnancy Risk Index for the 219 nonpregnant participants was 9.6 (95% CI 6.8-12.4), and was 17.5 (95% CI 12.8-22.2) for the 129 sexually experienced participants. A Pregnancy Risk Index greater than the national average of 5 was associated with older age (aOR 3.0; 95% CI 1.5-5.85), nonprivate insurance (aOR 7.1; 95% CI 1.6-32.1), prior pregnancy (aOR 2.7; 95% CI 1.2-6.0), and chief complaint potentially related to a reproductive health concern (aOR 2.6; 95% CI 1.4-5.1). In this cohort, 85.1% (n = 194) believed that the ED should provide information about pregnancy prevention, the majority of whom (64.9%; n = 148) believed that pregnancy prevention services should be offered at all ED visits.
conclusionThis study demonstrates a high unintended pregnancy risk among adolescents accessing care in the ED. Adolescents report interest in receiving pregnancy prevention information and services in the ED, regardless of reason for visit. Strategies to incorporate successfully the provision of reproductive health services into ED care should be explored.
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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.