ArticleContraception2018
Contraceptive use at last intercourse among reproductive-aged women with disabilities: an analysis of population-based data from seven states.
Article in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Hysterectomy in women with disabilities: a systematic review.Epidemiologic reviews · 2026Pooled it
- Contraceptive dynamics among women with disabilities of reproductive age in Ethiopia: systematic review.Systematic reviews · 2024Pooled it
- Accessibility and predictors of sexual and reproductive health services utilisation among adolescents and youth people with disabilities in Bono Region, Ghana: a cross-sectional survey.BMC public health · 2026Article
- "It should have been my decision": A mixed methods investigation of contraceptive coercion among U.S. patients with and without disabilities.Social science & medicine (1982) · 2026Article
- A Web-Based Contraception Decision Tool for Individuals With Health Conditions in US Outpatient Clinics: Protocol for a Mixed Methods Cluster Randomized Controlled Trial.JMIR research protocols · 2025Article
- Spatial Pattern and Decomposition Analysis of the Educational Status Gap in Factors Associated with Risky Sexual Behavior Among Women with Disabilities in Ten African Countries.Archives of sexual behavior · 2025Article
- Spatial pattern and influence of mass media exposure on sexual exposure among women with disabilities in sub-Saharan Africa.Archives of public health = Archives belges de sante publique · 2025Article
- Spatial modelling of the shared impact of sexual health knowledge and modern contraceptive use among women with disabilities in Africa.Contraception and reproductive medicine · 2025Article
- Access to and uptake of contraceptives among pregnant women with disabilities in the Central Ethiopia Regional State, Ethiopia: community-based cross-sectional study.Contraception and reproductive medicine · 2025Article
- Pregnancy Intendedness Among Racial and Ethnically Minoritized Women with Disabilities.Journal of women's health (2002) · 2024Article
- Contraceptive use among people with disabilities in sub-Sahara Africa: A systematic review and meta-analysis.Journal of public health research · 2023Review
- Sexual lives of reproductive-aged people with disabilities in Central Sidama National Regional State, Ethiopia: a mixed-methods study.BMC public health · 2023Article
- Article
- The Use of Self-Reported Functional Limitation to Examine Pregnancy and Reproductive Health Experiences in a National Sample of Women.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Experiences of Women With Disabilities in Accessing and Receiving Contraceptive Care.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2021Article
- Contraceptive Provision and Quality Care Measures for Insured Individuals in Massachusetts Who Are Deaf or Hard of Hearing.Obstetrics and gynecology · 2021Article
- Contraceptive Practices and Reproductive Health Considerations for Adolescent and Adult Women with Intellectual and Developmental Disabilities: A Review of the Literature.Sexuality and disability · 2019Article
- Contraceptive use by disability status: new national estimates from the National Survey of Family Growth.Contraception · 2018Article
- Differences in Contraceptive Method Discontinuation and Contraceptive Method Preferences by Disability Status.Women's health issues : official publication of the Jacobs Institute of Women's HealthObservational
- "It Would Have Been Nice to Have a Choice": Barriers to Contraceptive Decision-making among Women with Disabilities.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo assess patterns of contraceptive use at last intercourse among women with physical or cognitive disabilities compared to women without disabilities. STUDY
designWe analyzed responses to 12 reproductive health questions added by seven states to their 2013 Behavioral Risk Factor Surveillance System questionnaire. Using responses from female respondents 18-50 years of age, we performed multinomial regression to calculate estimates of contraceptive use among women at risk for unintended pregnancy by disability status and type, adjusted for age, race/ethnicity, marital status, education, health insurance status, and parity.
resultsWomen with disabilities had similar rates of sexual activity as women without disabilities (90.0% vs. 90.6%, p=.76). Of 5995 reproductive-aged women at risk for unintended pregnancy, 1025 (17.1%) reported one or more disabilities. Contraceptive use at last intercourse was reported by 744 (70.1%) of women with disabilities compared with 3805 (74.3%) of those without disabilities (p=.22). Among women using contraception, women with disabilities used male or female permanent contraception more often than women without disabilities (333 [29.6%] versus 1337 [23.1%], p<.05). Moderately effective contraceptive (injection, oral contraceptive, patch, or ring) use occurred less frequently among women with cognitive (13.1%, n=89) or independent living (13.9%, n=40) disabilities compared to women without disabilities (22.2%, n=946, p<.05).
conclusionsThe overall prevalence of sexual activity and contraceptive use was similar for women with and without physical or cognitive disabilities. Method use at last intercourse varied based on presence and type of disability, especially for use of permanent contraception. IMPLICATIONS: Although women with disabilities were sexually active and used contraception at similar rates as women without disabilities, contraception use varied by disability type, suggesting the importance of this factor in reproductive health decision-making among patients and providers, and the value of further research to identify reasons why this occurs.
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Registered trials
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