Evidence map›Paper›PMID 29596784›Full record

ArticleContraception2018

Contraceptive use by disability status: new national estimates from the National Survey of Family Growth.

William Mosher, Rosemary B Hughes, Tina Bloom, Leah Horton, Ramin Mojtabai, Jeanne L Alhusen

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Sexual and Reproductive Health Care Receipt Among Female Adolescents and Young Adults With Disability in the United States, 2011-2019.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  14. Birth intentions among US fathers with disabilities.Disability and health journal · 2021
    Article
  15. Article
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  19. Article
  20. Ensuring the Reproductive Rights of Women with Intellectual Disability.Journal of intellectual & developmental disability · 2020
    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

6 authors at 4 institutions in 1 country.

William MosherJohns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA 21205. Electronic address: wmosher@jhu.edu.
Rosemary B HughesUniversity of Montana Rural Institute for Inclusive Communities, 52 Corbin Hall, Missoula, MT, USA 59812. Electronic address: rosemary.hughes@mso.umt.edu.
Tina BloomUniversity of Missouri Sinclair School of Nursing, S421 Sinclair School of Nursing, Columbia, MO, USA 65211. Electronic address: bloomt@missouri.edu.
Leah HortonJohns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA 21205.
Ramin MojtabaiJohns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA 21205.
Jeanne L AlhusenUniversity of Virginia School of Nursing, Post Office Box 800782, Charlottesville, Virginia, USA 22908.
Johns Hopkins University · USSinclair Community College · USUniversity of Montana · USUniversity of Virginia · US

Funding

Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI HAO, LINGXIN · 2003 to 2017
$5.1M
Risks and protective factors for unintended pregnancy in women with disabilitiesR21HD086471 · NICHD · UNIVERSITY OF VIRGINIA · PI ALHUSEN, JEANNE L, HUGHES, ROSEMARY B · 2016 to 2017
$469k
NICHD NIH HHS R21 HD086471NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

objectiveThe objective was to determine population-based estimates of use of contraception among women 15-44 years of age in the United States by disability status. STUDY

designWe examined the relationship between disability status and use of contraception among 7505 women at risk of unintended pregnancy using data from the 2011-2015 National Survey of Family Growth.

resultsAfter examining the full distribution of contraceptive method use by disability status, we found that disability status was significantly associated with differences in three categories of use: female sterilization, the oral contraceptive pill and nonuse of contraception. Multivariate analysis shows that use of female sterilization was higher among women with cognitive disabilities (aOR=1.54, 95% CI=1.12-2.12) and physical disabilities (aOR=1.59, CI=1.08-2.35) than for those without disabilities after controlling for age, parity, race, insurance coverage and experience of unintended births. Use of the pill was less common among women with physical disabilities than for those without disabilities (aOR=0.57, CI=0.40-0.82). Finally, not using a method was more common among women with cognitive disabilities (aOR=1.90, CI=1.36-2.66).

conclusionsSelf-reported cognitive disabilities ("serious difficulty concentrating, remembering or making decisions"), as well as physical disabilities, are significant predictors of contraceptive choices after controlling for several known predictors of use. IMPLICATIONS: The patterns found here suggest that screening for self-reported cognitive and physical disabilities may allow health care providers to tailor counseling and sex education to help women with disabilities prevent unintended pregnancy and reach their family size goals.

Indexed as

Family CharacteristicsAdolescentAdultContraceptionContraception BehaviorFemaleHumansPersons with DisabilitiesPersons with Intellectual DisabilitiesPregnancyPregnancy, UnplannedSelf ReportSterilization, ReproductiveSurveys and QuestionnairesUnited StatesYoung AdultDisabilityDisparityFamily planningNational Survey of Family Growth

Identifiers

PMID29596784
PMCPMC6071327
OpenAlexW2794835001

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.