Evidence map›Paper›PMID 29778587›Full record

ArticleContraception2018

The politics of place: Presidential voting patterns and providers' prescription of emergency contraception.

Kelly Cleland, Brandon Wagner, Pelin Batur, Megan McNamara, Justine Wu, Michael B Rothberg

Abstract 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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kelly ClelandOffice of Population Research, Princeton University, 218 Wallace Hall, Princeton, NJ 08544. Electronic address: kcleland@princeton.edu.
Brandon WagnerDepartment of Sociology, Anthropology, and Social Work, Texas Tech University.
Pelin BaturCleveland Clinic, Cleveland Clinic Lerner College of Medicine.
Megan McNamaraLouis Stokes Department of Veterans Affairs Medical Center, Case Western Reserve University.
Justine WuUniversity of Michigan Medical School.
Michael B RothbergCleveland Clinic, Cleveland Clinic Lerner College of Medicine.

Funding

Infrastructure for Population Research at PrincetonR24HD047879 · NICHD · PRINCETON UNIVERSITY · PI MASSEY, DOUGLAS S · 2004 to 2013
$7.3M
Scientific and Technical Computing CoreP2CHD047879 · NICHD · PRINCETON UNIVERSITY · PI SALGANIK, MATTHEW J. · 2014 to 2018
$2.0M
Improving Contraceptive Care for Women with Chronic Conditions: A Novel, Web-Based Decision Aid in Primary CareK23HD084744 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WU, JUSTINE P · 2017 to 2021
$842k
NICHD NIH HHS K23 HD084744NICHD NIH HHS P2C HD047879NICHD NIH HHS R24 HD047879
6 · The paper itself

Abstract

objectiveThe most effective forms of emergency contraception (EC) require a prescription or a medical procedure; therefore, provider willingness to offer EC remains critical to patient access. This study seeks to assess whether political alignment of a provider's county is associated with provider attitudes and behaviors regarding EC. STUDY

designWe analyzed survey data collected from 1313 healthcare providers from February 2013 to April 2014 at 14 academic medical centers in the United States. Using logistic regression, we estimated associations between the county political alignment of a provider's practice and his or her EC-related beliefs and practices: 1) if the provider is aware of the most effective EC methods; 2) if knowing that a hypothetical EC method prevented implantation would make a provider less likely to prescribe that method because of personal ethical or religious reasons; and 3) if the provider prescribes any form of EC in his or her practice.

resultsIn multivariate models, a one percentage-point increase in county Republican vote share was associated with a 2.9% decrease in the odds of a provider prescribing EC, after accounting for provider knowledge and attitudes about EC.

conclusionsEC provides a critical last chance to prevent pregnancy after unprotected sex, yet women living in Republican-leaning counties may face difficulty obtaining EC from healthcare providers. Programs seeking to improve access to EC should focus on areas likely to have fewer providers willing to prescribe EC, which may be those that are more Republican-leaning. IMPLICATIONS: The most effective forms of emergency contraception require a prescription or a medical procedure; therefore, provider willingness to offer EC remains critical to patient access. Women living in Republican-leaning counties may face difficulty obtaining emergency contraception from healthcare providers.

Indexed as

PoliticsAttitude of Health PersonnelContraception, PostcoitalFemaleHumansMalePhysiciansSurveys and QuestionnairesUnited StatesAccess to contraceptionEmergency contraceptionLevonorgestrelPolitics and medicineUlipristal acetate

Identifiers

PMID29778587
PMCPMC7802617

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.