Evidence map›Paper›PMID 30095774›Full record

ArticleObstetrics and gynecology2018

Female Sterilization and Cognitive Disability in the United States, 2011-2015.

Henan Li, Monika Mitra, Justine P Wu, Susan L Parish, Anne Valentine, Robert S Dembo

Abstract readComparative Study
In one paragraph

Article in Obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  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
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Experiences of Women With Disabilities in Accessing and Receiving Contraceptive Care.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Ensuring the Reproductive Rights of Women with Intellectual Disability.Journal of intellectual & developmental disability · 2020
    Article
  17. Article
  18. "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 Health
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Henan LiLurie Institute for Disability Policy, Brandeis University, Waltham, and the Human Services Research Institute, Cambridge, Massachusetts; the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan; and the Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts.
Monika Mitra
Justine P Wu
Susan L Parish
Anne Valentine
Robert S Dembo

Funding

Pregnancy experiences of women with IDD: Family caregiver perspectivesR01HD082105 · NICHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MITRA, MONIKA, PARISH, SUSAN L. · 2015 to 2019
$2.8M
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
ACL HHS 90AR5024ACL HHS 90DPGE0001NICHD NIH HHS K23 HD084744NICHD NIH HHS R01 HD082105
6 · The paper itself

Abstract

objectiveTo compare female sterilization among three mutually exclusive groups of females: 1) those without any self-reported disability, 2) those with noncognitive disabilities (sensory or physical disabilities), and 3) those with cognitive disabilities.

methodsWe conducted a secondary analysis of nationally representative data from the National Survey of Family Growth 2011-2015, which surveyed individuals aged 15-44 years in the U.S. civilian population. Disability status (self-reported) was ascertained using a standard set of questions about hearing, vision, cognitive, ambulatory, self-care, and independent living difficulties. Regression models were used to calculate odds of female sterilization, hysterectomies, and age of sterilization while accounting for sociodemographic differences.

resultsFemale sterilization rates were higher among females with cognitive (22.1% [n=272]) and noncognitive disabilities (24.7% [n=150]) than among those without disabilities (14.8% [n=1,132]). After adjusting for sociodemographic covariates, females with cognitive disabilities had significantly higher odds of female sterilization (adjusted odds ratio [OR] 1.54, 95% CI 1.19-1.98, P<.01) and hysterectomy (adjusted OR 2.64, 95% CI 1.53-4.56, P<.001) than those without cognitive disabilities. Females with cognitive disabilities also underwent sterilization at significantly younger ages (27.3 years, 95% CI 27.0-27.6) than those with noncognitive disabilities (28.3 years, 95% CI 27.9-28.8) and those without any disability (29.8 years, 95% CI 29.5-30.0).

conclusionU.S. females with cognitive disabilities were more likely to have undergone female sterilizations and hysterectomies and at younger ages than those with other disabilities or without disabilities. Drivers of these disability-related differences in female sterilization patterns must be explored.

Indexed as

Intellectual DisabilityAdolescentAdultFemaleHumansHysterectomyPersons with DisabilitiesSterilization, ReproductiveYoung Adult

Identifiers

PMID30095774
PMCPMC6105402

What OpenQuestion holds

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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.