Evidence map›Paper›PMID 30187377›Full record

ArticleJournal of general internal medicine2018

The Association between Mental Health Disorders and History of Unintended Pregnancy among Women Veterans.

Colleen P Judge-Golden, Sonya Borrero, Xinhua Zhao, Maria K Mor, Lisa S Callegari

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Article
  8. Comment on "Access to Abortion After Dobbs v. Jackson Women's Health Organization: Advocacy and a Call to Action for the Profession of Psychiatry".Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023
    Article
  9. Article
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  11. Article
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  13. Article
  14. Contraceptive Care in the Veterans Health Administration.Seminars in reproductive medicine · 2019
    Review
  15. Article
  16. Perceived Barriers and Facilitators to Contraceptive Use Among Women Veterans Accessing the Veterans Affairs Healthcare System.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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

5 authors at 3 institutions in 1 country.

Colleen P Judge-GoldenUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA. cpj6@pitt.edu.
Sonya BorreroCenter for Health Equity, Research, and Promotion, VA Pittsburgh Health Care System, Pittsburgh, PA, USA.
Xinhua ZhaoCenter for Health Equity, Research, and Promotion, VA Pittsburgh Health Care System, Pittsburgh, PA, USA.
Maria K MorCenter for Health Equity, Research, and Promotion, VA Pittsburgh Health Care System, Pittsburgh, PA, USA.
Lisa S CallegariDepartment of Obstetrics & Gynecology, University of Washington School of Medicine, Seattle, WA, USA.
University of Pittsburgh · USVA Pittsburgh Healthcare System · USVA Puget Sound Health Care System · US

Funding

NRSA Training CoreTL1TR001858 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RADOMSKI, THOMAS, RUBIO, DORIS M · 2016 to 2025
$11.1M
Examining Contraceptive Use and Unmet Need Among Women VeteransI01HX000908 · VA · VETERANS HEALTH ADMINISTRATION · PI BORRERO, SONYA B. · 2013 to 2015
–
HSRD VA I01 HX000908HSRD VA IK2 HX001736NCATS NIH HHS TL1 TR001858
6 · The paper itself

Abstract

backgroundWomen Veterans have high rates of mental health disorders and other psychosocial factors which may render this population particularly vulnerable to negative health outcomes associated with unintended pregnancy.

objectiveThe objective of our study was to assess the relationship between self-reported mental illness and history of unintended pregnancy among women Veterans. DESIGN AND

participantsData are from a nationally representative, cross-sectional telephone survey of women Veterans, ages 18-45, who used VA for primary care within 12 months prior to interview (survey completion rate 83%). MAIN MEASURES: Predictors were self-report of any and number of mental health disorders (depression, anxiety, post-traumatic stress disorder, bipolar disorder, or schizophrenia). Outcomes were any and number of unintended pregnancies. Multivariable logistic and negative binomial regression were used to assess relationships between mental illness and unintended pregnancy. To assess women's current risk of unintended pregnancy, we examined associations between any mental health disorder and contraceptive use at last sex among heterosexually active women not desiring pregnancy. KEY

resultsAmong 2297 women Veterans, 1580 (68.8%) reported a history of at least one mental health disorder, with 20.1, 21.6, and 27.0% reporting one, two, or three or more conditions, respectively. Any history of unintended pregnancy was reported by 1315 women (57.3%); 28.3% reported one, 15.6% reported two, and 13.4% reported three or more. Compared to women with no mental illness, women with any mental health disorder were more likely to report any unintended pregnancy (60.3 vs. 50.5%; adjusted OR 1.40; 95% CI 1.15, 1.71) and to have experienced greater numbers of unintended pregnancies (adjusted incidence rate ratio 1.29; 95% CI 1.15, 1.44). Increasing numbers of mental health disorders were associated with greater numbers of unintended pregnancies. Contraceptive use and method efficacy at last sex did not differ by mental health status.

conclusionsWomen Veterans with mental health disorders are more likely to have experienced any and greater numbers of unintended pregnancies than Veterans without mental health disorders.

Indexed as

AdultContraception BehaviorCross-Sectional StudiesFemaleHumansMental DisordersMiddle AgedPregnancyPregnancy ComplicationsPregnancy, UnplannedRandom AllocationSelf ReportVeteransYoung Adultmental healthunintended pregnancywomen Veterans

Identifiers

PMID30187377
PMCPMC6258629
OpenAlexW2890288501

What OpenQuestion holds

Textmetadata
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.