Evidence map›Paper›PMID 30220308›Full record

ArticleContraception2018

No one to turn to: low social support and the incidence of undesired pregnancy in the United States.

Heidi Moseson, Christine Dehlendorf, Caitlin Gerdts, Eric Vittinghoff, Robert A Hiatt, Jennifer Barber

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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

Heidi MosesonDepartment of Epidemiology & Biostatistics, University of California, San Francisco, 550 16(th) Street, 2(nd) floor, San Francisco, CA, USA 94158. Electronic address: hmoseson@ibisreproductivehealth.org.
Christine DehlendorfDepartment of Epidemiology & Biostatistics, University of California, San Francisco, 550 16(th) Street, 2(nd) floor, San Francisco, CA, USA 94158; Department of Family & Community Medicine, University of California, San Francisco, 500 Parnassus Ave, MUE3, San Francisco, CA, USA 94143. Electronic address: cdehlendorf@fcm.ucsf.edu.
Caitlin GerdtsIbis Reproductive Health, 1330 Broadway St, Suite 1100, Oakland, CA, USA 94612. Electronic address: cgerdts@ibisreproductivehealth.org.
Eric VittinghoffDepartment of Epidemiology & Biostatistics, University of California, San Francisco, 550 16(th) Street, 2(nd) floor, San Francisco, CA, USA 94158. Electronic address: eric.vittinghoff@ucsf.edu.
Robert A HiattDepartment of Epidemiology & Biostatistics, University of California, San Francisco, 550 16(th) Street, 2(nd) floor, San Francisco, CA, USA 94158. Electronic address: robert.hiatt@ucsf.edu.
Jennifer BarberDepartment of Sociology and Institute for Social Research, University of Michigan, Ann Arbor, 500 S State Street, Ann Arbor, MI, USA 48109. Electronic address: jebarber@umich.edu.

Funding

Population Studies Center Infrastructure GrantR24HD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI XIE, YU · 2001 to 2016
$13.2M
Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 2017 to 2026
$6.5M
Young Women's Relationships, Contraception, and Unintended PregnancyR01HD050329 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BARBER, JENNIFER S. · 2007 to 2011
$3.3M
Electronic Journal Data Collection Technologies for Interdisciplinary ResearchR21DA024186 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AXINN, WILLIAM G., COUPER, MICK P · 2007 to 2010
$1.2M
Social support and pregnancy outcomes in early adulthoodF31HD083017 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MOSESON LIDOW, HEIDI SERENE · 2015 to 2017
$97k
NICHD NIH HHS F31 HD083017NICHD NIH HHS P2C HD041028NICHD NIH HHS R01 HD050329NICHD NIH HHS R24 HD041028NIDA NIH HHS R21 DA024186
6 · The paper itself

Abstract

objectiveYoung women may experience social barriers to achieving their reproductive goals. This analysis explored whether low social support may contribute to the high incidence of undesired pregnancy in young women in the United States. STUDY

designUsing 6 months of data from a prospective cohort of 970 women ages 18-22 years in the United States, we described contraceptive use and applied multivariable logistic regression and standardization to estimate adjusted odds and absolute risk of undesired pregnancy among women reporting low social support versus higher social support. We investigated several measures of contraceptive use as possible explanations for this pathway.

resultsSixty-five pregnancies were reported in the 6 months of the study, of which 30 (46%) were classified as undesired prior to conception. Among young women who reported low social support, 8% reported an undesired pregnancy during the study period as compared to 3% of the young women who reported higher levels of social support. Among non-black women, those who reported low social support had nearly seven times the odds of an undesired pregnancy as compared to women who reported higher social support (aOR: 6.8, 95%CI: 1.7, 27.1). We found no association between social support and undesired pregnancy among young black women. Contraceptive method use differed by social support at baseline, and throughout follow-up.

conclusionsLow social support - defined as the feeling of not having anyone to turn to - may be a risk factor for persistently high levels of undesired pregnancy among young women in the U.S. This association may be driven by differences in contraceptive use by level of social support. IMPLICATIONS: Interventions to increase young women's perceptions of social support may reduce the risk of undesired pregnancy for some individuals.

Indexed as

Social SupportAdolescentCohort StudiesContraception BehaviorFemaleHumansPregnancyPregnancy, UnwantedUnited StatesYoung AdultContraceptionSocial supportUndesired pregnancyUnintended pregnancy

Identifiers

PMID30220308
PMCPMC6363106

What OpenQuestion holds

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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.