Evidence map›Paper›PMID 30241794›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Associations between Pregnancy Intention, Attitudes, and Contraceptive Use among Women Veterans in the ECUUN Study.

Tierney Wolgemuth, Colleen Judge-Golden, Lisa Callegari, Xinhua Zhao, Maria Mor, Sonya Borrero

Open access · bronzeAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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 3 institutions in 1 country.

Tierney WolgemuthUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Center for Women's Health Research and Innovation, University of Pittsburgh, Pittsburgh, Pennsylvania.
Colleen Judge-GoldenUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Center for Women's Health Research and Innovation, University of Pittsburgh, Pittsburgh, Pennsylvania.
Lisa CallegariDepartments of Obstetrics and Gynecology and Health Services, University of Washington, Seattle, Washington; Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington.
Xinhua ZhaoCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
Maria MorCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
Sonya BorreroUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Center for Women's Health Research and Innovation, University of Pittsburgh, Pittsburgh, Pennsylvania; Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania. Electronic address: borrsp@upmc.edu.
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

backgroundAlthough pregnancy intention is strongly associated with contraceptive use, little is known about the interaction between pregnancy intention and attitude, or how they jointly affect contraceptive use.

methodsCross-sectional data from a national survey of women veterans who receive care within the Veterans Affairs Healthcare System were used to examine relationships among pregnancy intention (in next year, in >1 year, never, not sure), attitude toward hypothetical pregnancy (worst thing, neutral, best thing), and contraceptive use among women at risk for unintended pregnancy. Bivariate and multivariable analyses assessed associations between pregnancy intention and attitude, both separately and jointly, with contraceptive use. Multinomial regression assessed the relationship of intention and attitude with contraceptive method effectiveness.

resultsAmong 858 women at risk of unintended pregnancy, bivariate analysis demonstrated that pregnancy intention and attitude were associated, but not perfectly aligned. In logistic regression models including both variables, intention of never versus in next year (adjusted odds ratio [aOR], 2.78; 95% confidence interval [CI], 1.34-5.75) and attitude of worst thing versus best thing (aOR, 2.86; 95% CI, 1.42-5.74) were each positively associated with contraception use. Among women using contraception, intention of never (aOR, 3.17; 95% CI, 1.33-7.59) and attitude of worst thing (OR, 2.09; 95% CI, 1.05-4.17) were associated with use of highly effective (e.g., intrauterine devices and implants) versus least effective (e.g., barrier) methods.

conclusionsThese findings support prior research suggesting that pregnancy intention alone does not fully explain contraceptive behaviors and imply that attitude toward pregnancy plays an important role in shaping contraceptive use independent of pregnancy intentions.

Indexed as

AttitudeIntentionAdolescentAdultContraceptionContraception BehaviorCross-Sectional StudiesFemaleHumansPregnancyPregnancy, UnplannedVeteransYoung Adult

Identifiers

PMID30241794
PMCPMC6215491
OpenAlexW2891600246

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.