Evidence map›Paper›PMID 30506996›Full record

ArticlePerspectives on sexual and reproductive health2018

Low-Income Texas Women's Experiences Accessing Their Desired Contraceptive Method at the First Postpartum Visit.

Kate Coleman-Minahan, Chloe H Dillaway, Caitlin Canfield, Daniela M Kuhn, Katherine S Strandberg, Joseph E Potter

Abstract read
In one paragraph

Article in Perspectives on sexual and reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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  13. Satisfaction, Resignation, and Dissatisfaction with Long-Acting Reversible Contraception among Low-Income Postpartum Texans.Women's health issues : official publication of the Jacobs Institute of Women's Health
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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.

Kate Coleman-MinahanAssistant Professor, College of Nursing, University of Colorado Anschutz Medical Campus, Aurora.
Chloe H DillawayGraduate Student at Johns Hopkins Bloomberg School of Public Health, Baltimore.
Caitlin CanfieldEvaluation Manager, Evaluation and Research, Louisiana Public Health Institute, New Orleans.
Daniela M KuhnResearch Associate, Population Research Center, University of Texas at Austin.
Katherine S StrandbergResearch Associate, Population Research Center, University of Texas at Austin.
Joseph E PotterProfessor, Population Research Center, University of Texas at Austin.

Funding

Population Research CenterR24HD042849 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI HAYWARD, MARK D. · 2002 to 2016
$8.4M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
The University of Colorado Population CenterR24HD066613 · NICHD · UNIVERSITY OF COLORADO · PI PAMPEL, FRED C · 2010 to 2014
$1.9M
NICHD NIH HHS P2C HD042849NICHD NIH HHS R24 HD042849NICHD NIH HHS R24 HD066613Susan Thompson Buffett Foundation
6 · The paper itself

Abstract

contextEarly access to contraception may increase postpartum contraceptive use. However, little is known about women's experiences receiving their desired method at the first postpartum visit or how access is associated with use.

methodsIn a 2014-2016 prospective cohort study of low-income Texas women, data were collected from 685 individuals who desired a reversible contraceptive and discussed contraception with a provider at their first postpartum visit, usually within six weeks of birth. Women's experiences were captured using open- and closed-ended survey questions. Thematic and multivariate logistic regression analyses were employed to examine contraceptive access and barriers, and method use at three months postpartum.

resultsTwenty-three percent of women received their desired method at the first postpartum visit; 11% a prescription for their desired pill, patch or ring; 8% a method (or prescription) other than that desired; and 58% no method. Among women who did not receive their desired method, 44% reported clinic-level barriers (e.g., method unavailability or no same-day provision), 26% provider-level barriers (e.g., inaccurate contraceptive counseling) and 23% cost barriers. Women who used private practices were more likely than those who used public clinics to report availability and cost barriers (odds ratios, 6.4 and 2.7, respectively). Forty-one percent of women who did not receive their desired method, compared with 86% of those who did, were using that method at three months postpartum.

conclusionEliminating the various barriers that postpartum women face may improve their access to contraceptives. Further research is needed to improve the understanding of clinic- and provider-level barriers.

Indexed as

AdolescentAdultContraceptionContraception BehaviorFamily Planning ServicesFemaleHealth Services AccessibilityHumansPostpartum PeriodPovertyPregnancyProspective StudiesTexasYoung Adult

Identifiers

PMID30506996
PMCPMC6314803

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.