Evidence map›Paper›PMID 31082396›Full record

ArticleContraception2019

Contraceptive use by women across different sexual orientation groups.

Brittany M Charlton, Elizabeth Janiak, Audrey J Gaskins, Amy D DiVasta, Rachel K Jones, Stacey A Missmer, Jorge E Chavarro, Vishnudas Sarda, Margaret Rosario, S Bryn Austin

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Lasting effects of oral contraceptives on fear responses to a safe context.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Article
  4. Being Out: Impact of Disclosure on Sexual and Reproductive Healthcare Receipt in a Sample of Sexual Minority Women and Gender Diverse Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Sexual Orientation Differences in Pregnancy and Abortion Across the Lifecourse.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

10 authors at 5 institutions in 1 country.

Brittany M CharltonDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, 25 Shattuck Street, Boston, MA, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, 180 Longwood Avenue, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, USA. Electronic address: bcharlton@mail.harvard.edu.
Elizabeth JaniakDepartment of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, 75 Francis Street, Boston, MA, USA; Planned Parenthood League of Massachusetts, 1055 Commonwealth Avenue, Boston, MA, USA.
Audrey J GaskinsChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, 180 Longwood Avenue, Boston, MA, USA; Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, USA.
Amy D DiVastaDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, 25 Shattuck Street, Boston, MA, USA.
Rachel K JonesResearch Division, Guttmacher Institute, 125 Maiden Lane, 7th Floor, New York, NY, USA.
Stacey A MissmerDepartment of Obstetrics, Gynecology, and Reproductive Biology College of Human Medicine, Michigan State University, 965 Fee Road, East Lansing, MI, USA.
Jorge E ChavarroChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, 180 Longwood Avenue, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, USA; Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, USA.
Vishnudas SardaDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA.
Margaret RosarioDepartment of Psychology, City University of New York-City College and Graduate Center, 365 Fifth Avenue, New York, NY, USA.
S Bryn AustinDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, 25 Shattuck Street, Boston, MA, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, 180 Longwood Avenue, Boston, MA, USA; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, USA.
Boston Children's Hospital · USBrigham and Women's Hospital · USGuttmacher Institute · USMichigan State University · USThe Graduate Center, CUNY · US

Funding

Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Integrating lifecourse approaches, biologic and digital phenotypes in support of heart and lung disease epidemiologic researchU01HL145386 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, MANSON, JOANN ELISABETH · 2019 to 2025
$17.8M
Life Course Cancer Epidemiology Cohort in WomenUM1CA176726 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI WILLETT, WALTER C. · 2013 to 2017
$15.7M
Sexual Orientation and Obesity: Test of a Gendered Biopsychosocial ModelR01HD066963 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN · 2011 to 2015
$3.5M
Causes and Impact of Minority Stress on Health and Development in YouthR01HD057368 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN, ROSARIO, MARGARET · 2009 to 2013
$3.3M
Nurses Health Study 3: A multiple exposure environmental epidemiology cohort of young adultsR24ES028521 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, LADEN, FRANCINE · 2018 to 2022
$2.1M
Sexual Orientation and Health Disparities in AdolescenceR01HD045763 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN · 2004 to 2007
$812k
Maternal Exposure to Air Pollution and Early Pregnancy OutcomesR00ES026648 · NIEHS · EMORY UNIVERSITY · PI GASKINS, AUDREY JANE · 2019 to 2021
$730k
Maternal Exposure to Air Pollution and Early Pregnancy OutcomesK99ES026648 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GASKINS, AUDREY JANE · 2017 to 2018
$246k
Reproductive health disparities and sexual orientation in girls and womenF32HD084000 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI CHARLTON, BRITTANY MICHELLE · 2015 to 2017
$115k
NCI NIH HHS U01 CA176726NCI NIH HHS UM1 CA176726NHLBI NIH HHS U01 HL145386NICHD NIH HHS F32 HD084000NICHD NIH HHS R01 HD045763NICHD NIH HHS R01 HD057368NICHD NIH HHS R01 HD066963NIEHS NIH HHS K99 ES026648NIEHS NIH HHS R00 ES026648NIEHS NIH HHS R24 ES028521
6 · The paper itself

Abstract

objectivesTo examine contraceptive methods used across sexual orientation groups. STUDY

designWe collected data from 118,462 female participants in two longitudinal cohorts-the Nurses' Health Study (NHS) 2 (founded in 1989, participants born 1947-1964) and NHS3 (founded in 2010, born 1965-1995). We used log-binomial models to estimate contraceptive methods ever used across sexual orientation groups and cohorts, adjusting for age and race.

resultsLesbians were the least likely of all sexual orientation groups to use any contraceptive method. Lesbians in NHS2 were 90% less likely than heterosexuals to use long-acting reversible contraceptives (LARCs; adjusted risk ratio [aRR]; 95% confidence interval [CI]: 0.10 [0.04, 0.26]) and results were similar for other contraceptive methods and in the NHS3 cohort. Compared to the reference group of completely heterosexual participants with no same-sex partners, those who identified as completely heterosexual with same-sex partners, mostly heterosexual, or bisexual were generally more likely to use any method of contraception. Use of LARCs was especially striking across sexual minority groups, and, with the exception of lesbians, they were more likely to use LARCs; as one illustration, NHS3 bisexuals were more than twice as likely to use LARCs (aRR [95% CI]: 2.01 [1.67, 2.42]).

conclusionsWhile certain sexual minority subgroups (e.g., bisexuals) were more likely than heterosexuals to use contraceptive methods such as LARCs, lesbians were less likely to use any method. IMPLICATIONS: Many sexual minority patients need contraceptive counseling and providers should ensure to offer this counseling to patients in need, regardless of sexual orientation.

Indexed as

ContraceptionContraception BehaviorHeterosexualityHomosexuality, FemalePregnancy, UnplannedSexual and Gender MinoritiesAdolescentAdultContraceptive AgentsFemaleHumansLongitudinal StudiesMiddle AgedPregnancySurveys and QuestionnairesUnited StatesContraceptive AgentsBisexualContraception uptakeHealth disparityLesbianSexual-minority women

Identifiers

PMID31082396
PMCPMC6699887
OpenAlexW2944150309

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.