Evidence map›Paper›PMID 31400297›Full record

ArticleContraception2019

The contraceptive and reproductive history and planning goals of trans-masculine adults: a mixed-methods study.

Brett Stark, Jaclyn M W Hughto, Brittany M Charlton, Madeline B Deutsch, Jennifer Potter, Sari L Reisner

Abstract read
PubMed Full text at PMC Publisher
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 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Article
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  6. Article
  7. Article
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  10. Article
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  12. Article
  13. Medical transition for gender diverse patients.Current obstetrics and gynecology reports · 2020
    Article
  14. Contraception across transgender.International journal of impotence research · 2020
    Review
  15. Transgender Men and the Gynecologist.Clinical obstetrics and gynecology · 2020
    Article
  16. The effect of testosterone on ovulatory function in transmasculine individuals.American journal of obstetrics and gynecology · 2020
    Observational
  17. Review
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.

Brett StarkDepartment of Obstetrics & Gynecology, University of California San Francisco, San Francisco, CA; Department of Social & Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Jaclyn M W HughtoDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI; Department of Epidemiology, Brown University School of Public Health, Providence, RI; Center for Health Equity Research, Brown University, Providence, RI; The Fenway Institute, Fenway Health, Boston, MA.
Brittany M CharltonDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.
Madeline B DeutschDepartment of Family & Community Medicine, University of California, San Francisco, CA; Center of Excellence for Transgender Health, University of California San Francisco, San Francisco, CA.
Jennifer PotterThe Fenway Institute, Fenway Health, Boston, MA; Department of General Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA.
Sari L ReisnerThe Fenway Institute, Fenway Health, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; Division of General Pediatrics, Boston Children's Hospital, Boston, MA. Electronic address: sari.reisner@childrens.harvard.edu.

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI TRACI C GREEN · 2018 to 2026
$23.4M
NIGMS NIH HHS P20 GM125507
6 · The paper itself

Abstract

objectivesThis study aims to identify factors associated with the reproductive planning of trans-masculine adults. STUDY

designBetween 2015 and 2016, providers enrolled 150 trans-masculine adults in a sexual health study assessing sociodemographics, social support, gender affirmation, sexual partnering, and reproductive history and planning. A brief clinical interview assessed contraceptive use and concerns. Bivariate and multivariable logistic regression analyses examined associations between participant characteristics and three outcomes: current contraceptive use, lifetime pregnancy history and reproductive planning.

resultsOverall, 37.3% are currently using contraceptives; 5.3% have been pregnant; and 20.0% plan to have biological children (9.3% plan to become pregnant; 12.0% plan to use their oocytes with a surrogate). Participants are less likely to use contraceptives if they are students vs. not, have socially affirmed their gender vs. not and have a partner vs. are single. Greater number of sexual partners is associated with the increased odds of contraceptive use. Further, as social support increases, the odds of having been pregnant decreases. Participants with a nonbinary gender identity are more likely to want to become pregnant than those with a binary gender identity, whereas those who have socially affirmed their gender are less likely to want to become pregnant than those who had not. Finally, participants of color more commonly planned to use their oocytes with a surrogate than white participants.

conclusionSociodemographic, gender affirmation, social support and sexual partner factors are associated with contraceptive use and reproductive history among trans-masculine patients. IMPLICATIONS: Healthcare providers must be aware of the diverse reproductive histories and pregnancy goals of trans-masculine individuals in order to provide comprehensive reproductive healthcare counseling and provision. More research is needed to better understand contraception and reproduction desires in trans-masculine individuals.

Indexed as

Reproductive HistoryAdultContraception BehaviorFemaleHumansMaleMiddle AgedPregnancyQualitative ResearchSurveys and QuestionnairesTransgender PersonsYoung AdultContraceptionPregnancySurrogacyTransgender

Identifiers

PMID31400297
PMCPMC7357713

What OpenQuestion holds

Textmetadata
LicenceTDM
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.