Evidence map›Paper›PMID 31655071›Full record

ArticleContraception2020

The Affordable Care Act contraception mandate & unintended pregnancy in women of reproductive age: An analysis of the National Survey of Family Growth, 2008-2010 v. 2013-2015.

Colleen L MacCallum-Bridges, Claire E Margerison

Abstract read
In one paragraph

Article in Contraception, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

2 authors.

Colleen L MacCallum-BridgesDepartment of Epidemiology and Biostatistics, Michigan State University, 939 Fee Road, East Lansing, MI 48825, United States. Electronic address: cmaccallum@epi.msu.edu.
Claire E MargerisonDepartment of Epidemiology and Biostatistics, Michigan State University, 939 Fee Road, East Lansing, MI 48825, United States.

Funding

Policy Change and Women's HealthR01HD095951 · NICHD · MICHIGAN STATE UNIVERSITY · PI MARGERISON, CLAIRE E · 2019 to 2023
$2.1M
NICHD NIH HHS R01 HD095951
6 · The paper itself

Abstract

OBJECTIVE(S): The Affordable Care Act contraception mandate could reduce unintended pregnancies by increasing access and affordability of contraceptive resources, e.g., long-acting reversible contraceptives (LARCs). We assessed: (1) whether unintended pregnancies decreased post-mandate, and (2) whether this decrease differed by demographic characteristics. STUDY

designWe used data from the National Survey of Family Growth (unweighted n = 7409) in logistic regression analyses to compare odds of unintended pregnancy pre-mandate (2008-2010) vs post-mandate (2013-2015), overall and stratified by demographic characteristics.

resultsParalleling an increase in long-acting reversible contraceptive use (p < 0.01), post-mandate, the odds of experiencing unintended pregnancy in the prior year decreased 15% overall (OR: 0.85, 95% CI: 0.62, 1.17), with the greatest reduction observed among women with government-sponsored insurance (OR: 0.63, 95% CI: 0.41, 0.97).

conclusionsUnintended pregnancy decreased following the contraception mandate, although possibly due to chance. The short study period relative to the mandate could under-estimate the mandate's effect.

Indexed as

Pregnancy, UnplannedAdolescentAdultContraceptionCross-Sectional StudiesFemaleHumansLogistic ModelsLong-Acting Reversible ContraceptionPatient Protection and Affordable Care ActPregnancySurveys and QuestionnairesUnited StatesYoung AdultAffordable Care ActContraceptionPolicyReproductive healthUnintended pregnancy

Identifiers

PMID31655071
PMCPMC7017385

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.