Evidence map›Paper›PMID 32586415›Full record

ArticleSexual health2020

'I feel like a person has a right to use a product to protect themselves…': a qualitative study of the risk-benefit calculus on women's contraceptive use and choice.

Sofía L Carbone, Melissa Guillen, Jaime J Ramirez, Sara E Vargas, Connie Fei Lu, Melissa L Getz, Yaa Frimpong, Kelley A Smith, Claire Stout, Iris Tong and 4 more

Open access · greenAbstract read
In one paragraph

Article in Sexual health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 5 institutions in 1 country.

Sofía L CarboneBrown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA.
Melissa GuillenCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Jaime J RamirezCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Sara E VargasCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA; and The Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA.
Connie Fei LuThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA.
Melissa L GetzCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Yaa FrimpongThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA.
Kelley A SmithCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Claire StoutCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Iris TongThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA; and Women's Medicine Collaborative, Lifespan, 146 West River Street, Providence, RI 02904, USA.
Melanie HillWomen's Medicine Collaborative, Lifespan, 146 West River Street, Providence, RI 02904, USA.
Robert E BerryCambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02139, USA.
Abigail HarrisonBrown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA.
Kate M GuthrieBrown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA; and Center for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA; and The Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA; and Corresponding author. Email: kate_guthrie@brown.edu.
Miriam Hospital · USBrown University · USRhode Island Department of Health · USCambridge Health Alliance · USLifespan · US

Funding

Snap-To-It ProbesR44CA094612 · NCI · SYNTRIX BIOSYSTEMS, INC. · PI MORGAN, JOEL R, ZEBALA, JOHN A · 2007 to 2009
$1.4M
Advancing Reproductive Health: Qualitative Methods & Interdisciplinary MentorshipK24HD062645 · NICHD · MIRIAM HOSPITAL · PI GUTHRIE, KATE M · 2012 to 2016
$689k
Snap-To-It PNA ArraysR43CA094612 · NCI · SYNTRIX BIOSYSTEMS, INC. · PI ZEBALA, JOHN A · 2002 to 2003
$284k
NCI NIH HHS R43 CA094612NCI NIH HHS R44 CA094612NICHD NIH HHS K24 HD062645
6 · The paper itself

Abstract

Background Reducing pregnancy risk requires a multidimensional approach to sexual and reproductive health product development. The purpose of this analysis is to identify, compare, and contrast women's pre-use beliefs and attitudes about three different forms of contraceptives: intravaginal rings; spermicide in conjunction with condoms; and oral contraceptive pills - and explore how those attitudes and beliefs, along with actual method-use experience, may affect potential choices in contraceptive method moving forward. The relationship of beliefs and attitudes to their risk-benefit calculations when using these methods was also considered.?

methodsWomen used one or more contraceptive methods, each for 3-6 months. Qualitative data from individual in-depth interviews completed after each 3-month use period were analysed using a summary matrix framework. Data were extracted and summarised into themes. Each woman's experiences were compared among the methods she used; comparisons were also made across participants.

resultsThe data consist of 33 90-120 min in-depth qualitative interviews from 16 women aged 20-34 years, in which they discussed various elements of their method use experience. One prominent theme was identified: the influence of attitudes and beliefs on the risk-benefit calculus. There were six key elements within the theme: pregnancy prevention; dosing and the potential for user error; side-effects; familiarity; disclosure; and sexual partnerships.

conclusionsWomen weighed perceived risks and benefits in their decision-making and, ultimately, their contraception choices. Understanding women's beliefs and attitudes that contribute to a calculation of risk-benefit can inform the development of sexual and reproductive health products.

Indexed as

Choice BehaviorDecision MakingHealth Knowledge, Attitudes, PracticeAdultCondomsContraceptionContraceptive Devices, FemaleContraceptives, OralFemaleHumansMassachusettsQualitative ResearchRhode IslandRisk AssessmentSpermatocidal AgentsYoung AdultContraceptives, OralSpermatocidal Agents

Identifiers

PMID32586415
PMCPMC8853632
OpenAlexW3037381161

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.