Evidence map›Paper›PMID 32664931›Full record

ArticleHarm reduction journal2020

Providing reproductive health services for women who inject drugs: a pilot program.

Lauren Owens, Kelly Gilmore, Mishka Terplan, Sarah Prager, Elizabeth Micks

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  9. Harm Reduction as a Form of 'Wrap-Around' Care: The Nursing Role.International journal of mental health nursing · 2025
    Review
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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

5 authors at 4 institutions in 1 country.

Lauren OwensDepartment of Obstetrics and Gynecology, University of Michigan|, Ann Arbor, USA. laureno@med.umich.edu.
Kelly GilmoreDepartment of Obstetrics and Gynecology, University of Washington, Seattle, USA.
Mishka TerplanDepartment of Obstetrics and Gynecology, Department of Psychiatry, Virginia Commonwealth University, Richmond, USA.
Sarah PragerDepartment of Obstetrics and Gynecology, University of Washington, Seattle, USA.
Elizabeth MicksDepartment of Obstetrics and Gynecology, University of Washington, Seattle, USA.
University of Washington · USSeattle University · USUniversity of Michigan–Ann Arbor · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeedle syringe programs (NSPs), a proven harm reduction strategy for people who inject drugs, frequently offer limited healthcare services for their clients. Women who inject drugs face multiple barriers to accessing reproductive health care in traditional settings: personal histories of trauma, judgmental treatment from providers, and competing demands on their time. Our aim was to implement patient-centered reproductive healthcare services at a Seattle NSP.

methodsWe interviewed clients and staff of an NSP in Seattle and staff of other community-based organizations serving women who inject drugs, then used the Consolidated Framework for Implementation Research to code transcripts deductively. Based on our qualitative work, we implemented reproductive health care at the NSP program 1 day per week. We evaluated the implementation by surveying staff and clients and auditing charts over a 9-month period.

resultsClients and staff (N = 15 for clients, N = 13 for staff) noted a high unmet need for trauma-informed, accessible reproductive health care. We successfully implemented reproductive health care services including short- and long-acting contraception, sexually transmitted disease testing, and cervical cancer screening. Survey data was limited but demonstrated client satisfaction with services.

conclusionsIntegrating reproductive health care into an NSP's clinical services is feasible and can be a source of low-barrier preventive care for women unable to seek gynecologic care elsewhere.

Indexed as

Harm ReductionReproductive Health ServicesAdultFemaleHealth Services AccessibilityHumansNeedle-Exchange ProgramsSubstance Abuse, IntravenousWashingtonNeedle syringe programsReproductive healthSubstance use disorderSyringe exchange programs

Identifiers

PMID32664931
PMCPMC7362507
OpenAlexW3043321417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.