Evidence map›Paper›PMID 32671336›Full record

ArticleContraception: X2020

Breaking the silence in the primary care office: patients' attitudes toward discussing abortion during contraceptive counseling.

Shokoufeh Dianat, Ilana A Silverstein, Kelsey Holt, Jody Steinauer, Christine Dehlendorf

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Contraception: X, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Abortion Knowledge Among Advanced Practice Clinicians in Colorado.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  7. 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

5 authors at 1 institution in 1 country.

Shokoufeh DianatUniversity of California, San Francisco, Departments of Family & Community Medicine and Obstetrics, Gynecology & Reproductive Sciences. Address: 1001 Potrero Ave, Ward 22, San Francisco, CA 94110.
Ilana A SilversteinUniversity of California, San Francisco, Department of Family & Community Medicine, 1001 Potrero Ave, Ward 22, San Francisco, CA 94110.
Kelsey HoltUniversity of California, San Francisco, Department of Family & Community Medicine, 1001 Potrero Ave, Ward 22, San Francisco, CA 94110.
Jody SteinauerUniversity of California, San Francisco, Department of Obstetrics, Gynecology & Reproductive Sciences, 1001 Potrero Ave, Ward 6D, San Francisco, CA 94110.
Christine DehlendorfUniversity of California, San Francisco, Departments of Family & Community Medicine, Obstetrics, Gynecology & Reproductive Sciences, and Epidemiology & Biostatistics, 1001 Potrero Ave, Ward 22, San Francisco, CA 94110.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAbortions are common health experiences in the United States, yet they are siloed from mainstream health care. To provide guidance on how clinicians could break down these silos, normalize conversations about abortion, and potentially improve patient experience and contraceptive decision-making, we sought to understand patient attitudes regarding discussing abortion during contraceptive counseling. STUDY

designIn 2018, we completed in-depth semi-structured interviews with reproductive-aged women recruited from primary care clinics of two politically disparate regions within California. We elicited acceptability, preferences, and implications of clinicians mentioning abortion during contraceptive counseling. Using directed content analysis, we coded transcripts for inductive and deductive themes.

resultsWe achieved thematic saturation after 49 interviews. Interviewees were diverse in reproductive history, race/ethnicity, religiosity, and abortion attitudes. Participants with diverse attitudes about abortion reported that having abortion mentioned during contraceptive counseling was generally viewed as acceptable, and even helpful, when delivered in a non-directive manner focused on information provision. For some patients, mentioning abortion may reduce abortion stigma and help contraceptive decision-making. Careful attention to a non-judgmental communication style is critical to safeguard against potential contraceptive coercion.

conclusionsDiscussing abortion during contraceptive counseling was acceptable among this diverse population, and our findings suggest ways to best structure such counseling. Coupled with research on clinician perspectives, our findings can inform development of patient-centered contraceptive counseling approaches that integrate abortion in an attempt to facilitate patient care and reduce stigma. IMPLICATIONS: Mentioning abortion during contraceptive counseling can be acceptable, and even helpful, to patients when delivered in a non-directive manner focused on information provision, even among patients who believed abortion should be illegal in all or most cases. For some patients, mentioning abortion may reduce abortion stigma and help contraceptive decision-making.

Indexed as

AbortionContraceptive counselingPatient-centeredPrimary careStigma

Identifiers

PMID32671336
PMCPMC7338626
OpenAlexW3036737159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.