Evidence map›Paper›PMID 32860948›Full record

ArticleJournal of pediatric and adolescent gynecology2020

Long-Acting Reversible Contraceptive Attitudes and Acceptability in Adolescents and Young Adults: A Key to Patient-Centered Contraceptive Counseling.

Molly J Richards, Kate Coleman-Minahan, Jeanelle Sheeder

Abstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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

3 authors.

Molly J RichardsSection of Adolescent Medicine, University of Colorado School of Medicine, Aurora, CO. Electronic address: Molly.richards@childrenscolorado.org.
Kate Coleman-MinahanUniversity of Colorado College of Nursing, Aurora, CO.
Jeanelle SheederDepartments of Pediatrics and Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO.

Funding

University of Colorado Population CenterP2CHD066613 · NICHD · UNIVERSITY OF COLORADO · PI JANE A MENKEN · 2015 to 2026
$3.7M
NICHD NIH HHS P2C HD066613
6 · The paper itself

Abstract

purposeTo examine the attitudes of adolescent and young adults (AYA) toward long-acting reversible contraception (LARC), and to assess how attitudes are associated with acceptability.

designSurvey.

settingChildren's Hospital Colorado Adolescent Family Planning Clinic in Aurora, Colorado. PARTICIPANTS, INTERVENTIONS, AND

main outcome measuresYoung persons 14-24 years of age presenting for any type of visit between March and August 2018.

resultsA total of 332 participants were enrolled; the majority (62.3%) had high LARC acceptability. We found 5 "attitude" factors: 77.7% of the sample endorsed "Effective" attitudes (eg, wants most effective method), 37.3% endorsed "Good attributes" (eg, discreet, convenient), 23.1% endorsed "Scary" (eg, fears device will move), 16.1% endorsed "Bad for health," (eg, too many side effects), and 9% endorsed "Not for me" (eg, concerns about pain). Although participants who endorsed "Effective" (OR 6.60, 95% CI 3.01-14.49) and "Good attributes" (OR 3.17, 95% CI 1.51-6.66) were more likely to have high LARC acceptability than those who endorsed "Scary" (OR 0.28, 95% CI: (0.13-0.61)) and "Not for me" (OR 0.07, 95% CI 0.01-0.41) factors, approximately 10% of participants with high LARC acceptability endorsed "Scary" or "Bad for health" attitudes, whereas 54% of those with low LARC acceptability endorsed "Effective" attitudes.

conclusionAlthough most participants had high LARC acceptability and valued contraceptive effectiveness, the association between LARC attitudes and acceptability is nuanced. Providers should identify and discuss young people's contraceptive knowledge, attitudes, and acceptability.

Indexed as

CounselingHealth Knowledge, Attitudes, PracticeAdolescentColoradoCross-Sectional StudiesFactor Analysis, StatisticalFamily Planning ServicesFemaleHumansLong-Acting Reversible ContraceptionPatient Acceptance of Health CarePatient-Centered CareSurveys and QuestionnairesYoung AdultAcceptabilityAdolescentAttitudesLARCLong acting reversible contraceptionMisconceptionsMyths

Identifiers

PMID32860948
PMCPMC8938958

What OpenQuestion holds

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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.