Evidence map›Paper›PMID 33441569›Full record

Observational studyScientific reports2021

Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea.

Elizabeth Peach, Christopher Morgan, Michelle J L Scoullar, Freya J I Fowkes, Elissa Kennedy, Pele Melepia, Primrose Homiehombo, Lucy Au, Stanley Luchters, Alexandra J Umbers and 9 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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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

19 authors at 7 institutions in 5 countries.

Elizabeth PeachBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia. liz.peach@burnet.edu.au.
Christopher MorganBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Michelle J L ScoullarBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Freya J I FowkesBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Elissa KennedyBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Pele MelepiaBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Primrose HomiehomboBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Lucy AuBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Stanley LuchtersBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Alexandra J UmbersBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Andrew VallelyDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Lisa M VallelyDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Angela Kelly-HankuPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.
Leanne J RobinsonBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Brendan S CrabbBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
Arthur ElijahPort Moresby General Hospital, and the University of Papua New Guinea, Port Moresby, Papua New Guinea.
Peter M SibaPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.
William PomatPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.
James G BeesonBurnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia. beeson@burnet.edu.au.
Papua New Guinea University of Natural Resources and Environment · PGBurnet Institute · AUGhent University · BEPapua New Guinea Institute of Medical Research · PGMonash University · AUPort Moresby General Hospital · PGUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unintended pregnancy is a major driver of poor maternal and child health in resource-limited settings. Data on pregnancy intention and use of family planning (FP) is scarce in Papua New Guinea (PNG), but are needed to inform public health strategies to improve FP accessibility and uptake. Data from a facility-based cross-sectional sample of 699 pregnant women assessed prevalence and predictors of unintended pregnancy and modern FP use among pregnant women in East New Britain Province, PNG. More than half (55%) the women reported their pregnancy as unintended. Few (18%) reported ever having used a modern FP method, and knowledge of different methods was low. Being single, separated or divorced (AOR 9.66; 95% CI 3.27-28.54), educated to a tertiary or vocational level (AOR 1.78 CI 1.15-2.73), and gravidity > 1 (AOR 1.43 for each additional pregnancy CI 1.29-1.59) were associated with unintended pregnancy; being accompanied by a male partner to ANC was associated with a reduced unintended pregnancy (0.46 CI 0.30-0.73). Factors associated with modern FP use included male partner involvement (AOR 2.26 CI 1.39-3.67) and gravidity > 1 (AOR 1.54 for each additional pregnancy CI 1.36-1.74). FP use also varied by the facility women attended. Findings highlight an urgent need for targeted interventions to improve FP knowledge, uptake and access, and male partner involvement, to reduce unintended pregnancies and their complications.

Indexed as

AdolescentAdultContraceptionCross-Sectional StudiesFamily Planning ServicesFemaleHumansMalePapua New GuineaPregnancyPregnancy RatePregnancy, UnplannedPregnant PeoplePrevalenceProspective StudiesRisk Factors

Identifiers

PMID33441569
PMCPMC7806862
OpenAlexW3120367751

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.