Evidence map›Paper›PMID 33938034›Full record

ArticlePublic health nursing (Boston, Mass.)2021

Social support reduces the risk of unintended pregnancy in a low-income population.

Hartley Feld, Sheila Barnhart, Amanda T Wiggins, Kristin Ashford

Open access · greenAbstract read
In one paragraph

Article in Public health nursing (Boston, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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

4 authors at 1 institution in 1 country.

Hartley FeldCollege of Nursing, University of Kentucky, Lexington, KY, USA.ORCID 0000-0002-4883-9222
Sheila BarnhartCollege of Social Work, University of Kentucky, Lexington, KY, USA.
Amanda T WigginsCollege of Nursing, University of Kentucky, Lexington, KY, USA.
Kristin AshfordCollege of Nursing, University of Kentucky, Lexington, KY, USA.
University of Kentucky · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
NCATS NIH HHS UL1 TR001998
6 · The paper itself

Abstract

Almost half of all pregnancies (45%) in the United States (US) are unintended, with the highest concentration in women with low incomes. Targeted research is warranted to identify risk and protective factors that influence pregnancy intention to improve maternal/child health. PURPOSE: To identify individual and interpersonal level associations to pregnancy intention to use as leverage points to build resilience.

methodA cross-sectional, secondary analysis of Medicaid eligible pregnant women in Kentucky (n = 309).

resultsSixty-two percent reported their current pregnancy was unintended. Older age, partnered, negative drug screen, and increased social support were associated with decreased odds of unintended pregnancy. For every 1 unit increase of belonging and tangible social support, women were 13% and 14% (respectively) less likely to have an unintended pregnancy (OR = 0.87, 95% CI = 0.78-0.97, p = .011, OR = 0.86, 95% CI = 0.77-0.95, p = .005). A positive drug screen was associated with an almost three-fold increase in the odds of unintended pregnancy (OR = 2.88, 95% CI = 1.49-5.58, p = .002).

conclusionPublic health nurses can play a critical role in reducing unintended pregnancy rates by promoting social support, inclusion, and acceptance. There remains a critical need to identify barriers and facilitators to pregnancy planning for persons who use illicit drugs.

Indexed as

Pregnancy, UnplannedSocial SupportChildCross-Sectional StudiesFemaleHumansPovertyPregnancyPregnant PeopleUnited Statescross-sectional studiesmaternal-child healthpregnancyquantitative researchreproductive healthsocial supportsubstance usevulnerable populations

Identifiers

PMID33938034
PMCPMC8419072
OpenAlexW3158152658

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.