Evidence map›Paper›PMID 33957810›Full record

ArticleJournal of primary care & community health

Estimating the Period Prevalence of Publicly Funded Abortion to Space Live Births, 1999 to 2014.

James Studnicki, John W Fisher, Tessa Longbons, David C Reardon, Christopher Craver, Donna J Harrison

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

James StudnickiCharlotte Lozier Institute, Arlington, VA, USA.ORCID 0000-0003-2958-7493
John W FisherCharlotte Lozier Institute, Arlington, VA, USA.
Tessa LongbonsCharlotte Lozier Institute, Arlington, VA, USA.ORCID 0000-0003-0479-9166
David C ReardonElliot Institute, Springfield, IL, USA.
Christopher CraverCharlotte Lozier Institute, Arlington, VA, USA.
Donna J HarrisonAmerican Association of Pro-Life Obstetricians and Gynecologists, Eau Claire, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectivesAlthough a majority of women who have an abortion report having 1 or more children, there is no published research on the number of abortions which occur between live births, after a first child but before the last. The objectives of this research, therefore, were to estimate the period prevalence of an induced abortion separating live births in a population of Medicaid eligible enrollees and to identify the characteristics of enrollees significantly associated with the use of abortion to enable child spacing.

methodsA retrospective, cross-sectional, longitudinal analysis of the pregnancy outcome sequences of eligible enrollees over age 13 from the 17 states where Medicaid included coverage of all abortions, with at least one identifiable pregnancy outcome between 1999 and 2014. Eligibles with a defined sequence of birth-abortion-birth within up to 5 consecutive pregnancies were identified to estimate the number of eligibles who could have practiced birth spacing by abortion. Logistic regression was applied to identify the significant predictor variables of the birth-abortion-birth sequence.

resultsThere were 50 012 (1.02%) of 4 875 511 Medicaid eligible enrollees exhibited a birth-abortion-birth sequence. Eligibles with the birth-abortion-birth sequence are more likely to be Black than White (OR 2.641, CL 2.581-2.702), less likely to be Hispanic than White (OR 0.667, CL 0.648-0.687), and more likely to have received contraceptive counseling (OR 1.14, CL 1.118-1.163). Increases in months of Medicaid eligibility (OR 1.004, CL 1.003-1.004) and months from first pregnancy to second live birth (OR 1.015, CL 1.015-1.016) are associated with the likelihood of undergoing live births separated by one or more induced abortions. Increases in the age at first pregnancy are associated with a decreased likelihood of the birth-abortion-birth sequence (OR 0.962, CL 0.959-0.964).

conclusionBirth spacing via abortion is uncommon among a low-income population for whom the financial barriers to abortion are somewhat alleviated.

Indexed as

Abortion, InducedLive BirthAbortion, LegalAdolescentChildCross-Sectional StudiesFemaleHumansPregnancyPrevalenceRetrospective StudiesUnited Statesabortionchild spacingMedicaidpregnancy outcomes

Identifiers

PMID33957810
PMCPMC8114245

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