Evidence map›Paper›PMID 34023174›Full record

ArticlePatient education and counseling2022

The interaction of sexual orientation and provider-patient communication on sexual and reproductive health in a sample of U.S. women of diverse sexual orientations.

Ariella R Tabaac, Megan E Sutter, Sebastien Haneuse, Madina Agénor, S Bryn Austin, Carly E Guss, Brittany M Charlton

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

7 authors.

Ariella R TabaacDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Center for Gender Surgery, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA. Electronic address: ari.tabaac@childrens.harvard.edu.
Megan E SutterDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA; Department of Obstetrics and Gynecology, NYU Grossman School of Medicine, New York, NY, USA. Electronic address: megan.sutter@nyulangone.org.
Sebastien HaneuseDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: shaneuse@hsph.harvard.edu.
Madina AgénorDepartment of Community Health, Tufts University, Medford, MA, USA; Department of Obstetrics/Gynecology, Tufts University School of Medicine, Boston, MA, USA. Electronic address: madina.agenor@tufts.edu.
S Bryn AustinDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, Boston, MA, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA. Electronic address: bryn.austin@childrens.harvard.edu.
Carly E GussDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA. Electronic address: carly.guss@childrens.harvard.edu.
Brittany M CharltonDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: bcharlton@mail.harvard.edu.

Funding

Integrating lifecourse approaches, biologic and digital phenotypes in support of heart and lung disease epidemiologic researchU01HL145386 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, MANSON, JOANN ELISABETH · 2019 to 2025
$17.8M
Sexual Orientation and Obesity: Test of a Gendered Biopsychosocial ModelR01HD066963 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN · 2011 to 2015
$3.5M
NYU Training Program in Healthcare Delivery Science and Population Health ResearchT32HS026120 · AHRQ · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HORWITZ, LEORA, SCHWARTZ, MARK D · 2018 to 2023
$3.4M
Causes and Impact of Minority Stress on Health and Development in YouthR01HD057368 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN, ROSARIO, MARGARET · 2009 to 2013
$3.3M
Nurses Health Study 3: A multiple exposure environmental epidemiology cohort of young adultsR24ES028521 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, LADEN, FRANCINE · 2018 to 2022
$2.1M
Policy- and Provider-Level Determinants of Human Papillomavirus Vaccination Disparities Among Young U.S. WomenK01CA234226 · NCI · TUFTS UNIVERSITY MEDFORD · PI AGÉNOR, MADINA · 2018 to 2020
$447k
Health Education and Reproductive HealthF32HD100081 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI TABAAC, ARIELLA R · 2020 to 2022
$219k
AHRQ HHS T32 HS026120NCI NIH HHS K01 CA234226NHLBI NIH HHS U01 HL145386NICHD NIH HHS F32 HD100081NICHD NIH HHS L60 HD103035NICHD NIH HHS R01 HD057368NICHD NIH HHS R01 HD066963NIEHS NIH HHS R24 ES028521
6 · The paper itself

Abstract

objectiveOur goal was to examine associations among provider-patient communication, past-year contraceptive use and lifetime sexually transmitted infection.

methodsData were analyzed cross-sectionally from 22,554 women in the Growing Up Today Study and Nurses' Health Study 3 between the follow-up period of 1996-2020. We used multivariable Poisson regression models adjusted for race/ethnicity, age in years, study cohort, and region of residence to obtain risk ratio (RR) associations and 95% confidence intervals (CI).

resultsProvider-patient communication was associated with higher likelihood of using all methods of past-year contraceptive use (RRs ranging from 1.11 to 1.63) and lifetime STI diagnosis (RRs ranging from 1.18 to 1.96). Completely heterosexual women with no same-sex partners (referent) were 13% more likely than lesbians and 4% less likely than other groups to report a provider ever discussed their SRH. Significant interactions emerged between sexual minority status and provider-patient communication. Sexual minority women whose providers discussed their SRH were less likely to report contraceptive non-use in the past year (p < .0001).

conclusionProvider-patient communication may benefit sexual minority women's contraceptive practices and engagement with STI testing. PRACTICE IMPLICATIONS: Differences in provider-patient SRH discussion by sexual orientation indicate lesbian women are not receiving the same attention in clinical encounters.

Indexed as

Sexual and Gender MinoritiesSexual HealthCommunicationFemaleHumansReproductive HealthSexual BehaviorHealth communicationReproductive health servicesSexual and gender minoritiesSexual health

Identifiers

PMID34023174
PMCPMC8594287

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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.