Evidence map›Paper›PMID 34389287›Full record

ArticleJournal of obstetric, gynecologic, and neonatal nursing : JOGNN2021

Experiences of Women With Disabilities in Accessing and Receiving Contraceptive Care.

Willi Horner-Johnson, Krystal A Klein, Jan Campbell, Jeanne-Marie Guise

Open access · bronzeAbstract read
In one paragraph

Article in Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  15. Differences in Contraceptive Method Discontinuation and Contraceptive Method Preferences by Disability Status.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Observational
  16. "It Would Have Been Nice to Have a Choice": Barriers to Contraceptive Decision-making among Women with Disabilities.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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

4 authors at 1 institution in 1 country.

Willi Horner-Johnson
Krystal A Klein
Jan Campbell
Jeanne-Marie Guise
Oregon Health & Science University · US

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
Oregon Patient Centered Outcomes Research K12 ProgramK12HS022981 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUISE, JEANNE-MARIE · 2014 to 2018
$4.1M
AHRQ HHS K12 HS022981NCATS NIH HHS UL1 TR000128NCATS NIH HHS UL1 TR002369
6 · The paper itself

Abstract

objectiveTo conduct an initial exploration of the experiences of women with different types of disability when they attempt to obtain contraceptive care.

designMultiple-category focus group design.

settingMultiple community sites.

participantsSeventeen women with disabilities of reproductive age.

methodsWe purposively sampled women with different types of disability and conducted four focus groups organized by disability type: physical disability, intellectual and developmental disability, blind or low vision, and deaf or hard of hearing. We used a semistructured focus group guide to elicit participants' positive and negative experiences with contraceptive care. We analyzed focus group transcripts using content analysis.

resultsParticipants identified challenges to obtaining high-quality contraceptive care in three main thematic areas: Accessibility and Accommodations, Clinician Attitudes, and Health Insurance. Participants with physical disabilities encountered inaccessible clinic rooms and examination tables, and those with sensory disabilities or intellectual and developmental disability described inaccessible clinic forms and information. Participants from multiple disability groups described negative attitudes of health care providers and health insurance limitations.

conclusionAs described by our participants, the processes and infrastructure of contraceptive care were based on an assumption of an able-bodied norm. Reliance on such a norm, for example, offering a paper pamphlet to a blind woman, is not helpful and can be harmful to women with disabilities. Increased attention to the reproductive health care needs of women with disabilities is important for improving health care equity and quality.

Indexed as

Contraceptive AgentsPersons with DisabilitiesFemaleFocus GroupsHealth Services AccessibilityHumansQualitative ResearchQuality of Health CareContraceptive Agentscommunication barriersdisabled personsfamily planning servicesfemale contraceptionfocus groupsphysical barriersqualitative

Identifiers

PMID34389287
PMCPMC8759451
OpenAlexW3187619033

What OpenQuestion holds

Textmetadata
LicenceTDM
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.