Evidence map›Paper›PMID 34518336›Full record

ArticleHospital pediatrics2021

Sexual Health Behaviors and Pregnancy Risk Among Hospitalized Female Adolescents.

Jane Alyce Hunt, Kimberly A Randell, Sarah Mermelstein, Melissa K Miller, Ashley K Sherman, Shirene Philipose, Abbey R Masonbrink

Open access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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 at 4 institutions in 1 country.

Jane Alyce HuntDepartment of Pediatrics, Washington University in St Louis, St Louis, Missouri jaratner@wustl.edu.
Kimberly A RandellSchool of Medicine, University of Missouri-Kansas City, Kansas City, Missouri.
Sarah MermelsteinDepartment of Pediatrics, Washington University in St Louis, St Louis, Missouri.
Melissa K MillerSchool of Medicine, University of Missouri-Kansas City, Kansas City, Missouri.
Ashley K ShermanHealth Services and Outcomes Research, Children's Mercy Kansas City, Kansas City, Missouri.
Shirene PhiliposeDepartment of Internal Medicine, School of Medicine, University of Kansas, Kansas City, Kansas.
Abbey R MasonbrinkSchool of Medicine, University of Missouri-Kansas City, Kansas City, Missouri.
University of Missouri–Kansas City · USWashington University in St. Louis · USChildren's Mercy Hospital · USUniversity of Kansas · US

Funding

Promoting Healthy Relationships among At-Risk Adolescents: A Feasibility Trial in the Emergency DepartmentK23HD098299 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI RANDELL, KIMBERLY ANNE · 2020 to 2024
$790k
Enhanced Intervention to Improve Adolescent Outcomes: A Clinical TrialK23HD083405 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI MILLER, MELISSA KRISTINE · 2016 to 2019
$587k
NICHD NIH HHS K23 HD083405NICHD NIH HHS K23 HD098299
6 · The paper itself

Abstract

objectivesTo describe sexual health behaviors, contraceptive use, and pregnancy risk among hospitalized female adolescents.

methodsWe conducted a cross-sectional survey of hospitalized female patients aged 14 to 21 years at 2 academic medical centers to assess sexual health behaviors, contraceptive use, contraceptive counseling receipt, and factors associated with pregnancy complications (eg, diabetes, teratogenic exposure). We calculated the validated Pregnancy Risk Index (PRI) (number per 100 who will become pregnant in the next year).

resultsAmong 177 participants (mean age 16 years, SD 1.5), 75 (43%) were sexually active. At last vaginal sex, 65% reported condom use; 49%, reversible contraception; and 12%, long-acting reversible contraception (LARC). Past-year contraceptive counseling was reported by 73% of sexually active female participants and was associated with increased use of reversible (

conclusionsHospitalized female adolescents had a PRI similar to that of adolescents in the general population. However, nearly three-quarters had a medical comorbidity and/or teratogenic exposure, which increased risk for pregnancy complications. Contraceptive counseling was associated with increased reversible and dual contraception use but not LARC use. Efforts to improve comprehensive contraceptive counseling, highlighting LARC, are critically needed in this population.

Indexed as

Contraception BehaviorLong-Acting Reversible ContraceptionAdolescentContraceptionCross-Sectional StudiesFemaleHealth BehaviorHumansPregnancy

Identifiers

PMID34518336
PMCPMC8804969
OpenAlexW3201306961

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.