Evidence map›Paper›PMID 34585384›Full record

ArticleStudies in family planning2021

Contraceptive Conversations among Adolescent Girls and Young Women and Their Partners, Peers, and Older Female Family Members in Lilongwe, Malawi: A QualitativeAnalysis.

Nivedita L Bhushan, Twambilile Phanga, Bertha Maseko, Dhrutika Vansia, Linda Kamtsendero, Margaret W Gichane, Suzanne Maman, Audrey E Pettifor, Nora E Rosenberg

Abstract read
In one paragraph

Article in Studies in family planning, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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

9 authors.

Nivedita L BhushanRTI International, Center for Communication Science, Research Triangle Park, NC, United States.ORCID 0000-0002-3417-3263
Twambilile PhangaUNC Project-Malawi, Lilongwe, Malawi.
Bertha MasekoUNC Project-Malawi, Lilongwe, Malawi.
Dhrutika VansiaUNC Project-Malawi, Lilongwe, Malawi.
Linda KamtsenderoUNC Project-Malawi, Lilongwe, Malawi.
Margaret W GichaneDepartment of Obstetrics, Gynecology & Reproductive Sciences, Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco, CA, United States.
Suzanne MamanDepartment of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Audrey E PettiforDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Nora E RosenbergDepartment of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Funding

Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Fogarty Global Health Fellows Coordinating CenterR25TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHI, BENJAMIN H. · 2012 to 2016
$6.9M
Enhancing HIV assisted contact tracing in Malawi through blended learning: An Implementation Science StudyR01MH124526 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROSENBERG, NORA · 2020 to 2024
$2.8M
Developing and Assessing a Male Engagement Intervention for Option B+ in MalawiR00MH104154 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROSENBERG, NORA · 2017 to 2019
$746k
FIC NIH HHS R25 TW009340NIAID NIH HHS T32 AI007001NICHD NIH HHS P2C HD050924NIMH NIH HHS R00 MH104154NIMH NIH HHS R01 MH124526
6 · The paper itself

Abstract

In sub-Saharan Africa, adolescent girls and young women (AGYW) have high levels of unmet need for contraception, particularly those who are unmarried or nulliparous. Conversations with partners, peers, and family members influence AGYW contraceptive decision-making yet little is known about conversation content and impact or how they vary by relationship status and parity. This paper draws on qualitative data from 60 AGYW (aged 15-24) participating in a sexual and reproductive health study in Malawi to examine contraceptive conversation patterns among participants and their social ties. AGYW's relationship status and parity influenced whether they talked about contraceptives, who they talked to about contraceptives, and the type of contraceptives that were endorsed during conversations. Unmarried and nulliparous AGYW were less likely to discuss contraceptives with all social ties and when conversations occurred, norms and misinformation regarding nonbarrier methods were reinforced, and condoms were largely prescribed. Conversations with intimate partners often provided permission for contraceptive use while conversations with peers and older women in the family provided information on contraceptive methods. Our results highlight the unique roles that social ties play in AGYW contraceptive decision-making and suggest that existing contraceptive conversation patterns might exclude unmarried, nulliparous AGYW from accurate and comprehensive contraceptive information and options.

Indexed as

ContraceptionContraceptive AgentsAdolescentAgedCommunicationContraception BehaviorFamilyFemaleHumansMalawiPregnancyContraceptive Agentsadolescentscommunicationcontraception

Identifiers

PMID34585384
PMCPMC8664985

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.