ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
"It Would Have Been Nice to Have a Choice": Barriers to Contraceptive Decision-making among Women with Disabilities.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- An evaluation of conceptual frameworks to improve reproductive health outcomes among women with physical disabilities.Journal of advanced nursing · 2025Pooled it
- Knowledge and attitude of deaf women in relation to contraceptive methods: A systematic review.Clinics (Sao Paulo, Brazil) · 2025Pooled it
- Contraceptive dynamics among women with disabilities of reproductive age in Ethiopia: systematic review.Systematic reviews · 2024Pooled it
- Access to choice‑enabled healthcare providers among children and adults with intellectual disabilities in comparison with the general population (IDcare).BMC health services research · 2026Article
- "It should have been my decision": A mixed methods investigation of contraceptive coercion among U.S. patients with and without disabilities.Social science & medicine (1982) · 2026Article
- Knowledge, attitudes and factors associated with uptake of modern contraceptive methods among young women living with disabilities in Botswana.African journal of primary health care & family medicine · 2026Article
- How Is Psychotropic Use for Challenging Behaviour in People With Intellectual Disability Understood by Stakeholders? A Concept Analysis Using Rodgers' Evolutionary Approach.Basic & clinical pharmacology & toxicology · 2025Article
- Coverage Gaps and Contraceptive Use Among Medicare Enrollees With Disabilities.JAMA network open · 2025Article
- Sexual Health Literacy Among Adults With Intellectual Disabilities: A Scoping Review.Journal of intellectual disability research : JIDR · 2025Article
- Access to Reproductive Health Services Among People With Disabilities.JAMA network open · 2023Article
- Prevalence and determinants of unmet need for contraception among women in low and high-priority segments for family planning demand generation in Nigeria.Archives of public health = Archives belges de sante publique · 2022Article
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Authors and funding
4 authors.
Funding
Abstract
introductionEngaging in contraceptive decisions is an important part of reproductive health for women and other people with the capacity for pregnancy. However, not all individuals capable of pregnancy have equal access to information and/or opportunities to make fully informed decisions. The goal of this study was to understand barriers women with disabilities experience around contraceptive decision-making and whether these differ based on type of disability.
methodsWe conducted focus groups with 17 reproductive age adult women (aged 18-45 years). Focus groups were homogenous with regard to disability type and consisted of one group for each of the following disability categories: 1) physical disability, 2) intellectual and developmental disabilities, 3) blind or low vision, and 4) Deaf users of American Sign Language. Data were collected in the Portland, Oregon, metropolitan area during 2016-2017. We analyzed focus group transcripts using content analysis.
resultsBarriers to informed contraceptive decision-making emerged in five main thematic areas: 1) lack of information in accessible formats, 2) incomplete information about contraceptive side effects, 3) limited clinician knowledge and relevant research specific to the care of women with disabilities, 4) taboos around discussing sexual activity, and 5) limited opportunities for shared contraceptive decision-making.
conclusionsWomen with disabilities faced numerous barriers to contraceptive decision-making. Although the barriers differed somewhat by disability type, many barriers were consistent across groups, suggesting commonalities associated with the experience of disability in the context of contraceptive decision-making. Increased attention to the reproductive health needs of people with disabilities is important for improving health care equity and quality.
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Registered trials
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.