Evidence map›Paper›PMID 35414000›Full record

ArticleReproductive health2022

Barriers to sexual and reproductive care among cisgender, heterosexual and LGBTQIA + adolescents in the border region: provider and adolescent perspectives.

Randolph D Hubach, Rebecca Zipfel, Fatima A Muñoz, Ilana Brongiel, Annabella Narvarte, Argentina E Servin

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

6 authors at 3 institutions in 1 country.

Randolph D HubachCollege of Health and Human Sciences, Purdue University, Matthews Hall, 214A, West Lafayette, IN, 47907, USA.
Rebecca ZipfelSan Ysidro Health, 333 H Street, Suite 2080, Chula Vista, CA, 91910, USA.
Fatima A MuñozSan Ysidro Health, 333 H Street, Suite 2080, Chula Vista, CA, 91910, USA.
Ilana BrongielSan Ysidro Health, 333 H Street, Suite 2080, Chula Vista, CA, 91910, USA.
Annabella NarvarteSchool of Medicine, Division of Infectious Diseases and Global Public Health, University of California, San Diego, 9500 Gilman Drive MC0507, La Jolla, CA, 92093-0507, USA.
Argentina E ServinSchool of Medicine, Division of Infectious Diseases and Global Public Health, University of California, San Diego, 9500 Gilman Drive MC0507, La Jolla, CA, 92093-0507, USA. arservin@health.ucsd.edu.ORCID http://orcid.org/0000-0001-5523-7767
San Ysidro Health · USUniversity of California San Diego · USPurdue University West Lafayette · US

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
Preventing IPV and Reproductive Coercion Among Underserved AdolescentsK23HD084756 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SERVIN, ARGENTINA ELISA NOELLE · 2016 to 2020
$783k
NCATS NIH HHS UL1 TR001442NIAID NIH HHS P30 AI036214NICHD NIH HHS K23 HD084756NIH HHS UL1TR001442
6 · The paper itself

Abstract

introductionThe United States (U.S.) has higher rates of sexually transmitted infections (STIs) and adolescent pregnancy than most other industrialized countries. Furthermore, health disparities persist among racial and ethnic minority adolescents (e.g., African American and Latinx) and in counties located along the U.S.-Mexico border region-they demonstrate the highest rates of STIs and unintended pregnancy among adolescents.

methodsQualitative data were collected as part of formative research for the development of a mobile app that provides gender-inclusive sexual education to adolescents living in the U.S.-Mexico border region. From August 2019 to March 2020, the study team conducted 11 in-depth interviews with healthcare providers and three focus groups with cisgender, heterosexual, and SGM adolescents ages 15-18 (n = 20).

resultsProviders and adolescents reported similar barriers to accessing SRH in this region such as transportation, lack of insurance and cost of services or accessing services without their parent's knowledge. However, providers shared that some adolescents in this region face extreme poverty, family separation (i.e., parent has been deported), have a mixed family legal status or are binational and have to travel every day from Mexico to the U.S. for school. These challenges further limit their ability to access SRH.

conclusionsAdolescents in the U.S.-Mexico border region face unique economic and social challenges that further limit their access to SRH care, making them uniquely vulnerable to STIs and unintended pregnancy. The prototype of the app was developed based on the needs expressed by providers and adolescents, including providing comprehensive Sex Ed and mapping of free comprehensive and confidencial SRH services available in the region and is being pilot tested. Our findings provide further evidence for the need for interventions and service delivery, programs tailored for residents in the border region.

Indexed as

Reproductive Health ServicesSexually Transmitted DiseasesAdolescentEthnicityFemaleHeterosexualityHumansMinority GroupsPregnancyReproductive HealthSexual BehaviorUnited StatesAccess to sexual and reproductive healthAdolescent healthLGBTQIA +Sexual and reproductive healthU.S.-Mexico border region

Identifiers

PMID35414000
PMCPMC9004138
OpenAlexW4223557719

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.