Evidence map›Paper›PMID 35731815›Full record

ArticleThe Journal of clinical ethics2022

Ethical Issues in Providing and Promoting Contraception to Women with Opioid Use Disorder.

Nadia Abbass, Tani Malhotra, Brooke Bullington, Kavita Shah Arora

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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 3 institutions in 1 country.

Nadia AbbassMedical Student at Case Western University School of Medicine in Cleveland, Ohio USA. nja40@case.edu.
Tani MalhotraAssistant Professor in the Department of Reproductive Biology at Case Western Reserve University in Cleveland, Ohio USA. tanimalhotra@gmail.com.
Brooke BullingtonPhD Student in the Department of Epidemiology, Gillings School of Global Public Health, at the University of North Carolina at Chapel Hill in Chapel Hill, North Carolina USA. bbullington@unc.edu.
Kavita Shah AroraDivision Director of the Division of General Obstetrics and Gynecology and Associate Professor with Tenure at the University of North Carolina¬-Chapel Hill, in Chapel Hill, North Carolina USA. kavita.shah.arora@gmail.com.
University of North Carolina at Chapel Hill · USCase Western Reserve University · USUniversity School · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
NCATS NIH HHS KL2 TR000440NCATS NIH HHS UL1 TR002548NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

Women with opioid use disorder (OUD) face unique challenges meeting their reproductive goals. Because the rate of unintended pregnancy in this population is almost 80 percent, there has been a push to increase the use of contraceptives among reproductive-aged women with OUD.1 The patient-level ethical issues of such initiatives, however, are often overlooked. This review discusses the ethical issues in two realms: obtaining contraception when it is desired and avoiding contraceptive coercion when contraception is not desired. It is important that access to reproductive education and care be improved to ensure autonomous decision making by women with OUD. It is also necessary to be mindful of the history of oppressive and coercive contraception and sterilization policies in the United States. These policies have left a legacy of mistrust and continue to be manifested in the form of more subtly oppressive policies in contemporary medical practice. Such policies point to the ongoing stigmatization of, and implicit biases held against, women with OUD. Based on these ethical issues, solutions are suggested at the clinical, systemic, and societal levels.

Indexed as

Opioid-Related DisordersSkilled Nursing FacilitiesContraceptionFemaleHumansPatient DischargeRetrospective Studies

Identifiers

PMID35731815
PMCPMC9444340
OpenAlexW4285023229

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.