Evidence map›Paper›PMID 36840786›Full record

ArticleMaternal and child health journal2023

The Perfect Storm: Perceptions of Influencing Adults Regarding Latino Teen Pregnancy in Rural Communities.

Romina L Barral, Claire D Brindis, Laurie Hornberger, Maria Trent, Ashley K Sherman, Mariana Ramirez, Sarah Finocchario-Kessler, Megha Ramaswamy

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2023. 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
1.7field-weighted citation impact, top 16% 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, 4 citations in OpenAlex.

  1. Barriers to contraception access and use among youth: A scoping review in high-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    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

8 authors at 4 institutions in 1 country.

Romina L BarralDivision of Adolescent Medicine, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, 3101 Broadway Blvd, Kansas City, MO, 64111, USA. rlbarral@cmh.edu.ORCID http://orcid.org/0000-0002-6582-9595
Claire D BrindisDepartment of Pediatrics, Adolescent and Young Adult Health National Resource Center, Philip R. Lee Institute for Health Policy Studies (IHPS), University of California San Francisco, San Francisco, CA, USA.
Laurie HornbergerDivision of Adolescent Medicine, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, 3101 Broadway Blvd, Kansas City, MO, 64111, USA.
Maria TrentDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ashley K ShermanHealth Services and Outcomes Research, Children's Mercy Kansas City, Kansas City, MO, USA.
Mariana RamirezDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS, USA.
Sarah Finocchario-KesslerDepartment of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS, USA.
Megha RamaswamyDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS, USA.
University of Kansas Medical Center · USChildren's Mercy Hospital · USJohns Hopkins University · USUniversity of Missouri–Kansas City · US

Funding

WirelessTechnology Assisted Weight Management in Pre-Diabetic Adolescents...P20MD000198 · NIMHD · HOWARD UNIVERSITY · PI CORA-BRAMBLE, DENICE ESTELLA · 2002 to 2016
$17.2M
Reducing reproductive health disparities among Latinx youth living in rural communitiesK23HD109464 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Romina Loreley Barral · 2022 to 2026
$809k
HRSA HHS UA6MC27378NICHD NIH HHS K23 HD109464NIMHD NIH HHS P20 MD000198
6 · The paper itself

Abstract

introductionRecognition of the importance of adolescents' environments in influencing their sexual and reproductive health (SRH) decision-making necessitates a deeper understanding of the role that community stakeholders play in shaping Adolescent and Young Adults (AYA) access to SRH education and care. We describe community stakeholders' knowledge, beliefs, and attitudes about AYA's SRH needs in three rural Latino communities in Kansas.

methodsKey stakeholders completed a written survey incorporating the theory of Planned Behavior to assess attitudes, norms, and intentions to support AYA's SRH education and access to care.

resultsAcross three rural immigrant community settings, respondents (N = 55) included 8 community health workers, 9 health care providers, 7 public health officials, 19 school health officials, and 12 community members. More than half self-identified as Latino (55%). Six (11%) participants, half of whom were in the health sector, thought SRH education would increase the likelihood that teens would engage in sexual activities. In contrast, other stakeholders thought that providing condoms (17, 30.9%), contraception other than condoms (14, 25.5%), and providing HPV immunization (5, 9.6%) would increase the likelihood of engaging in sexual activity. Ambivalence regarding support for SRH education and service provision prevailed across sectors, reflected even in the endorsement of the distribution of less effective contraceptive methods. Obstacles to care include immigration status, discrimination, lack of confidential services, and transportation.

conclusionKey stakeholders living in rural communities revealed misconceptions, negative attitudes, and ambivalent beliefs related to the delivery of SRH education and services, potentially creating barriers to AYA's successful access to care.

Indexed as

Pregnancy in AdolescenceReproductive Health ServicesAdolescentContraceptionFemaleHispanic or LatinoHumansPregnancyReproductive HealthRural PopulationSex EducationSexual BehaviorYoung AdultAdolescentsCommunity StakeholdersLatinxReproductive healthRural

Identifiers

PMID36840786
PMCPMC10317519
OpenAlexW4321996817

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.