Evidence map›Paper›PMID 37263371›Full record

ArticleContraception2023

Long-acting reversible contraception and condom use: A cohort study of female adolescents and young adults in New York City.

Miranda Loh, Li Niu, Martha Arden, Robert D Burk, Angela Diaz, Nicolas F Schlecht

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2023. 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
–field-weighted citation impact, top 89% 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, 0 citations in OpenAlex.

  1. Article
  2. Review
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 4 institutions in 2 countries.

Miranda LohDepartment of Pediatrics, Mount Sinai Adolescent Health Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States. Electronic address: miranda.loh@austin.utexas.edu.
Li NiuFaculty of Psychology, Beijing Normal University, Beitaipingzhuang, Haidian District, Beijing, China.
Martha ArdenDepartment of Pediatrics, Mount Sinai Adolescent Health Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Robert D BurkDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, United States; Department of Pediatrics (Genetics), Albert Einstein College of Medicine, Bronx, NY, United States; Department Microbiology & Immunology, Albert Einstein College of Medicine, Bronx, NY, United States; Department Gynecology & Women's Health, Albert Einstein College of Medicine, Bronx, NY, United States.
Angela DiazDepartment of Pediatrics, Mount Sinai Adolescent Health Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Nicolas F SchlechtDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, United States; Department of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United States.
Icahn School of Medicine at Mount Sinai · USAlbert Einstein College of Medicine · USBeijing Normal University · CNRoswell Park Comprehensive Cancer Center · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Dean G. Tang · 1985 to 2026
$116.6M
WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI STEVEN C. ALMO · 1985 to 2026
$111.2M
Cervical, Anal & Oral HPV Persistence/Adolescent GirlsR01AI072204 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert D Burk, ANGELA DIAZ · 2007 to 2026
$18.6M
NCI NIH HHS P30 CA013330NCI NIH HHS P30 CA016056NIAID NIH HHS R01 AI072204
6 · The paper itself

Abstract

objectivesThis study aimed to determine whether condom use varied between adolescents and young women using long-acting reversible contraception (LARC) vs non-LARC hormonal methods and assess if the initiation of LARC was associated with lower condom use. STUDY

designThis study used data from a large longitudinal study of sexually active females aged 13-25 years. Questionnaires assessed contraception, condom use, sexual history, and partner characteristics at the baseline visit and every 6 months. Log-binomial regression analyses examined associations between hormonal contraceptive methods and condom use, and the moderating effects of age and number of sexual partners. Exploratory analyses compared condom use based on partner characteristics.

resultsOf 1512 participants, 1116 reported LARC or non-LARC hormonal method use during any study visit. Among baseline and new LARC users, 75.7% and 84.7% reported intrauterine device (IUD) use, respectively. Condom use at baseline among hormonal non-LARC users (37.5%) was significantly higher (p < 0.01) than LARC users (23.5%). Condom use among LARC vs non-LARC users was moderated by age in that LARC was associated with lower condom use among participants aged 13-18 years, but not those aged 19-25 years. Number of sexual partners was not a significant moderator. Among participants with increased sexually transmitted infection (STI) risk based on partner characteristics, LARC users had lower condom use compared to non-LARC users.

conclusionsCondom discontinuation was common following initiation of LARC and hormonal non-LARC methods. However, condom use was lower in LARC users at baseline, among younger adolescents, and if partners had risk factors for STIs. IMPLICATIONS: Condom discontinuation following initiation of highly effective contraception increases the risk of STI. Young women using LARC may be at greater risk than non-LARC users given lower condom use despite having partners with risk factors for STIs. Condom use counseling for STI protection is critical for adolescents.

Indexed as

Long-Acting Reversible ContraceptionSexually Transmitted DiseasesAdolescentCohort StudiesCondomsContraceptionFemaleHumansLongitudinal StudiesNew York CityYoung AdultCondomsDual method contraceptionLong-acting reversible contraceptionSexually transmitted infection preventionTeen pregnancy

Identifiers

PMID37263371
PMCPMC10701699
OpenAlexW4378757579

What OpenQuestion holds

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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.