Evidence map›Paper›PMID 37448301›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2024

Experiences of Sexual and Reproductive Health Care Access for Women and Nonbinary People With Early Psychosis: Towards an Integrated Perspective of Service Users and Clinicians.

Lucy C Barker, Juveria Zaheer, Zakia Hussain, Julia France, Ananka Rodriguez, Shakked Lubotzky-Gete, Suze Berkhout, Robert Dmytryshyn, Sheila Dunn, Renu Gupta and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

15 authors at 5 institutions in 1 country.

Lucy C BarkerWomen's College Hospital, Toronto, Canada.ORCID 0000-0002-7907-383X
Juveria ZaheerDepartment of Psychiatry, University of Toronto, Ontario, Canada.ORCID 0000-0001-5071-8078
Zakia HussainInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.ORCID 0000-0002-4374-3352
Julia FranceWomen's College Hospital, Toronto, Canada.ORCID 0000-0002-8075-7809
Ananka RodriguezSlaight Centre Early Intervention Service, Centre for Addiction and Mental Health, Toronto, Canada.
Shakked Lubotzky-GeteWomen's College Hospital, Toronto, Canada.
Suze BerkhoutDepartment of Psychiatry, University of Toronto, Ontario, Canada.
Robert DmytryshynWomen's College Hospital, Toronto, Canada.
Sheila DunnWomen's College Hospital, Toronto, Canada.
Renu GuptaWomen's College Hospital, Toronto, Canada.
Fardous HosseinyCanadian Mental Health Association-Toronto, Ottawa, Canada.
Frank SirotichCanadian Mental Health Association-Toronto, Ottawa, Canada.
Sophie SoklaridisDepartment of Psychiatry, University of Toronto, Ontario, Canada.ORCID 0000-0001-5119-8473
Aristotle N VoineskosDepartment of Psychiatry, University of Toronto, Ontario, Canada.
Simone N VigodCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Centre for Addiction and Mental Health · CAUniversity of Toronto · CAWomen's College Hospital · CAUniversity Health Network · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIndividuals with psychosis are at elevated risk of adverse sexual and reproductive health (SRH) outcomes, and not receiving adequate SRH care. SRH is important for youth, yet little is known about SRH care access and experiences among those with early psychosis. This study explored SRH care experiences among women and nonbinary individuals with early psychosis.

methodWe conducted semistructured qualitative interviews with 19 service users (cisgender and transgender women, nonbinary individuals) receiving care in 2 early psychosis programs in Ontario, Canada. We also conducted semistructured interviews and focus groups with 36 clinicians providing SRH or mental health care to this population. Participants were asked about SRH care access/provision experiences and the interplay with psychosis. Using a social interactionist orientation, a thematic analysis described and explained service user and clinician perspectives regarding SRH care.

resultsAmongst both service users and clinician groups, common themes developed: (a) diversity of settings: SRH services are accessed in a large range of spaces across the health care system, (b) barriers in nonpsychiatric SRH care settings: psychosis impacts the ability to engage with existing SRH services, (c) invisibility of SRH in psychiatric settings: SRH is rarely addressed in psychiatric care, (d) variability of informal SRH-related conversations and supports, and cutting across all of the above themes, (e) intersecting social and cultural factors impacted SRH services access.

conclusionsSRH is important for health and wellbeing; improvements are urgently needed across the healthcare system and within early psychosis programs to meet this population's multifaceted SRH needs.

Indexed as

Psychotic DisordersReproductive HealthAdolescentFemaleHealth Services AccessibilityHumansOntarioSexual Behaviorfirst episode psychosis/early psychosisgenderhealth disparitieshealth services researchqualitativereproductive healthsexual health

Identifiers

PMID37448301
PMCPMC10867406
OpenAlexW4384277110

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.