Evidence map›Paper›PMID 39322600›Full record

ArticleBMJ open2024

Cohort profile: the ADAPT study, a prospective study of pregnancy preferences, pregnancy, and health and well-being in the southwestern USA.

Corinne H Rocca, Heather Gould, Elizabeth Gonzalez, Diana G Foster, Isabel Muñoz, Miriam Parra, Lauren J Ralph

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03888404 (Attitudes and Decision-making After Pregnancy Testing Study), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03888404 active not recruitingnot on this map

Attitudes and Decision-making After Pregnancy Testing Study

TypeobservationalSponsorUniversity of California, San FranciscoRan2019 to 2026Enrolled2,015ConditionsUnintended Pregnancy, Undesired PregnancyArmsPregnancy preferences (Aim 1), Sociocultural environment (Aim 2), Pregnancy preferences (Aim 3a), Pregnancy (Aim 3b)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Associations Among Sociodemographic and Contextual Factors and Youth Pregnancy Preferences.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    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

7 authors.

Corinne H RoccaDepartment of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA Corinne.Rocca@ucsf.edu.ORCID 0000-0001-9892-249X
Heather GouldDepartment of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA.ORCID 0009-0002-3272-2297
Elizabeth GonzalezDepartment of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA.
Diana G FosterDepartment of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA.
Isabel MuñozDepartment of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA.
Miriam ParraDepartment of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA.
Lauren J RalphDepartment of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA.

Funding

Pregnancy preferences, reproductive autonomy, and maternal health: A novel prospective studyR01HD108643 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Corinne H. Rocca · 2022 to 2026
$2.6M
NICHD NIH HHS R01 HD108643
6 · The paper itself

Abstract

purposeSignificant methodological shortcomings limit the validity of prior research on pregnancy decision-making and the effects of 'unintended' pregnancies on people's health and well-being. The Attitudes and Decisions After Pregnancy Testing (ADAPT) study investigates the consequences for individuals unable to attain their pregnancy and childbearing preferences using an innovative nested prospective cohort design and novel conceptualisation and measurement of pregnancy preferences.

participantsThis paper describes the characteristics of the ADAPT Study Cohort, comprised of 2015 individuals aged 15-34 years, assigned female at birth, recruited between 2019 and 2022 from 23 health facilities in the southwestern USA. FINDINGS TO DATE: The cohort was on average 25 years old. About 59% identified as Hispanic/Latine, 21% as white, and 8% as black, 13% multiracial or another race. Over half (56%) were nulliparous. About 32% lived in a household with income <100% of the federal poverty level. A significant minority (37%) reported a history of a depressive, anxiety or other mental health disorder diagnosis, and 30% reported currently experiencing moderate or severe depressive symptoms. Over one-quarter (27%) had ever experienced physical intimate partner violence, and almost half (49%) had ever experienced emotional abuse. About half (49%) had been diagnosed with a chronic health condition, and 37% rated their physical health as fair or poor. The 335 (17%) participants who experienced incident pregnancy over 1 year were similar to selected non-pregnant matched comparison participants in terms of age, racial and ethnic identity, and parity but were more likely to live with a main partner than comparison participants. FUTURE PLANS: We will continue to follow participants who experienced incident pregnancy and non-pregnant comparison participants until 2026. Analyses will examine pregnancy decision-making and investigate differences in health and well-being by prepregnancy pregnancy desires and feelings after the discovery of pregnancy, offering new insights into the consequences of not attaining one's reproductive preferences. TRIAL REGISTRATION NUMBER: NCT03888404.

Indexed as

Decision MakingAdolescentAdultFemaleHumansPregnancyPregnancy, UnplannedProspective StudiesSouthwestern United StatesYoung AdultEPIDEMIOLOGYMENTAL HEALTHPregnant WomenPUBLIC HEALTHSTATISTICS & RESEARCH METHODS

Identifiers

PMID39322600
PMCPMC11733792

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.