Evidence map›Paper›PMID 39368690›Full record

ArticleContraception2025

Pandemic changes in U.S. contraceptive use: National survey estimates reveal significant differences by demographic subgroups.

William G Axinn, Brady T West, Heather M Schroeder, Laura D Lindberg

Abstract read
In one paragraph

Article in Contraception, 2025. 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
–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.

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.

  1. Article
  2. Vasectomy in the absence of paternity A pre- and post-pandemic Canadian cohort analysis.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  3. 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.

William G AxinnInstitute for Social Research, University of Michigan, Ann Arbor, MI, United States. Electronic address: baxinn@umich.edu.
Brady T WestInstitute for Social Research, University of Michigan, Ann Arbor, MI, United States. Electronic address: bwest@umich.edu.
Heather M SchroederInstitute for Social Research, University of Michigan, Ann Arbor, MI, United States. Electronic address: schroedh@umich.edu.
Laura D LindbergRutgers School of Public Health, Rutgers University, New Jersey, United States. Electronic address: laura.lindberg@rutgers.edu.

Funding

Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 2017 to 2026
$6.5M
A More Efficient Web-Based Approach to Collecting National Family, Fertility and Reproductive Health DataR01HD095920 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WEST, BRADY T · 2018 to 2022
$3.1M
NICHD NIH HHS P2C HD041028NICHD NIH HHS R01 HD095920
6 · The paper itself

Abstract

objectivesThe COVID-19 pandemic brought multiple simultaneous consequences, with high potential to change fertility-related behaviors. We use nationally representative sex and contraceptive use event history calendar measures to demonstrate person-specific changes in contraceptive use after the pandemic, showing differences across demographic subgroups. STUDY

designWe use data from the first nationally representative web survey of U.S. fertility, fielded in 2020-2022: the American Family Health Study (AFHS). Using responses from 1357 female-identifying respondents ages 18-49, we analyze 26,274 person-months of sex and contraceptive use data spanning directly before and after the beginning of the pandemic to detect change.

resultsIndividual-level hazard models of starting and stopping contraception revealed no pandemic-related changes in starting contraception, but significant reductions in the rate of stopping contraception for specific subgroups. Hispanic females reduced their rates of stopping contraceptive use during the pandemic (lowering their odds of stopping use by 71%), ultimately behaving more similarly to individuals from other racial or ethnic subgroups. Additionally, those aged 41 and older significantly reduced their rates of stopping contraceptive use (lowering their odds of stopping use by 78%) relative to other age groups.

conclusionsSudden large-scale health policy changes can produce significant changes in contraceptive use behaviors. The COVID-19 changes interacted with race, ethnicity, and age to produce different changes in contraceptive behaviors among different subgroups of the U.S. POPULATION:

Indexed as

ContraceptionContraception BehaviorCOVID-19AdolescentAdultAge FactorsFemaleHealth SurveysHumansMiddle AgedPandemicsSARS-CoV-2United StatesYoung AdultContraceptive useCOVID-19 pandemicEthnicityNationally representativeRace

Identifiers

PMID39368690
PMCPMC11848786

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.