Evidence map›Paper›PMID 39893714›Full record

ArticleSexual & reproductive healthcare : official journal of the Swedish Association of Midwives2025

The importance of patient-centered contraceptive care: Linking provider contraceptive coercion to patient psychological distress and mental well-being.

Laura E T Swan, Ortal Wasser, Lindsay M Cannon

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Article in Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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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

3 authors.

Laura E T SwanReproductive Equity Action Lab, University of Wisconsin-Madison, 750 Highland Ave, Madison, WI 53726, USA; Department of Population Health Sciences, University of Wisconsin-Madison, 610 Walnut St, Madison, WI 53726, USA. Electronic address: lswan2@wisc.edu.
Ortal WasserSchool of Social Work, New York University, 1 Washington Square N, New York, NY 10003, USA.
Lindsay M CannonReproductive Equity Action Lab, University of Wisconsin-Madison, 750 Highland Ave, Madison, WI 53726, USA; Department of Sociology, University of Wisconsin-Madison, 1180 Observatory Dr, Madison, WI 53706, USA; Center for Demography and Ecology, University of Wisconsin-Madison, 1180 Observatory Dr, Madison, WI 53706, USA.

Funding

Diversity supplementT32HD007014 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Katherine J. Curtis · 1985 to 2026
$6.8M
Scientific and Technical CoreP2CHD047873 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Katherine J. Curtis · 2014 to 2026
$5.1M
NICHD NIH HHS P2C HD047873NICHD NIH HHS T32 HD007014
6 · The paper itself

Abstract

objectiveProvider-based contraceptive coercion, or pressure from a healthcare provider to use or not to use birth control, undermines patient-centered care. We investigated the relationship between contraceptive coercion and mental health, which is previously unstudied.

methodsIn 2023, we used Prolific to survey reproductive-aged people in the United States who were assigned female at birth. We conducted t-tests and linear regression to assess relationships between upward (pressure to use birth control) and downward contraceptive coercion (pressure to not use birth control) and psychological distress and mental well-being among participants who had ever received contraceptive counseling (N = 1,154).

resultsIn bivariate analyses, we found a significant association between contraceptive coercion and psychological distress (upward coercion: M = 8.31 vs. 9.82, t = -3.023, p = 0.003; downward coercion: M = 8.44 vs. 10.78, t = -2.634, p = 0.009) and between contraceptive coercion and emotional (upward coercion: M = 7.60 vs. 7.04, t = 2.613, p = 0.009; downward coercion: M = 7.56 vs. 6.52, t = 2.744, p = 0.006) and psychological well-being (upward coercion: M = 15.05 vs. 14.03, t = 2.339, p = 0.019; downward coercion: M = 15.00 vs. 12.66, t = 3.018, p = 0.003). When controlling for the effects of sociodemographic factors, both upward (B = 1.06, SE = 0.50, p = 0.034) and downward coercion (B = 1.94, SE = 0.88, p = 0.027) remained positively associated with psychological distress. Although downward coercion remained negatively associated with emotional (B = -0.78, SE = 0.37, p = 0.035) and psychological well-being (B = -1.89, SE = 0.75, p = 0.012), upward coercion did not.

conclusionPeople who perceived coercion in their contraceptive care reported higher levels of psychological distress and worse mental well-being, underscoring the importance of safeguarding patients' autonomy during contraceptive counseling to support reproductive decision-making and positive mental health outcomes.

Indexed as

CoercionContraceptionContraception BehaviorFamily Planning ServicesMental HealthPatient-Centered CarePsychological DistressStress, PsychologicalAdolescentAdultCounselingFemaleHealth PersonnelHumansMiddle AgedUnited StatesContraceptive coercionHealthcareProvider biasPsychological distressPsychological well-being

Identifiers

PMID39893714
PMCPMC11934303

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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.