Evidence map›Paper›PMID 41236007›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026

Barriers to contraception access and use among youth: A scoping review in high-income countries.

Bronte K Johnston, Patricia A Janssen, Mika Ohtsuka, Zeba Khan, Ciara Madden, Chelsey Perry, Piper Scott-Fiddler, Sarah Munro, Laura Schummers, Kimberlyn M McGrail

Abstract readScoping Review
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Barriers to contraception access and use among youth: A scoping review in high-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    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

10 authors.

Bronte K JohnstonSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0001-6532-336X
Patricia A JanssenSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-4178-1195
Mika OhtsukaSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0001-5906-471X
Zeba KhanDepartment of Obstetrics and Gynecology, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0009-0007-1682-5110
Ciara MaddenDepartment of Health Systems and Population Health, University of Washington, Washington, USA.
Chelsey PerrySchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0009-0009-8611-4335
Piper Scott-FiddlerDepartment of Obstetrics and Gynecology, The University of British Columbia, Vancouver, British Columbia, Canada.
Sarah MunroDepartment of Health Systems and Population Health, University of Washington, Washington, USA.ORCID https://orcid.org/0000-0002-3884-6592
Laura SchummersCollaboration for Outcomes Research and Evaluation, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0003-3536-0498
Kimberlyn M McGrailSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.

Funding

Canada Graduate Scholarship Doctoral Award from the Canadian Institute of Health ResearchGraduate and Fellowship Research Award in WomenCloseCurlyQuote;s Health from the WomenCloseCurlyQuote;s Health Research Institute at BC WomenCloseCurlyQuote;s Hospital
6 · The paper itself

Abstract

backgroundThe United Nations (UN) has a target for universal contraception access by 2030. Youth (aged 15-29) still have limited contraception access and lower usage. A unified understanding of the barriers youth face in high-income countries (HIC) remains unclear.

objectivesSynthesized evidence on youth contraception barriers across HIC to identify continued healthcare inaccessibility and knowledge gaps. SEARCH STRATEGY: A search strategy, including terms like "youth" and "barriers," was applied to three databases, identifying articles published between January 2013-September 2024. SELECTION CRITERIA: Primary peer-reviewed quantitative, qualitative, and mixed-methods studies were included if they focused on youth and contraception barriers. DATA COLLECTION AND ANALYSIS: Following the Joanna Briggs Institute, articles were screened for inclusion, and data was extracted. Analyses included descriptive statistics and summarizing findings for quantitative and qualitative results. All articles were subjected to inductive and deductive content analysis to map barriers. Article quality was appraised by the Mixed Methods Appraisal Tool. MAIN

resultsA total of 41 articles were included, of which 88% were from the USA. Youth struggled to receive quality contraception care from multiple access points from health systems and youth perspectives. Barriers included youth minimal knowledge, poor approachability and care appropriateness, physical barriers, costs, stigma, confidentiality concerns, and service gatekeeping. Youth experiences varied by social identities with those from lower economic, rural, and of younger age facing more obstacles.

conclusionsContraception was inaccessible for many. To meet UN targets, efforts need to address described barriers to ensure accessible and equitable contraception care that respects and supports youth's choices.

Indexed as

ContraceptionContraception BehaviorDeveloped CountriesHealth Services AccessibilityAdolescentAdultFemaleHealth Knowledge, Attitudes, PracticeHumansYoung Adultadolescentcontraceptioncontraceptive agentshealth services accessibilityhigh‐income countriesyouth

Identifiers

PMID41236007
PMCPMC12988402

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.