Operationalizing and examining family planning vigilance in adult women with type 1 diabetes
Open accessAbstract
OBJECTIVE: Because unplanned pregnancies could cause maternal-fetal complications for women with diabetes, family planning vigilance (FPV) is imperative. The aims of this article are to operationalize and describe FPV and examine the associations among FPV behaviors and diabetes self-care management (DSM) and health outcomes of women with type 1 diabetes (T1D). RESEARCH DESIGN AND METHODS: Retrospective data were used from a follow-up study of adult women with T1D who participated as adolescents in a preconception counseling (PC) intervention trial and matched comparison women with T1D who did not receive the adolescent PC intervention. Participants completed online questionnaires regarding family planning behaviors, DSM, and clinical and reproductive health outcomes. RESULTS: Participants (N = 102) were, on average, 23.7 years old (range 18–38) and 98.0% were white, 82.2% had some college, 25.8% were married, and 11.8% had biological children. Of those sexually active (n = 80, 78.4%), 50% were contraceptive vigilant and 11% were FPV (i.e., being contraceptive vigilant, receiving PC, and initiating discussions with health care professionals). Among FPV behaviors, only receiving PC and initiating discussion with health care professionals were correlated (r = 0.29, P = 0.010). Compared with nonvigilant women, contraceptive vigilant and FPV women used more effective contraceptive methods (P = 0.025) and experienced less diabetic ketoacidosis (P = 0.040) and hospitalizations (P = 0.064), whereas FPV women were aware of PC (P = 0.046) and younger when they received PC (P < 0.001). FPV components were associated with DSM and health outcomes (P < 0.05). CONCLUSIONS: Women with diabetes should be FPV, but few were. FPV women were more likely to have PC earlier and better health outcomes, supporting early PC intervention.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
People with diabetes may wonder whether intimate partnership and biological parenthood are feasible given their health status.
“PWD may question whether intimate partnering and biological parenthood are viable in the context of their health status (108).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [108]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Standards of Medical Care in Diabetes
Power, D. V. (2006) · Diabetes Care · doi:10.2337/diacare.29.02.06.dc05-1593 · Cited by 8,672 · see citing works
Standards of medical care in diabetes—2014
American Diabetes Association (2014) · Diabetes Care · doi:10.2337/dc14-s014 · Cited by 4,572 · see citing works
Standards of medical care in diabetes 2010
American Diabetes Association (2010) · Diabetes Care · doi:10.2337/dc10-s011 · Cited by 3,470 · see citing works
Standards of Medical Care in Diabetes—2009
American Diabetes Association (2009) · Diabetes Care · doi:10.2337/dc09-s013 · Cited by 2,167 · see citing works
Contraceptive failure in the United States
Trussell, J. (2011) · Contraception · doi:10.1016/j.contraception.2011.01.021 · Cited by 1,591 · see citing works
Sexual Behavior and Selected Health Measures: Men and Women 15-44 Years of Age, United States, 2002
Mosher, W. D., Chandra, A., & Jones, J. (2005) · PsycEXTRA Dataset · doi:10.1037/e609202007-001 · Cited by 694 · see citing works
Teenagers in the United States: Sexual Activity, Contraceptive Use, and Childbearing, 2002
Abma, J. C., Martinez, G. M., Mosher, W. D., & Dawson, B. S. (2004) · PsycEXTRA Dataset · doi:10.1037/e609162007-001 · Cited by 575 · see citing works
Abma, J. C., Martinez, G. M., & Copen, C. E. (2010) · PubMed · Cited by 497 · see citing works
Pre-Conception Care of Diabetes, Congenital Malformations, and Spontaneous Abortions
Kitzmiller, J. L., Buchanan, T. A., Siri, K., Combs, C. A., & Ratner, R. E. (1996) · Diabetes Care · doi:10.2337/diacare.19.5.514 · Cited by 318 · see citing works
Martinez, G., Copen, C. E., & Abma, J. C. (2011) · PubMed · Cited by 254 · see citing works
Preconception Care of Women With Diabetes
Kendrick, J. M. (2004) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/00005237-200401000-00003 · Cited by 143 · see citing works
Patterns of contraceptive use within teenagers' first sexual relationships.
Manlove, J. S., Ryan, S., & Franzetta, K. (2004) · PubMed · doi:10.1363/psrh.35.246.03 · Cited by 140 · see citing works
Preconception Care of Women With Diabetes
American Diabetes Association (2004) · Diabetes Care · doi:10.2337/diacare.27.2007.s76 · Cited by 138 · see citing works
Diabetes and Pregnancy: Factors associated with seeking pre-conception care
Janz, N. K., Herman, W. H., Becker, M. P., Charron‐Prochownik, D., Shayna, V., Lesnick, T. G., Jacober, S. J., FACHNIE, J. D., Kruger, D. F., SANFIELD, J. A., et al. (1995) · Diabetes Care · doi:10.2337/diacare.18.2.157 · Cited by 136 · see citing works
Self-citation12. Management of Diabetes in Pregnancy
American Diabetes Association (2015) · Diabetes Care · doi:10.2337/dc16-s015 · Cited by 105 · see citing works
Patterns of Contraceptive Use Within Teenagers' First Sexual Relationships
Manlove, J. S., Ryan, S., & Franzetta, K. (2003) · Perspectives on Sexual and Reproductive Health · doi:10.1363/3524603 · Cited by 105 · see citing works
Burns, A. C. (1992) · PubMed · Cited by 97 · see citing works
Charron-Prochownik, D., Sereika, S. M., Becker, D., White, N. H., Schmitt, P., Powell, A. B., Diaz, A. M., Jones, J., Herman, W. H., Rodgers Fischl, A. F., et al. (2013) · Diabetes Care · doi:10.2337/dc13-0355 · Cited by 89 · see citing works
Self-citationDiabetes and pregnancy. Preconception care, pregnancy outcomes, resource utilization and costs.
Herman, W. H., Janz, N. K., Becker, M. P., & Charron‐Prochownik, D. (1999) · PubMed · Cited by 74 · see citing works
Self-citationRandomized Efficacy Trial of Early Preconception Counseling for Diabetic Teens (READY-Girls)
Charron‐Prochownik, D., Hannan, M. F., Sereika, S. M., & Becker, D. J. (2008) · Diabetes Care · doi:10.2337/dc07-1266 · Cited by 71 · see citing works
Self-citationFischl, A. F. R., Herman, W. H., Sereika, S. M., Hannan, M. F., Becker, D. J., Mansfield, M. J., Freytag, L. L., Milaszewski, K., Botscheller, A. N., & Charron‐Prochownik, D. (2010) · Diabetes Care · doi:10.2337/dc09-1821 · Cited by 70 · see citing works
Self-citationReproductive Health and Preconception Counseling Awareness in Adolescents with Diabetes
Charron‐Prochownik, D., Sereika, S. M., Wang, S.-L., et al. (2006) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721706286895 · Cited by 54 · see citing works
Self-citationPerritt, J. B., Burke, A. E., Jamshidli, R., Wang, J., & Fox, M. C. (2012) · Contraception · doi:10.1016/j.contraception.2012.11.009 · Cited by 41 · see citing works
A theory-based reproductive health and diabetes instrument.
Charron‐Prochownik, D., Wang, S.-L., Sereika, S. M., et al. (2006) · PubMed · doi:10.5555/ajhb.2006.30.2.208 · Cited by 36 · see citing works
Self-citationThe vicious cycle of diabetes and pregnancy
Pettitt, D. J., & Jovanovič, L. (2007) · Current Diabetes Reports · doi:10.1007/s11892-007-0047-x · Cited by 36 · see citing works
The relationship between female adolescent self‐esteem, decision making, and contraceptive behavior
Commendador, K. (2007) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2007.00267.x · Cited by 35 · see citing works
A Diabetes Psychosocial Profile
Hess, G. E., Davis, W. K., & Harrison, R. V. (1986) · The Science of Diabetes Self-Management and Care · doi:10.1177/014572178601200210 · Cited by 34 · see citing works
A Theory-based Reproductive Health and Diabetes Instrument
Charron‐Prochownik, D., Wang, S.-L., Sereika, S. M., et al. (2006) · American Journal of Health Behavior · doi:10.5993/ajhb.30.2.10 · Cited by 32 · see citing works
Self-citationImplications of Type 2 Diabetes on Adolescent Reproductive Health Risk
Downs, J. S., Arslanian, S. A., de Bruin, W. B., Copeland, V. C., Doswell, W. M., Herman, W. H., Lain, K. Y., Mansfield, J., Murray, P. J., White, N. H., et al. (2010) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721710383586 · Cited by 20 · see citing works
Self-citationCONTRACEPTIVE DECISION-MAKING BACKGROUND AND OUTCOMES OF CONTRACEPTIVE METHODS
Picavet, C., van der Leest, L., Wijsen, C., et al. (2011) · Cited by 11 · see citing works
Speier, P. L., Tschann, J. M., Moore, P. J., et al. (1997) · Journal of Adolescent Health · doi:10.1016/s1054-139x(96)00175-9 · Cited by 9 · see citing works
Speier, Melese-D'hospital, Tschann, et al. (1997) · Journal of Adolescent Health · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- Charron-Prochownik D, Downs J. READY-Girls. Pittsburgh, PA, Univ. of Pittsburgh Press, 2009
- Abma JC, Martinez GM, Mosher WD, Dawson BS. Teenagers in the United States: sex- ual activity, contraceptive use, and childbear- ing. Vital Health Stat 23 2004;24:1-48
- Coustan DR. Preconception counseling - debate: is preconception counseling for women with diabetes cost effective? Diabetes Spectr 1997;10:195-200
Cited by
Sorted by citations
Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016) · Diabetes Care · doi:10.2337/dc16-2053 · Cited by 1,072 · see citing works
- Authors
- Sereika, S. M., Becker, D., Schmitt, P., Powell, A. B., Diaz, A. M., Fischl, A. F. R., Thurheimer-Cacciotti, J., Herman, W. H., & Charron-Prochownik, D.
- Affiliations
- University of Pittsburgh (US)
- Children's Hospital of Pittsburgh (US)
- University of Michigan (US)
- School of Nursing, University of Pittsburgh, Pittsburgh, PA
- Corresponding author
- Sereika, Susan M.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2016-10-11
- Volume
- 39
- Issue
- 12
- Pages
- 2197-2203
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC5127226
- OpenAlex
- W2530304348
- Cited by
- 15
- References
- 32
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2016: 2
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Diabetes Association Research Foundation (1-11-CT-10, CR-2684232, 7-02-CR-06)
- National Institutes of Health
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01-HD044097)
- General Clinical Research Center of Children’s Hospital of Pittsburgh (M01-RR0084)
- Pediatric Clinical and Translational Research Center of Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center (UL1-RR024153)
- NIH National Institute of Nursing Research Center for Research in Chronic Disorders (P30-NR03924)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 1 diabetes, preconception counseling, contraceptive use, diabetes self-management, unintended pregnancy, diabetic ketoacidosis, hospitalization, reproductive outcomes, adolescent women
- MeSH terms
- Adolescent, Adult, Awareness, Contraception, Counseling, Diabetes Mellitus, Type 1, Family Planning Services, Female, Follow-Up Studies, Humans, Health Knowledge, Attitudes, Practice, Motivation, Surveys and Questionnaires, Retrospective Studies, Self Care, Preconception Care, Treatment Outcome, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
