{"id":"https://openalex.org/W7225807066","doi":"https://doi.org/10.1371/journal.pone.0359942","title":"Depression, anxiety, and stress and fulfillment of contraceptive preferences among young people in Texas and California","display_name":"Depression, anxiety, and stress and fulfillment of contraceptive preferences among young people in Texas and California","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225807066","doi":"https://doi.org/10.1371/journal.pone.0359942"},"language":"en","primary_location":{"id":"doi:10.1371/journal.pone.0359942","doi":"https://doi.org/10.1371/journal.pone.0359942","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pone.0359942","pdf_url":null,"source":{"id":"https://openalex.org/S202381698","display_name":"PLoS ONE","issn_l":"1932-6203","issn":["1932-6203"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS One","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1371/journal.pone.0359942","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001398715","display_name":"Hannah K. Hecht","orcid":"https://orcid.org/0000-0003-0008-7030","observed_orcids":["https://orcid.org/0000-0003-0008-7030"]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hannah K. Hecht","raw_affiliation_strings":["Gynecology and Reproductive Sciences, University of California"],"raw_orcid":"https://orcid.org/0000-0003-0008-7030","affiliations":[{"raw_affiliation_string":"Gynecology and Reproductive Sciences, University of California","institution_ids":["https://openalex.org/I2803209242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085553407","display_name":"Jennifer Yarger","orcid":"https://orcid.org/0000-0002-7142-7787","observed_orcids":["https://orcid.org/0000-0002-7142-7787"]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]},{"id":"https://openalex.org/I4405261371","display_name":"Philip R. Lee Institute for Health Policy Studies","ror":"https://ror.org/0570qwq18","country_code":"US","type":"facility","lineage":["https://openalex.org/I180670191","https://openalex.org/I4405261371"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer Yarger","raw_affiliation_strings":["Philip R. Lee Institute for Health Policy Studies, University of California","University of California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Philip R. Lee Institute for Health Policy Studies, University of California","institution_ids":["https://openalex.org/I4405261371"]},{"raw_affiliation_string":"University of California","institution_ids":["https://openalex.org/I2803209242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047205900","display_name":"Kristine Hopkins","orcid":"https://orcid.org/0000-0001-6277-7833","observed_orcids":["https://orcid.org/0000-0001-6277-7833"]},"institutions":[{"id":"https://openalex.org/I86519309","display_name":"The University of Texas at Austin","ror":"https://ror.org/00hj54h04","country_code":"US","type":"education","lineage":["https://openalex.org/I86519309"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristine Hopkins","raw_affiliation_strings":["Population Research Center, The University of Texas at Austin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Research Center, The University of Texas at Austin","institution_ids":["https://openalex.org/I86519309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029685243","display_name":"Kristen Lagasse Burke","orcid":"https://orcid.org/0000-0002-1833-3722","observed_orcids":["https://orcid.org/0000-0002-1833-3722"]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristen Lagasse Burke","raw_affiliation_strings":["Gynecology and Reproductive Sciences, University of California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gynecology and Reproductive Sciences, University of California","institution_ids":["https://openalex.org/I2803209242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040375899","display_name":"Irene Rossetto","orcid":"https://orcid.org/0000-0002-5479-5422","observed_orcids":["https://orcid.org/0000-0002-5479-5422"]},"institutions":[{"id":"https://openalex.org/I86519309","display_name":"The University of Texas at Austin","ror":"https://ror.org/00hj54h04","country_code":"US","type":"education","lineage":["https://openalex.org/I86519309"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Irene Rossetto","raw_affiliation_strings":["Population Research Center, The University of Texas at Austin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Research Center, The University of Texas at Austin","institution_ids":["https://openalex.org/I86519309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040394041","display_name":"Biftu M. Mengesha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Biftu Mengesha","raw_affiliation_strings":["Gynecology and Reproductive Sciences, University of California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gynecology and Reproductive Sciences, University of California","institution_ids":["https://openalex.org/I2803209242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080234565","display_name":"Julia R. Steinberg","orcid":"https://orcid.org/0000-0001-9678-6623","observed_orcids":["https://orcid.org/0000-0001-9678-6623"]},"institutions":[{"id":"https://openalex.org/I66946132","display_name":"University of Maryland, College Park","ror":"https://ror.org/047s2c258","country_code":"US","type":"education","lineage":["https://openalex.org/I66946132"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julia R. Steinberg","raw_affiliation_strings":["University of Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Maryland","institution_ids":["https://openalex.org/I66946132"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055281230","display_name":"Luisa Alejandra Tello-P\u00e9rez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Luisa Alejandra Tello-P\u00e9rez","raw_affiliation_strings":["Gynecology and Reproductive Sciences, University of California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gynecology and Reproductive Sciences, University of California","institution_ids":["https://openalex.org/I2803209242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161440157","display_name":"Madeline Molennor","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Madeline Molennor","raw_affiliation_strings":["REACH Youth Study-Youth Advisory Board"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"REACH Youth Study-Youth Advisory Board","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021680475","display_name":"Jennifer Kerns","orcid":"https://orcid.org/0000-0003-4399-3893","observed_orcids":["https://orcid.org/0000-0003-4399-3893"]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer Kerns","raw_affiliation_strings":["Gynecology and Reproductive Sciences, University of California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gynecology and Reproductive Sciences, University of California","institution_ids":["https://openalex.org/I2803209242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109540863","display_name":"Lucy Ogbu-Nwobodo","orcid":"https://orcid.org/0009-0004-7264-729X","observed_orcids":["https://orcid.org/0009-0004-7264-729X"]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lucy Ogbu-Nwobodo","raw_affiliation_strings":["University of California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California","institution_ids":["https://openalex.org/I2803209242"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5000898952","display_name":"Cynthia C. Harper","orcid":"https://orcid.org/0000-0002-5587-6398","observed_orcids":["https://orcid.org/0000-0002-5587-6398"]},"institutions":[{"id":"https://openalex.org/I2803209242","display_name":"University of California System","ror":"https://ror.org/00pjdza24","country_code":"US","type":"education","lineage":["https://openalex.org/I2803209242"]},{"id":"https://openalex.org/I4405261371","display_name":"Philip R. Lee Institute for Health Policy Studies","ror":"https://ror.org/0570qwq18","country_code":"US","type":"facility","lineage":["https://openalex.org/I180670191","https://openalex.org/I4405261371"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cynthia C. Harper","raw_affiliation_strings":["Gynecology and Reproductive Sciences, University of California","Philip R. Lee Institute for Health Policy Studies, University of California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gynecology and Reproductive Sciences, University of California","institution_ids":["https://openalex.org/I2803209242"]},{"raw_affiliation_string":"Philip R. Lee Institute for Health Policy Studies, University of California","institution_ids":["https://openalex.org/I4405261371"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":2382,"currency":"USD","value_usd":2382},"apc_paid":{"value":2382,"currency":"USD","value_usd":2382},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"21","issue":"11","first_page":"e0359942","last_page":"e0359942"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.9750999808311462,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.9750999808311462,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10327","display_name":"Adolescent Sexual and Reproductive Health","score":0.019600000232458115,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.7085999846458435},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6664000153541565},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6586999893188477},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6212000250816345},{"id":"https://openalex.org/C117568660","wikidata":"https://www.wikidata.org/wiki/Q1650843","display_name":"Multinomial logistic regression","level":2,"score":0.5220000147819519},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.4794999957084656},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.4684999883174896},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.4510999917984009},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.44699999690055847},{"id":"https://openalex.org/C2781249084","wikidata":"https://www.wikidata.org/wiki/Q908656","display_name":"Preference","level":2,"score":0.420199990272522},{"id":"https://openalex.org/C2777274743","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Mental distress","level":3,"score":0.4056999981403351},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.39480000734329224},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.38679999113082886},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.3700999915599823},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.3693999946117401},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.36410000920295715},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.35580000281333923},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.3531999886035919},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.35040000081062317},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3467000126838684},{"id":"https://openalex.org/C2776210078","wikidata":"https://www.wikidata.org/wiki/Q351870","display_name":"Reproductive medicine","level":3,"score":0.32850000262260437},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.3041999936103821},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2930000126361847},{"id":"https://openalex.org/C2780620491","wikidata":"https://www.wikidata.org/wiki/Q3817591","display_name":"Unintended pregnancy","level":5,"score":0.2883000075817108},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.273499995470047},{"id":"https://openalex.org/C2781354955","wikidata":"https://www.wikidata.org/wiki/Q11920938","display_name":"Marital status","level":3,"score":0.271699994802475},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.2639000117778778},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.25769999623298645},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.25209999084472656},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.25049999356269836}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1371/journal.pone.0359942","doi":"https://doi.org/10.1371/journal.pone.0359942","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pone.0359942","pdf_url":null,"source":{"id":"https://openalex.org/S202381698","display_name":"PLoS ONE","issn_l":"1932-6203","issn":["1932-6203"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS One","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1371/journal.pone.0359942","doi":"https://doi.org/10.1371/journal.pone.0359942","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pone.0359942","pdf_url":null,"source":{"id":"https://openalex.org/S202381698","display_name":"PLoS ONE","issn_l":"1932-6203","issn":["1932-6203"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS One","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W2003653500","https://openalex.org/W2021008092","https://openalex.org/W2028203335","https://openalex.org/W2057766627","https://openalex.org/W2062261510","https://openalex.org/W2077941336","https://openalex.org/W2112778345","https://openalex.org/W2115790083","https://openalex.org/W2134189606","https://openalex.org/W2139726867","https://openalex.org/W2141674457","https://openalex.org/W2147730609","https://openalex.org/W2547791955","https://openalex.org/W2580892023","https://openalex.org/W2737949268","https://openalex.org/W2886951086","https://openalex.org/W2899408244","https://openalex.org/W2920808698","https://openalex.org/W2961280093","https://openalex.org/W2964240183","https://openalex.org/W3017311197","https://openalex.org/W3040942468","https://openalex.org/W3102337008","https://openalex.org/W3131464608","https://openalex.org/W3134375062","https://openalex.org/W3159125786","https://openalex.org/W3198685592","https://openalex.org/W4220856280","https://openalex.org/W4229007383","https://openalex.org/W4281738954","https://openalex.org/W4294185218","https://openalex.org/W4318263119","https://openalex.org/W4363646443","https://openalex.org/W4376277918","https://openalex.org/W4377220551","https://openalex.org/W4386323484","https://openalex.org/W4392595850","https://openalex.org/W4392657109","https://openalex.org/W4394745204"],"related_works":[],"abstract_inverted_index":{"Background":[0],"Young":[1,221],"people":[2,222],"face":[3],"both":[4,259],"increased":[5],"mental":[6,112,197,224,240,260],"health":[7,113,241,269],"concerns":[8],"and":[9,25,38,60,93,97,114,127,154,243,261],"growing":[10],"barriers":[11,209],"to":[12,84,111,204,229,266],"accessing":[13],"reproductive":[14,39,262],"healthcare.":[15],"Objective":[16],"This":[17],"study":[18],"examined":[19],"the":[20,86],"association":[21,87],"of":[22,35,88,99,120,271],"depressive,":[23],"anxiety":[24,92,153],"stress":[26,94,155],"symptoms":[27,95,140,156,178],"with":[28,165,181,196],"preferred":[29],"contraceptive":[30,101,125,169,232,245],"method":[31],"use,":[32],"a":[33,50,172],"measure":[34],"healthcare":[36,263],"access":[37,246],"autonomy.":[40],"Methods":[41],"We":[42,73],"used":[43,74],"baseline":[44],"data":[45,83],"(April":[46],"2018-May":[47],"2023)":[48],"from":[49],"cluster":[51],"randomized":[52],"trial":[53],"at":[54],"29":[55],"community":[56,68],"colleges":[57],"in":[58],"Texas":[59],"California.":[61],"Participants":[62,195],"were":[63,163,179,199,226],"2,065":[64],"sexually":[65],"active,":[66],"first-year":[67],"college":[69],"students":[70],"ages":[71],"18\u201325.":[72],"multivariable":[75],"mixed":[76],"effects":[77],"multinomial":[78],"logistic":[79],"regression":[80],"for":[81,108,212,247],"clustered":[82],"examine":[85],"depressive":[89,139,177],"(CESD-10)":[90],"or":[91,105,152,207],"(DASS-21)":[96],"fulfillment":[98],"participants\u2019":[100],"preferences":[102],"(unfulfilled,":[103],"fulfilled":[104,173,187],"unknown),":[106],"controlling":[107],"factors":[109],"related":[110],"care":[115,256],"access.":[116],"Results":[117],"Overall,":[118],"51%":[119],"participants":[121],"had":[122],"an":[123,167,183,214],"unfulfilled":[124,168,215],"preference,":[126],"4%":[128],"did":[129],"not":[130],"know":[131],"what":[132],"they":[133],"preferred.":[134],"Multivariable":[135],"results":[136],"showed":[137],"elevated":[138,176],"(relative":[141],"risk":[142],"ratio":[143],"[RRR]:":[144],"1.31,":[145,158],"95%":[146,159,191],"confidence":[147],"interval":[148],"[CI]:":[149],"1.01,":[150],"1.71)":[151],"(RRR:":[157,189],"CI":[160],"1.03,":[161],"1.66)":[162],"associated":[164,180],"having":[166,182,213],"preference":[170,185,188,216],"versus":[171,186],"preference.":[174,233],"Additionally,":[175],"unknown":[184],"2.98,":[190],"CI:":[192],"1.78,":[193],"4.99).":[194],"distress":[198,225],"also":[200],"significantly":[201],"more":[202],"likely":[203,228],"report":[205],"cost":[206],"insurance":[208,252],"as":[210],"reasons":[211],"(p":[217],"<":[218],"0.05).":[219],"Conclusions":[220],"experiencing":[223],"less":[227],"realize":[230],"their":[231],"Future":[234],"interventions":[235],"should":[236],"focus":[237],"on":[238],"providing":[239],"support":[242],"improving":[244],"young":[248,272],"people,":[249],"including":[250],"addressing":[251],"barriers.":[253],"A":[254],"primary":[255],"model":[257],"integrating":[258],"will":[264],"help":[265],"address":[267],"important":[268],"needs":[270],"people.":[273],"Trial":[274],"registration":[275],"ClinicalTrials.gov":[276],"Identifier:":[277],"NCT03519685":[278]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}