Comparing hospital- vs. non-hospital-affiliated clinic adoption of abortion innovations and cash-pay availability during the COVID-19 pandemic: A secondary analysis of a United States nationwide survey DOI
Luisa M. Silva,

Jessica K. Lee

Contraception, Journal Year: 2024, Volume and Issue: 137, P. 110493 - 110493

Published: May 16, 2024

Language: Английский

Imagining Coat‐Hangers and Pills: A Qualitative Exploration of Abortion Beliefs and Attitudes in Hostile Policy Contexts in the United States DOI Creative Commons
Rosalyn Schroeder, Lori Freedman, Andréa Becker

et al.

Perspectives on Sexual and Reproductive Health, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 9, 2025

ABSTRACT Objective We explored awareness of and attitudes about the safety various methods people use to attempt end a pregnancy without medical assistance, which we refer in this study collectively as self‐managed abortion (SMA). Methods In 2020, invited individuals living eight United States (US) states considered “hostile” rights or with history criminalizing abortions performed outside formal healthcare system participate semi‐structured telephone interviews regarding their toward these practices. analyzed coded transcripts for content themes. Results interviewed 54 individuals. Participants perceived ending on one's own have high potential complications, often evoking “coat hanger” abortions. also frequently referenced such physical trauma, herbs, teas, alcohol, other drugs. Very few participants reported medication pills. When asked SMA context self‐sourcing medications, pills safer more acceptable than methods, while still fearing incorrect complications. Others believed that could offer greater reproductive autonomy, less stigma, psychological experience facility‐based care. Conclusion most involving unsafe practices did not include Future research should document how beliefs been influenced by expansion telemedicine provision abortion, implementation new state bans, promulgation Shield Laws.

Language: Английский

Citations

1

Lifetime abortion incidence when abortion care is covered by Medicaid: Maryland versus five comparison states DOI Creative Commons
Heide Jackson, Michael S. Rendall

Health Services Research, Journal Year: 2024, Volume and Issue: 59(5)

Published: July 15, 2024

Abstract Objective To estimate the association of Medicaid coverage abortion care with cumulative lifetime incidence among women insured by Medicaid. Data Sources and Study Setting We use 2016–2019 (Pre‐Dobbs) data from Survey Women studies that represent aged 18–44 living in six U.S. states. One state, Maryland, has a program long covered cost care. The other five states, Alabama, Delaware, Iowa, Ohio, South Carolina, have programs do not cover Our sample includes 8972 residing study Design outcome, incidence, is identified using an indirect survey method, double list experiment. multivariate regression on variables including whether were Medicaid‐insured they Maryland versus one Collection/Extraction Methods This used secondary data. Principal Findings associated 37.0 percentage‐point (95% CI: 12.3–61.4) higher relative to compared those differences insurance status states whose Conclusions found much individuals infer costs may very large impact accessibility for low‐income women.

Language: Английский

Citations

4

No-Test Telehealth Medication Abortion Services Provided by US-Based Clinicians in 21 States and the District of Columbia, 2020‒2022 DOI
Emily M. Godfrey, Anna Fiastro, Erin K. Thayer

et al.

American Journal of Public Health, Journal Year: 2025, Volume and Issue: 115(2), P. 221 - 231

Published: Jan. 8, 2025

Objectives. To evaluate the association between distance from closest abortion facility and number of fulfilled requests through no-test telehealth medication (NTMA) asynchronous service. Methods. Using deidentified 2020–2022 electronic medical record data Aid Access users in US states where NTMA is prescribed by US-based clinicians, we describe individual user demographics their resident county characteristics. We conducted a county-level geospatial analysis to (Myers Abortion Facility Database) on using Poisson regression. Results. clinicians 8411 individuals 21 District Columbia. Each 100-mile increase an increased per-capita 61% (95% confidence interval [CI] = 26%, 86%). Most were aged 20 29 years (54%), had no living children (57%), less than 6 weeks’ gestation (62%), lived urban areas (65%). Almost half (49%) higher socially vulnerable counties compared with 17% counties. Conclusions. In United States, critically important service for who are young, vulnerable, far care facilities. Public Health Implications. With now banned or highly restricted 22 states, services necessary maintain essential reproductive health services. ( Am J Health. 2025;115(2):221–231. https://doi.org/10.2105/AJPH.2024.307892 )

Language: Английский

Citations

0

Psychosocial burden when accessing medication abortion when using no-test telehealth care compared to in-person care with ultrasound DOI Creative Commons
M. Antonia Biggs, C. Finley Baba, Lauren Ralph

et al.

Contraception, Journal Year: 2025, Volume and Issue: unknown, P. 110894 - 110894

Published: March 1, 2025

Language: Английский

Citations

0

Medication Abortion DOI

Marisa Nádas,

Oscar J. Becker,

Michaela Mallow

et al.

Obstetrics and Gynecology Clinics of North America, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0

Interest in and Support for Alternative Models of Medication Abortion Provision Among Patients Seeking Abortion in the United States DOI Creative Commons
Natalie Morris, M. Antonia Biggs, C. Finley Baba

et al.

Women s Health Issues, Journal Year: 2024, Volume and Issue: 34(4), P. 381 - 390

Published: April 23, 2024

Medication abortion is safe and effective, but restrictions still limit patients from accessing this method. Alternative models of medication provision, namely advance over-the-counter (OTC), online, could help improve access to care for some, although there limited evidence about patients' interest in these models.

Language: Английский

Citations

1

“Trust Women”: Characteristics of and learnings from patients of a Shield Law medication abortion practice in the United States DOI Creative Commons

Angel M. Foster,

Alice Mark,

Kyle J. Drouillard

et al.

Perspectives on Sexual and Reproductive Health, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 30, 2024

Abstract Introduction The 2022 Massachusetts Shield Law protects telemedicine providers who care for abortion seekers in other states from criminal, civil, and licensure penalties. In this article we explore the characteristics of patients Medication Abortion Access Project (The MAP). Methods MAP is an asynchronous service that offers mifepristone/misoprostol to all 50 are at or under 11 weeks pregnancy gestation on initial intake. charges USD250 using a pay‐what‐you‐can model. We analyzed medical questionnaires payments submitted by received during its first 6 months operations descriptive statistics content themes. Results From October 1, 2023–March 31, 2024, 1994 accessed through MAP. Almost ( n = 1973, 99%) identified as women/girls about half 984, 49%) were aged 20–29. cared 45 states; 84% 1672) these pills ban restricted southern states. Patients paid USD134.50 average; 29% 577) USD25 less. Nearly two‐thirds 1293, 65%) subsidized care; financial hardship featured prominently patient comments. Discussion Considerable demand exists medication providers. demonstrates can trust women capable people decide themselves whether obtain mail pay what they afford without being required justify their need. Identifying ways support provision further subsidize needed.

Language: Английский

Citations

1

Comparing hospital- vs. non-hospital-affiliated clinic adoption of abortion innovations and cash-pay availability during the COVID-19 pandemic: A secondary analysis of a United States nationwide survey DOI
Luisa M. Silva,

Jessica K. Lee

Contraception, Journal Year: 2024, Volume and Issue: 137, P. 110493 - 110493

Published: May 16, 2024

Language: Английский

Citations

0