Contraception, Год журнала: 2024, Номер 137, С. 110493 - 110493
Опубликована: Май 16, 2024
Язык: Английский
Perspectives on Sexual and Reproductive Health, Год журнала: 2025, Номер unknown
Опубликована: Янв. 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.
Язык: Английский
Процитировано
1
Health Services Research, Год журнала: 2024, Номер 59(5)
Опубликована: Июль 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.
Язык: Английский
Процитировано
4
American Journal of Public Health, Год журнала: 2025, Номер 115(2), С. 221 - 231
Опубликована: Янв. 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 )
Язык: Английский
Процитировано
0
Contraception, Год журнала: 2025, Номер unknown, С. 110894 - 110894
Опубликована: Март 1, 2025
Язык: Английский
Процитировано
0
Obstetrics and Gynecology Clinics of North America, Год журнала: 2025, Номер unknown
Опубликована: Март 1, 2025
Язык: Английский
Процитировано
0
Women s Health Issues, Год журнала: 2024, Номер 34(4), С. 381 - 390
Опубликована: Апрель 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.
Язык: Английский
Процитировано
1
Perspectives on Sexual and Reproductive Health, Год журнала: 2024, Номер unknown
Опубликована: Сен. 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.
Язык: Английский
Процитировано
1
Contraception, Год журнала: 2024, Номер 137, С. 110493 - 110493
Опубликована: Май 16, 2024
Язык: Английский
Процитировано
0