Factors Affecting Willingness to Provide Medication Abortion Among North American Society for Pediatric and Adolescent Gynecology Members Caring for Adolescents and Young Adults Following the Dobbs Decision

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of pediatric and adolescent gynecology Pub Date : 2024-08-05 DOI:10.1016/j.jpag.2024.07.013

Amanda E. Bryson MD, MPH , Elizabeth R. Boskey PhD, MPH, MSSW , Laura K. Grubb MD, MPH, FAAP , Jessica Y. Shim MD , Kathryn E. Fay MD, MSCI

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引用次数: 0

Abstract

Study Objective

To assess willingness to provide medication abortion among North American Society for Pediatric and Adolescent Gynecology (NASPAG) clinicians caring for adolescents and young adults (AYA) following Dobbs v. Jackson Women's Health Organization.

Design

Cross-sectional online survey.

Methods

Potential participants received an e-mail invitation via the NASPAG listserv. A 43-item questionnaire queried demographics, practice setting, abortion training and practice, willingness to provide medication abortion, potential or real barriers to providing medication abortion, and sentiments of abortion. Descriptive statistics, χ², and Fisher's exact tests were used.

Results

Of the 70 participants, 51% were willing to provide a medication abortion for an adolescent who requested it in their clinical practice. The most common barriers to providing medication abortion were legislative restrictions (47%) and dispensing pills from clinic (33%). Participants’ willingness to provide a medication abortion differed by type of practice (P = .001), availability of mifepristone (P = .006), perception of state's abortion policy (P = .001), concern about legislative restrictions (P = .008), experience providing abortion (P = .04), and receipt of medication abortion training (P = .02). Willingness to provide medication abortion also differed based on various sentiments of abortion measured but not on opinion regarding legality of abortion for adolescents (P = .49).

Conclusions

Perception of state's abortion rights and concern about legislative restrictions influenced NASPAG clinicians’ willingness to provide medication abortion for adolescents. Interventions to minimize legislative interference with medical care, increase abortion training, and implement medication abortion in pediatric settings may expand AYA medication abortion access.

查看原文本刊更多论文

多布斯决定后，影响北美儿童和青少年妇科协会会员为青少年提供药物流产意愿的因素。

研究目的：设计：横断面在线调查方法：潜在参与者通过 NASPAG 列表服务器收到电子邮件邀请。调查问卷共 43 个项目，调查内容包括人口统计学、执业环境、人工流产培训和实践、提供药物流产的意愿、提供药物流产的潜在或实际障碍以及对人工流产的看法。使用了描述性统计、χ2 和费雪精确检验：结果：在 70 名参与者中，51% 的人愿意在临床实践中为提出要求的青少年提供药物流产。提供药物流产最常见的障碍是立法限制（47%）和从诊所配药（33%）。参与者提供药物流产的意愿因执业类型（p = .001）、米非司酮的可用性（p = .006）、对州流产政策的看法（p = .001）、对立法限制的担忧（p = .008）、提供流产的经验（p = .04）和接受过药物流产培训（p = .02）而有所不同。提供药物流产的意愿也因各种流产情绪而异，但对青少年流产合法性的看法则不同（p = .49）：结论：对国家堕胎权利的看法以及对立法限制的担忧影响了美国国家堕胎协会临床医生为青少年提供药物流产的意愿。最大限度地减少立法对医疗护理的干扰、增加人工流产培训以及在儿科环境中实施药物流产等干预措施可扩大青少年药物流产的可及性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pediatric and adolescent gynecology 医学-妇产科学

CiteScore

3.90

自引率

11.10%

发文量

251

审稿时长

57 days

期刊介绍： Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.