Contraception最新文献

{"title":"INTIMATE PARTNER VIOLENCE AND DELAYS IN SCHEDULING ABORTION SERVICES","authors":"SS Nayak,&nbsp;AAJ Scoglio,&nbsp;T Sanni-Ojikutu","doi":"10.1016/j.contraception.2024.110600","DOIUrl":"10.1016/j.contraception.2024.110600","url":null,"abstract":"<div><h3>Objectives</h3><div>Intimate partner violence (IPV), the experience of physical and sexual violence, stalking, and/or psychological aggression within an intimate relationship, may influence reproductive autonomy and abortion access. We examined the relationship between IPV victimization and delays in scheduling abortion services for pregnant people in the US.</div></div><div><h3>Methods</h3><div>Data come from the Guttmacher Institute’s Abortion Patient Survey, a nationally representative non-hospital sample of women seeking abortions in 2014 (n=8,380). We estimated complex survey-weighted logistic regression to model the association between IPV victimization and two-week delays in scheduling a desired abortion after the decision to terminate a pregnancy, controlling for sociodemographic variables. We chose two weeks based on the earliest plausible time of pregnancy awareness (four weeks) and the shortest gestation bans (six weeks). A delay of more than two weeks could result in a denied abortion.</div></div><div><h3>Results</h3><div>In bivariate models (n=6,996), experiencing IPV was associated with greater abortion scheduling delays compared to those not experiencing IPV (OR = 1.64, 95% CI 1.27, 2.11, <em>p</em>=0.0002). In multivariable models (n=6,197), experiencing IPV was associated with greater abortion scheduling delays compared to those not experiencing IPV (OR= 1.36, 95% CI 1.01, 1.83, <em>p</em> = 0.0430), controlling for covariates.</div></div><div><h3>Conclusions</h3><div>IPV is associated with delays in scheduling a desired abortion. In the increasingly restrictive US policy climate, IPV-related delays in scheduling services may make abortions functionally inaccessible. Comprehensive IPV screening is critical in obstetrics. Providers working with patients who are seeking abortions and experiencing IPV should provide prompt resources and education to ensure rapid access to abortion services.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110600"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"REAL-WORLD CONTRACEPTIVE FAILURE RATES OF MULTIPLE METHODS OVER THREE YEARS: FINDINGS FROM THE HER SALT LAKE CONTRACEPTIVE INITIATIVE — A PROSPECTIVE COHORT STUDY","authors":"JN Sanders,&nbsp;G Carter,&nbsp;B Bullington,&nbsp;A Gero,&nbsp;R Simmons,&nbsp;DK Turok","doi":"10.1016/j.contraception.2024.110560","DOIUrl":"10.1016/j.contraception.2024.110560","url":null,"abstract":"<div><h3>Objectives</h3><div>The HER Salt Lake Contraceptive Initiative provided no-cost contraceptive options for up to three years at four family planning clinics in Salt Lake County, UT. In this analysis, we assess real-world contraceptive failure rates as reported by HER Salt Lake participants.</div></div><div><h3>Methods</h3><div>Survey data were collected at nine time points over 36 months to assess user experiences, including switching, discontinuation, and pregnancy experiences among individuals using the implant, copper IUD, hormonal IUD, pills, ring, injectable, and nonhormonal behavioral methods. We calculated incidence ratios and 95% confidence intervals for contraceptive failures at 1, 2, and 3 years, as well as cumulative incidence failure rates based on reported person-years among continuers for each of these methods.</div></div><div><h3>Results</h3><div>Among 4,278 individuals, there were 91 unintended pregnancies that occurred while contracepting. Hormonal IUDs had the overall lowest cumulative incidence failure rate (incidence rate (IR), 0.006/person-year; 95% CI, 0.004–0.011), followed by the implant (IR, 0.008/person-year; 95% CI, 0.005–0.016), copper IUD (IR, 0.011/person-year; 95% CI, 0.006–0.019), injectable (IR, 0.014/person-year; 95% CI, 0.006–0.025), ring (IR, 0.019/person-year; 95% CI, 0.007–0.044), pills (IR, 0.022/person-year; 95% CI, 0.016–0.031) and nonhormonal behavioral methods (IR, 0.05/person-year; 95% CI, 0.016–0.148).</div></div><div><h3>Conclusions</h3><div>Three-year failure rates in real-world settings are rarely published. The HER participants received their preferred methods and reported lower typical-use failure rates across methods compared to currently published information. While participation in research may influence behaviors, data from contraceptive initiatives that prioritize patient preference add important context when discussing contraceptive effectiveness over time. Our findings provide encouraging data for contraceptive access initiatives committed to offering the full range of contraceptive options and support the effectiveness of all methods.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110560"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BELIEFS ABOUT TRUSTING WOMEN TO MAKE THEIR OWN ABORTION DECISIONS AND PUNISHMENT FOR SELF-MANAGED MEDICATION ABORTION IN A NATIONALLY REPRESENTATIVE SAMPLE","authors":"A Becker,&nbsp;R Schroeder,&nbsp;L Ralph,&nbsp;S Kaller,&nbsp;MA Biggs","doi":"10.1016/j.contraception.2024.110613","DOIUrl":"10.1016/j.contraception.2024.110613","url":null,"abstract":"<div><h3>Objectives</h3><div>Given the anticipated increase in self-managed medication abortion due to decreased access to facility-based abortion in the US after <em>Dobbs v Jackson Women’s Health Organization,</em> we examined lay attitudes regarding trusting pregnant people to make their own abortion decisions and whether trusting women is associated with beliefs about punishment for self-managed medication abortion.</div></div><div><h3>Methods</h3><div>We conducted a nationally representative cross-sectional survey of 7,148 people assigned female at birth (AFAB), aged 15–49 from May to July 2023, using a probability-based panel. Participants were asked to indicate whether they agree or disagree that “Most women are capable of making the best decision on abortion for themselves.” We calculated a mean Trust women score (1–5, 5=higher trust). We conducted multivariable regression to assess factors associated with trusting women and whether trusting women was associated with support for reporting people to Child Protective Services or the police, having them pay a fine, or jailing those who self-managed a medication abortion.</div></div><div><h3>Results</h3><div>The mean Trust Women score was 2.6 (SD= 1.24). Respondents were evenly split between trusting women (50.36% agreed/strongly agreed, 49.64% disagreed, strongly disagreed, or neither agreed nor disagreed). Identifying as a gender or sexual minority, as Democrat, as non-Hispanic Black, and supportive of legal access to in-clinic abortion were associated with higher odds in trusting women to make abortion decisions. Trusting women was associated with decreased support for all forms of punishment for self-managed medication abortion.</div></div><div><h3>Conclusions</h3><div>Beliefs about trusting women are polarized, with only half of AFAB people reporting trusting women to make their own abortion decisions; these attitudes are associated with beliefs about punishing those who self-manage a medication abortion.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110613"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"POSITIONALITY AND PRIVILEGE POST-DOBBS: A QUALITATIVE ANALYSIS OF OB-GYN GRADUATES’ DECISION-MAKING","authors":"AL Woodcock,&nbsp;M Asadian,&nbsp;E Torres,&nbsp;J Kaiser,&nbsp;J Baayd","doi":"10.1016/j.contraception.2024.110618","DOIUrl":"10.1016/j.contraception.2024.110618","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to understand the impact of the <em>Dobbs v Jackson Women’s Health Organization</em> decision on recent obstetrician gynecologist (Ob-Gyn) graduates with an emphasis on career decisions.</div></div><div><h3>Methods</h3><div>We performed 30 semi-structured interviews of residents who graduated from residencies with Ryan Abortion training Programs in July 2023. Interviewees were invited from a list of those who had previously completed a national survey. Interview questions addressed the professional and personal impact of the <em>Dobbs</em> decision as well as its impact on decision-making for fellowship ranking or attending positions. We analyzed interview transcripts using the Template Analysis Method.</div></div><div><h3>Results</h3><div>Our template analysis resulted in the overarching theme of positionality and privilege. Participants experienced abortion restrictions distinctly in relation to opposing positionalities: being physically located in restrictive vs non-restrictive states, being an abortion vs non-abortion provider, being a healthcare provider vs a patient, and identifying as female vs male. Those of less impacted positionalities commonly cited feeling “privileged,” “fortunate,” or “lucky” when describing the lack of impact of <em>Dobbs</em> on their lives, both personally and professionally. When asked what they desire from lawmakers, the theme of positionality and privilege persisted. Respondents want lawmakers to check their privilege and empathize with the patients who seek abortion care by shadowing clinicians in the office or listening to their stories.</div></div><div><h3>Conclusions</h3><div>Recently graduated Ob-Gyns are navigating through different decision-making realities post-<em>Dobbs</em>. Sharing the experiences of these opposing positionalities can be used to inform shared action and advocacy nationally in abortion care.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110618"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Featured research at the 2024 Society of Family Planning Annual Meeting","authors":"Rana E. Barar (MPH; Society of Family Planning at large Board member),&nbsp;Anitra Beasley (MD, MPH; Society of Family Planning Board President-Elect),&nbsp;Nerys Benfield (MD, MPH; Society of Family Planning at large Board member),&nbsp;Catherine Cansino (MD, MPH; Society of Family Planning at large Board member and Co-chair of the Diversity, Equity, and Inclusion Advisory Group),&nbsp;Blair G. Darney (PhD, MPH; Society of Family Planning at large Board member),&nbsp;Sadia Haider (MD, MPH; Society of Family Planning Board President and Chair of scientific abstract selection),&nbsp;Kate Shaw (MD, MS; Society of Family Planning Board Secretary)","doi":"10.1016/j.contraception.2024.110679","DOIUrl":"10.1016/j.contraception.2024.110679","url":null,"abstract":"","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110679"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LEVONORGESTREL 52 MG INTRAUTERINE DEVICE PLACEMENT WITHOUT SOUNDING: A FEASIBILITY STUDY","authors":"J Brown,&nbsp;S Yazdani,&nbsp;N Economou,&nbsp;A Flynn,&nbsp;H Rankin,&nbsp;MD Creinin","doi":"10.1016/j.contraception.2024.110581","DOIUrl":"10.1016/j.contraception.2024.110581","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to evaluate feasibility of levonorgestrel 52 mg intrauterine device (IUD) placement without sounding.</div></div><div><h3>Methods</h3><div>In this three-phase feasibility study, participants in phase one had uterine sounding prior to IUD placement. In the experimental phases, placement occurred without sounding and with (phase two) or without (phase three) concurrent transabdominal sonography. We timed procedure length from the sound (phase one) or IUD inserter (phases two/three) touching the cervix to full inserter removal. Providers used cervical anesthesia per their discretion. Participants rated pain using a 100 mm Visual Analogue Scale. Physicians described procedures as easy, moderate, or difficult. Participants in phases two and three had three-month follow-up with ultrasonography. We estimated 30 participants per phase were needed to ensure that if one failed placement occurred, the lower 95% confidence interval for successful placement would be ≥90%.</div></div><div><h3>Results</h3><div>We enrolled 30 participants per phase. Successful placement without sounding occurred in 30 (100%) participants in phase two and 28 (93.3%) in phase three. Median instrumentation was shorter without sounding (79.7 vs 23.3 vs 42.4 seconds; <em>p</em>=0.04). Median pain was lowest in phase one (21.0 vs 25.5, vs 36.0; <em>p</em>=0.04). Physicians rated IUD placement easy most often in phase two (n=29, 96.7%) compared to phases one (n=22, 73.3%) or three (n=22, 73.3%; <em>p</em>=0.03). Complications included one perforation and one expulsion in phase three.</div></div><div><h3>Conclusions</h3><div>IUD placement without sounding is feasible with concurrent transabdominal sonography. Placement without sounding results in shorter instrumentation time but does not decrease pain. Large studies are indicated to evaluate complication rates when no sound and no ultrasonography is used.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110581"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I WORK WITH WHAT I HAVE”: MANAGING MEDICATION ABORTION AND MISCARRIAGE IN THE UNHOUSED COMMUNITY","authors":"LE Adams,&nbsp;MJ Arzate,&nbsp;KR Barnes,&nbsp;J Karlin","doi":"10.1016/j.contraception.2024.110588","DOIUrl":"10.1016/j.contraception.2024.110588","url":null,"abstract":"<div><h3>Objectives</h3><div>We sought to provide better support to houseless individuals’ experiences with medication abortion.</div></div><div><h3>Methods</h3><div>We recruited pregnancy-capable persons from Sacramento between the ages of 18-55 who had experienced an abortion or miscarriage, were currently or previously unhoused, and spoke English. Fifteen, 30-minute interviews were conducted where participants were asked about their medication abortion or miscarriage experience, and how they would manage a medication abortion while unhoused given their experience. Inductive and deductive coding were utilized for theme development.</div></div><div><h3>Results</h3><div>Unmet needs fell into three main categories: (1) lack of access to a safe location to complete a medication abortion including hygiene facilities; (2) lack of social support including childcare and communication from their provider throughout and after the medication abortion; and (3) a lack of access to appropriate supplies including pain and bleeding management supplies.</div></div><div><h3>Conclusions</h3><div>Houseless individuals have specific experiences with medication abortion which lead to unique, and unmet, needs when compared with the general population of pregnancy-capable people. Public health providers can ensure patient-centered care by providing them with appropriate resources, such as social services and material goods, to navigate their abortion plan beyond the clinic. Next steps include offering these services and supplies to this population and assessing if the medication abortion experience is improved.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110588"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CHANGES IN BELIEFS ABOUT ABORTION SAFETY IN A NATIONALLY REPRESENTATIVE SAMPLE BETWEEN 2022 AND 2023","authors":"R Schroeder,&nbsp;L Ralph,&nbsp;A Becker,&nbsp;S Kaller,&nbsp;MA Biggs","doi":"10.1016/j.contraception.2024.110589","DOIUrl":"10.1016/j.contraception.2024.110589","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to estimate changes in beliefs about abortion safety among the US population assigned female at birth (AFAB) before and after <em>Dobbs v Jackson Women’s Health Organization</em>.</div></div><div><h3>Methods</h3><div>We administered two serial cross-sectional surveys to English- or Spanish-speaking members of a nationally-representative panel of AFAB respondents, ages 15-49, pre-<em>Dobbs</em> (December 2021/January 2022; n=6,943) and post-<em>Dobbs</em> (June/July 2023; n=3,533). We asked participants to indicate whether they agree (ranging from strongly disagree to strongly agree) “that it is usually safe for a pregnant person to end a pregnancy\", by (1) having an in-clinic abortion procedure; (2) using abortion pills obtained at a clinic or doctor’s office; and (3) using abortion pills obtained outside the formal healthcare system. Using weighted logistic regression models with year as the independent variable, we assessed changes in safety beliefs pre- to post-<em>Dobbs</em>, both overall and among subgroups.</div></div><div><h3>Results</h3><div>Between 2022 and 2023, the proportion of respondents agreeing that each abortion method was “usually safe” increased: in-clinic procedure: 57.8% to 64.1% (p&lt;0.001); in-clinic medication abortion: 52.2% to 59.6% (p&lt;0.001); and pills obtained outside of the formal healthcare system: 7.4% to 9.6% (p&lt;0.001). In stratified analyses, subgroups associated with increased endorsement of safety between years included respondents identifying as a Democrat, with no history of abortion, and who support in-clinic procedural abortion legality (p&lt;0.05 for all abortion method outcomes).</div></div><div><h3>Conclusions</h3><div>In a nationally representative sample, belief that abortion methods are safe increased between 2022 and 2023 despite increasing abortion restrictions and policies claiming abortion is unsafe. Still, public knowledge about abortion safety remains low.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110589"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHARMACIST PERSPECTIVES ON PRESCRIBING MEDICATION ABORTION: FINDINGS FROM A QUALITATIVE STUDY OF CALIFORNIA PHARMACISTS","authors":"JJ Serpico,&nbsp;C Cohen,&nbsp;L Serrano,&nbsp;RM Beltran","doi":"10.1016/j.contraception.2024.110592","DOIUrl":"10.1016/j.contraception.2024.110592","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to explore pharmacist attitudes toward dispensing and prescribing medication abortion.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted among 30 practicing licensed California pharmacists from October 2022 to July 2023. Participants were recruited through snowball sampling with a focus on attaining a diverse sample. Twenty-nine interviews were analyzed. Key themes were identified using Hamilton’s (2019) Rapid Qualitative Analysis Approach.</div></div><div><h3>Results</h3><div>Five key themes emerged: (1) pharmacists strongly supported pharmacist-dispensed medication abortion; (2) pharmacists expressed qualified support for pharmacist-prescribed medication abortion; (3) pharmacists were concerned about legality and liability in the abortion context; (4) pharmacists both endorsed and critiqued abortion stigma; and (5) pharmacists articulated various visions of their appropriate role in care provision. Almost all pharmacists supported dispensing medication abortion. While most expressed some support for prescribing medication for abortion, many expressed concerns, primarily around the themes of legality/liability and abortion stigma, as well as two prescribing sub-themes: training needs and logistical/operational barriers. Pharmacists lacked clarity around legality and desired legal protections, including for providing medication abortion to out-of-state patients. Pharmacists expressed concerns about protestors or community backlash and endorsed the belief that abortion patients may need mental health counseling, which they did not feel equipped to provide. Some pharmacists highlighted their role as accessible healthcare providers with increasing responsibility, while others emphasized having distinct roles from prescribing providers. Overall, pharmacists emphasized providing non-judgmental care, including dispensing medication for abortion without questioning the patient’s or prescribing provider’s judgment.</div></div><div><h3>Conclusions</h3><div>Our results provide preliminary evidence that a meaningful portion of pharmacists may be open to prescribing medication abortion, if expressed concerns are addressed.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110592"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TRENDS IN OUT-OF-STATE ABORTIONS IN OREGON FOLLOWING THE DOBBS COURT DECISION","authors":"M Fuerst,&nbsp;A Mandelbaum,&nbsp;E Nacev,&nbsp;M Rodriguez","doi":"10.1016/j.contraception.2024.110571","DOIUrl":"10.1016/j.contraception.2024.110571","url":null,"abstract":"<div><h3>Objectives</h3><div>This study looks at how out-of-state travel for abortion care changed in the state of Oregon following the <em>Dobbs v Jackson Women’s Health Organization</em> decision on June 24, 2022.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study using data from the Oregon Health Authority (OHA), which collects information on all abortions performed in Oregon. Our sample included all medication and procedural abortions between January 1, 2015 and September 30, 2023. For the post-<em>Dobbs</em> cohort, we compared in-state with out-of-state residents using standard bivariate analyses. We then conducted an interrupted time series analysis to trend the proportion of out-of-state residents following <em>Dobbs</em>.</div></div><div><h3>Results</h3><div>Our sample included 66,253 abortions. In the post-<em>Dobbs</em> cohort, out-of-state residents were significantly more likely to have a procedural vs. a medication abortion (51.65% vs. 46.7%) and be at higher gestational ages at the time of their procedure. Our ITS analysis estimated that the number of out-of-state residents would increase by 2.61% (95% CI, 1.2–3.93%). After <em>Dobbs,</em> out-of-state residents came to Oregon from 24 US states with a wide geographical spread.</div></div><div><h3>Conclusions</h3><div>The <em>Dobbs</em> decision increased the proportion of individuals traveling from out-of-state to Oregon for abortion care. These individuals were more likely to have a procedural abortion and to be at more advanced gestational ages. As the post-<em>Roe v Wade</em> abortion landscape continues to evolve, it is important to understand the demographics and needs of those traveling for abortion care.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110571"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}