Contraception最新文献

{"title":"FACTORS ASSOCIATED WITH CHOOSING FETAL PATHOLOGY EXAMS AFTER SECOND-TRIMESTER DILATION AND EVACUATION","authors":"RH Cohen,&nbsp;I Narváez,&nbsp;R Wolsky,&nbsp;A Berning","doi":"10.1016/j.contraception.2025.111121","DOIUrl":"10.1016/j.contraception.2025.111121","url":null,"abstract":"<div><h3>Objectives</h3><div>In 2023, our hospital transitioned to opt-in fetal pathology examinations to minimize risk of transferring abortion-related information across electronic medical record systems. Our objectives were to describe the proportion of patients opting for fetal examination after dilation and evacuation and report the prevalence of unexpected pathology findings.</div></div><div><h3>Methods</h3><div>This was a single-institution retrospective chart review of patients who underwent hospital dilation and evacuation for one year before and after changing to opt-in fetal pathology examinations. Inclusion criteria included age ≥18 years, gestational age between 14+0 and 25+6 weeks, and documented pathology exam decision. We assessed the proportion of patients opting for examinations, and associations with demographics and reason for procedure.</div></div><div><h3>Results</h3><div>We included 78 patients in the before opt-in period and 130 during the opt-in examination period. Demographic characteristics were similar across groups. A minority of patients chose fetal pathology examination during the opt-in period (28.5% full examination, 7.7% limited examination). Rates of opt-in examination varied: 9.7% (undesired pregnancy), 31.8% (maternal health indication), 32.1% (fetal anomaly), and 78.1% (intrauterine fetal demise). There were few unexpected potentially significant pathology findings, most frequently hypocoiled or hypercoiled umbilical cord.</div></div><div><h3>Conclusions</h3><div>A minority of patients opted for fetal pathology examination after dilation and evacuation. In many cases, the risk of inadvertent abortion disclosure may outweigh the benefit of mandatory examinations, with few potentially significant findings. These findings inform patient counseling at the time of consent for dilation and evacuation. Continued advocacy is needed to increase protections for fetal pathology reports for those patients who benefit from having an examination.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111121"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278390","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":"CHARACTERIZING ABORTION MISINFORMATION AND DISINFORMATION IN THE US","authors":"HV McMahon,&nbsp;A Parikh,&nbsp;T Matuszewski,&nbsp;S Narasimhan,&nbsp;EA Mosley,&nbsp;SK Redd,&nbsp;WS Rice","doi":"10.1016/j.contraception.2025.111110","DOIUrl":"10.1016/j.contraception.2025.111110","url":null,"abstract":"<div><h3>Objectives</h3><div>Limited education on abortion, decades of anti-abortion propaganda, and pervasive abortion stigma have fostered the rampant proliferation of abortion misinformation and disinformation, which research suggests is a contributing factor to the restrictive abortion access landscape in the US. Despite this, evidence on abortion mis- and disinformation remains relatively scarce and fragmented across disciplines. This scoping review aimed to synthesize the extant literature and identify prevalent typologies and mediums of this misinformation and disinformation in the US.</div></div><div><h3>Methods</h3><div>We searched PubMed, Embase, CINAHL, and Web of Science databases for peer-reviewed research published between 2000 and 2025 that assessed abortion knowledge or the quality of abortion information sources in the US. Three independent reviewers utilized Covidence software to screen 957 results for eligibility and extract data from 33 included studies. We thematically synthesized results.</div></div><div><h3>Results</h3><div>Existing research consisted primarily of surveys assessing individuals’ endorsement of abortion myths (n=16) and qualitative analyses of documents or media (n=15). We identified three common typologies of abortion mis- and disinformation: 1) distortions of abortion safety outcomes, 2) mischaracterizations of procedural and medication abortion methods, and 3) misrepresentations of fetal development markers. Studies documented the dissemination of this mis- and disinformation through anti-abortion crisis pregnancy centers and clinic protesters, online and traditional media, and official policy documents at state and federal levels.</div></div><div><h3>Conclusions</h3><div>These findings underscore the expansive nature of abortion misinformation and disinformation in the US. By characterizing its pervasive forms and common dissemination channels, this research pinpoints crucial targets for developing and evaluating evidence-based interventions to effectively disrupt abortion mis- and disinformation and promote accurate health information.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111110"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145277835","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":"IMPACT OF THE CHOOSE WELL INITIATIVE ON CONTRACEPTIVE COUNSELING AND SUBSEQUENT USE","authors":"MG Smith,&nbsp;S Naz,&nbsp;L Zeng,&nbsp;R Adelli,&nbsp;AJ Khoury","doi":"10.1016/j.contraception.2025.111139","DOIUrl":"10.1016/j.contraception.2025.111139","url":null,"abstract":"<div><h3>Objectives</h3><div>Choose Well is South Carolina’s statewide contraceptive access initiative implemented from 2017 to 2022 to promote equitable access to contraception without judgment or coercion. We examined this program’s impact on patients’ experiences with contraceptive counseling and subsequent contraceptive use.</div></div><div><h3>Methods</h3><div>A quasi-experimental design was employed to recruit patients from program-participating clinics across South Carolina, including health department and federally qualified health center clinics, and matched comparison clinics in a peer state. Patients visiting the clinics for a contraceptive appointment were recruited and followed over 24 months. Data were collected about contraceptive experiences (using the validated Person-Centered Contraceptive Counseling scale) and contraceptive use. Generalized estimating equations measured Choose Well’s impact on 1) counseling experiences immediately post-appointment and 2) contraceptive use prior to the appointment and three months later.</div></div><div><h3>Results</h3><div>A total of 1,086 participants in Choose Well clinics and 1,136 in comparison clinics aged 16-44 were recruited. After we adjusted for differences between the populations, significantly more Choose Well clinic patients reported person-centered contraceptive counseling (60%) than comparison clinic patients (53%; p=0.04). The proportion of Choose Well clinic patients using intrauterine devices (IUDs) increased from 7.6% at pre-counseling to 11.8% at three months post counseling. In contrast, the proportion of comparison clinic patients using IUDs increased from 4.4% to 4.8%. The resulting 3.8 percentage-point difference was statistically significant (p=0.02).</div></div><div><h3>Conclusions</h3><div>Choose Well clinic patients reported more person-centered counseling and higher rates of IUD use than comparison clinic patients. This program likely increased access to desired contraceptive methods without coercive counseling, highlighting the important role of statewide contraceptive access initiatives.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111139"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145277855","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":"PERSPECTIVES TOWARD DMPA-SC SELF-ADMINISTRATION AMONG BLACK WOMEN","authors":"F Lawal,&nbsp;K LaRoche,&nbsp;R Hubach","doi":"10.1016/j.contraception.2025.111137","DOIUrl":"10.1016/j.contraception.2025.111137","url":null,"abstract":"<div><h3>Objectives</h3><div>Black women are less likely to use contraceptives and have a higher rate of unintended pregnancy. Depot-medroxyprogesterone acetate (DMPA), known colloquially as Depo or “the shot”, is a highly effective, injectable form of contraception that provides three months of pregnancy protection. Black women have the highest rate of DMPA use in the US, but the method has a high rate of discontinuation. Self-administration of subcutaneous DMPA (DMPA-SC) could reduce discontinuation rates and support improved contraceptive access. A global body of evidence has shown that users can safely and effectively administer the subcutaneous DMPA themselves. We explored Black women’s perspectives regarding self-administering this method.</div></div><div><h3>Methods</h3><div>We conducted nine focus group discussions with 24 Black women from Ohio, Michigan, and Indiana. We transcribed and thematically analyzed focus group discussions.</div></div><div><h3>Results</h3><div>None of the participants had ever heard of DMPA-SC for self-injection. Although they identified reduced barriers to obtaining contraception as a potential benefit of self-injection, the majority indicated little to no interest in self-injecting DMPA-SC because they were concerned about administration. However, they offered several implementation suggestions that could support DMPA-SC utilization, including: safely introducing users to the injection, regular check-in and follow-up support, and expansive education for users. Relatedly, participants emphasized the need for providers to proactively provide comprehensive information about contraception during clinic visits.</div></div><div><h3>Conclusions</h3><div>Findings buttress the critical role comprehensive contraception education plays in helping women feel confident in their contraceptive decision making. Findings also offer insights into what Black-women would consider as practical implementation strategies that can support DMPA-SC utilization.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111137"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145277857","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":"ABORTION TRENDS AND METHODS IN GEORGIA OVERALL AND BY GESTATIONAL DURATION, 2010-2022","authors":"SA Filippa,&nbsp;WS Rice,&nbsp;SK Redd","doi":"10.1016/j.contraception.2025.111100","DOIUrl":"10.1016/j.contraception.2025.111100","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to estimate trends in annual and monthly abortion counts, abortion method, and gestational duration of abortions (&lt;6 weeks vs. ≥6 weeks) in Georgia from 2010 to 2022, a period of increasing state gestational restrictions on abortion access.</div></div><div><h3>Methods</h3><div>Using aggregated data from the Georgia Department of Public Health’s Induced Termination of Pregnancy files from January 1, 2010 to December 31, 2022, we estimated changes in annual and monthly abortion counts and annual counts of abortions per method, overall and at &lt;6 weeks vs. ≥6 weeks. We used Poisson regression to estimate annual and monthly abortion trends and linear regression to assess annual trends in abortion methods.</div></div><div><h3>Results</h3><div>Between 2010 and 2022, there were 452,275 abortions in Georgia. Abortions at &lt;6 weeks increased from 7.3% of abortions in 2010 to 35.3% in 2022 (17.6% annual increase; 1.36% monthly increase; p&lt;0.001); changes in abortions at ≥6 weeks were not statistically significant. Monthly data revealed seasonality, with most abortions across gestational durations happening between January and March. Medication abortion increased from 7.3% of all abortions in 2010 to 62.4% in 2022 (β=2,203.6 (95% CI, 1,877.6–2,529.6)), increasing from 26.1% to 83.3% for abortions occurring before 6 weeks (β=780.3 (95% CI, 448.2–1,112.4)) and from 5.9% to 51.1% for abortions occurring at 6 weeks and beyond (β=1,423.4 (95% CI, 1,119.3–1,727.5)).</div></div><div><h3>Conclusions</h3><div>People in Georgia accessed abortion care earlier in pregnancy as medication abortion use and state policy restrictiveness increased. More research is needed to measure impacts of post-<em>Dobbs v Jackson Women’s Health Organization</em> restrictions and to assess trends among communities facing the greatest barriers to care.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111100"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145277982","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":"PREVALENCE OF HERBAL SELF-MANAGED ABORTION USE IN THE US","authors":"TX Chen,&nbsp;MA Biggs,&nbsp;D Grossman,&nbsp;S Kaller,&nbsp;R Schroeder,&nbsp;L Ralph","doi":"10.1016/j.contraception.2025.111095","DOIUrl":"10.1016/j.contraception.2025.111095","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to describe the most common herbs, botanicals, and other supplements used for self-managed abortion and the population who uses them.</div></div><div><h3>Methods</h3><div>This is a descriptive analysis of two serial cross-sectional surveys of a nationally representative sample of the US population administered in December 2021 to January 2022 and May to July 2023. Participants included panel members assigned female sex at birth, aged 18-49 (or aged 15-17 with a consenting household member), who were English- or Spanish-speaking. We used weighted, descriptive statistics to examine the proportion who reported using herbs “to try to end a pregnancy on their own, without medical assistance.”</div></div><div><h3>Results</h3><div>Among 10,764 unique respondents across both surveys, 312 respondents reported having ever attempted self-managed abortion, and 90 reported having ever used herbs for self-managed abortion, representing 0.9% of the US female population. Their mean age was 22.6 years, with no significant differences in socio-demographic characteristics, including race/ethnicity, financial situation, nativity, and sexual orientation, between those who used herbal vs. other methods. In open-ended responses (n=74), participants reported using parsley (n=7), vitamin C (n=7), black cohosh (n=5), and mugwort (n=5); however, many did not know the exact herb used (n=29) (eg, “Chinese herbs”). Some (n=10) listed more than one herb.</div></div><div><h3>Conclusions</h3><div>Approximately 1% of the US female population has ever attempted self-managed abortion with herbs, with parsley and Vitamin C being the most commonly used items. Further research is needed to establish their safety and efficacy.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111095"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145277987","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":"EFFECTS OF MEDICAID ABORTION COVERAGE ON MENTALLY UNHEALTHY DAYS IN ILLINOIS","authors":"T Kim,&nbsp;D Marthey,&nbsp;JR Steinberg,&nbsp;M Boudreaux","doi":"10.1016/j.contraception.2025.111132","DOIUrl":"10.1016/j.contraception.2025.111132","url":null,"abstract":"<div><h3>Objectives</h3><div>It is critical to document the multiple, positive impacts of Medicaid coverage for abortion. The Hyde Amendment prohibits federal spending on abortion in Medicaid, imposing burdens on low-income people. States can provide Medicaid abortion coverage with state dollars only. Illinois introduced Medicaid abortion coverage in 2018. A recent study found that this policy change increased abortion utilization and reduced births. We examined mental health effects of the change, which could derive from preemptive access security or realized abortion access experiences and outcomes.</div></div><div><h3>Methods</h3><div>Using the 2014-2019 and 2021-2022 Behavioral Risk Factor Surveillance System, we created a sample of 347,844 self-reported females aged 18-44 in 48 comparison states. The outcome was reporting any days of poor mental health in the past month. We used difference-in-differences (DID) models, adjusting for sociodemographic covariates with state and year fixed effects and robust standard errors.</div></div><div><h3>Results</h3><div>In the pre-treatment period, 50% of Illinois residents reported mentally unhealthy days, compared to 47% in control states. Among those living on lower incomes, our DID model showed a significant reduction in having any days of poor mental health among 18-44-year-old females in Illinois (6.4%-point, equivalent to 13% decline from baseline). We observed no significant changes for those with higher incomes.</div></div><div><h3>Conclusions</h3><div>Our results suggest that Medicaid abortion coverage improved mental health among reproductive-aged women, especially those with lower incomes. Our findings add to a critical evidence base of the multiple benefits of Medicaid abortion coverage, suggesting further need for the repeal of the Hyde Amendment and the importance of state-covered abortion.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111132"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145277933","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":"RESIDENTS’ EXPERIENCES OF MORAL DISTRESS IN ABORTION TRAINING","authors":"JK Turk,&nbsp;E Claymore,&nbsp;J Steinauer","doi":"10.1016/j.contraception.2025.111102","DOIUrl":"10.1016/j.contraception.2025.111102","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to explore if and how Ob-Gyn residents have experienced moral distress in the abortion and family planning rotation.</div></div><div><h3>Methods</h3><div>The Ryan Program has administered post-rotation resident surveys since 2003. In May 2023, questions were added asking Ob-Gyn residents if and how they have experienced moral distress in their training in the wake of various abortion restrictions. “Moral distress” was defined as “a tension and conflict that health workers experience when they are unable to fulfill their duties due to circumstances outside of their control.” Qualitative responses were coded and analyzed for thematic content using content analysis.</div></div><div><h3>Results</h3><div>We collected 199 surveys between May 2023 and April 2025 (response rate, 70%). Respondents were: 90% female, 59% White, 20% Asian, 10% Black, 4% Latinx, 7% multiple races, and 42% resided in abortion-restricted states. Fifty-nine percent intended to provide abortion for all indications, 79% for pregnancy complications; 76% indicated that their intention to provide abortion had increased since <em>Dobbs v Jackson Women’s Health Organization</em>. Overall, 45% reported that they experienced moral distress in their abortion training, including 22% of respondents in protected states, and 61% in restricted states.</div></div><div><h3>Conclusions</h3><div>Ob-Gyn residents described their experiences of moral distress on the abortion rotation and patient care, and how restrictions affected their intentions to provide abortion.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111102"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278221","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 THE CHARACTERISTICS OF WOMEN OBTAINING ABORTIONS IN HIGH-INCOME COUNTRIES","authors":"O Mulhern,&nbsp;E Leong,&nbsp;M Menanno,&nbsp;JM Bearak,&nbsp;G Sedgh","doi":"10.1016/j.contraception.2025.111083","DOIUrl":"10.1016/j.contraception.2025.111083","url":null,"abstract":"<div><h3>Objectives</h3><div>We will estimate levels and trends in abortion incidence by age group, union status, gestational age, method of abortion, parity, and nativity for women aged 15-49 in high- and middle-income countries with liberal abortion laws — including the US, where liberal laws prevail in some states — between 2000 and 2023.</div></div><div><h3>Methods</h3><div>We will calculate characteristic-specific percentage distributions and abortion rates. We compiled abortion data from all high- and middle-income countries with reliable, publicly available information on abortion by any of the other characteristics of interest. For countries without publicly available information, we collected data through a questionnaire sent to experts with access to abortion statistics in those countries. To date, we have gathered data from 32 countries. Population estimates will be drawn from the UN World Population Prospects.</div></div><div><h3>Results</h3><div>We will identify common patterns in characteristic-specific rates across countries, and highlight countries that deviate from these patterns and those that have experienced the most substantial changes since 2000. We will also examine which sub-groups have seen the most substantial shifts in abortion incidence, potentially identifying leading determinants of change in abortion incidence.</div></div><div><h3>Conclusions</h3><div>We will discuss potential explanations for observed cross-country differences and trends over time in abortion incidence, in the context of the literature on their determinants, such as policies, contraceptive use, and social norms. This analysis will contribute to further understanding abortion dynamics in high- and middle-income countries. Additionally, these findings will help inform public health strategies and the public understanding of the reproductive health needs of the populations within these countries.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111083"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278224","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":"ABORTION STIGMA AND MENTAL HEALTH: THE MODERATING ROLE OF SOCIAL SUPPORT","authors":"JA Brown,&nbsp;A DiOrio,&nbsp;JR Steinberg","doi":"10.1016/j.contraception.2025.111116","DOIUrl":"10.1016/j.contraception.2025.111116","url":null,"abstract":"<div><h3>Objectives</h3><div>Abortion stigma is prevalent in the US, and is deleterious to the mental health of people of reproductive age. However, little is known about protective factors that may attenuate such harms, particularly abortion disclosure and social support. This study aims to examine (1) associations between perceived abortion stigma and mental health symptoms before an abortion (ie, depression, anxiety, social anxiety); and (2) whether abortion disclosure and social support from three sources (ie, partner, mother, friend) moderate these associations.</div></div><div><h3>Methods</h3><div>We utilized baseline survey data that were collected for a prospective cohort study of 591 people aged 18 or older who sought and received clinic abortions in Maryland and Florida between November 2023 and January 2025. Linear regression analyses and moderation analyses were performed to test Aims 1 and 2, respectively.</div></div><div><h3>Results</h3><div>Higher perceived abortion stigma predicted greater symptoms of depression, anxiety, and social anxiety. Social support moderated the associations between abortion stigma and symptoms of anxiety and social anxiety. Specifically, such stigma was positively associated with social anxiety symptoms at all levels of partner support (ie, low, moderate, high), but was strongest for those with low partner support. Additionally, perceived abortion stigma was positively associated with symptoms of anxiety and social anxiety for people with moderate and high maternal support (but not low). Abortion disclosure did not moderate the associations between this stigma and mental health symptoms.</div></div><div><h3>Conclusions</h3><div>This study adds to the emerging literature on perceived abortion stigma and mental health, and findings suggest that the effect of social support on this association may vary based on source.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"151 ","pages":"Article 111116"},"PeriodicalIF":2.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278304","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}