Perspectives on Sexual and Reproductive Health最新文献_第3页

"Maybe if we weren't in the pandemic, I would have reconsidered": Experiences of abortion care-seeking during the COVID-19 pandemic in Maryland. "如果不是大流行，我可能会重新考虑"：马里兰州 COVID-19 大流行期间寻求堕胎护理的经历。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-04-24 DOI: 10.1111/psrh.12265

Jessica L Dozier, Anne E Burke, Hayley V McMahon, Blair O. Berger, Madeline Quasebarth, Carolyn Sufrin, Suzanne O Bell

{"title":"\"Maybe if we weren't in the pandemic, I would have reconsidered\": Experiences of abortion care-seeking during the COVID-19 pandemic in Maryland.","authors":"Jessica L Dozier, Anne E Burke, Hayley V McMahon, Blair O. Berger, Madeline Quasebarth, Carolyn Sufrin, Suzanne O Bell","doi":"10.1111/psrh.12265","DOIUrl":"https://doi.org/10.1111/psrh.12265","url":null,"abstract":"OBJECTIVE\u0000To understand the COVID-19 pandemic's impact on abortion care-seeking in Maryland, a state with Medicaid coverage for abortion, high service availability, and laws supporting abortion rights.\u0000\u0000\u0000METHODS\u0000We conducted semi-structured telephone interviews with 15 women who had an abortion between January 2021 and March 2022 at a hospital-based clinic in a mid-sized Maryland city. We purposively recruited participants with varied pandemic financial impacts. Interview questions prompted participants to reflect on how the pandemic affected their lives, pregnancy decisions, and experiences seeking abortion care. We analyzed our data for themes.\u0000\u0000\u0000RESULTS\u0000All participants had some insurance coverage for their abortion; over half paid using Medicaid. Many participants experienced pandemic financial hardship, with several reporting job, food, and housing insecurity as circumstances influencing their decision to have an abortion. Most women who self-reported minimal financial hardship caused by the pandemic indicated they sought an abortion for reasons unrelated to COVID-19. In contrast, women with economic hardship viewed their pregnancies as unsupportable due to COVID-19 exacerbating financial instability, even when they desired to continue the pregnancy. All participants expressed that having an abortion was the best decision for their lives. Yet, when making decisions about their pregnancy, the most financially disadvantaged women weighed their desires against the pandemic's constraints on their reproductive self-determination.\u0000\u0000\u0000CONCLUSIONS\u0000The pandemic changed abortion care-seeking circumstances even in a setting with minimal access barriers. Financial hardship influenced some women to have an abortion for a pregnancy that-while unplanned-they may have preferred to continue.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664846","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}

引用次数: 0

“I wouldn't have felt so alone”: The sexual health education experiences of transgender and gender diverse youth living in the southeastern United States "我不会感到如此孤独"：生活在美国东南部的变性和性别多元化青年的性健康教育经历

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-04-16 DOI: 10.1111/psrh.12258

Paula E. Jayne, Leigh E. Szucs, Catherine A. Lesesne, Rose Grace Grose, Michelle M. Johns

引用次数: 0

Patient experiences using public and private insurance coverage for abortion in Illinois: Implementation successes and remaining gaps 伊利诺伊州使用公共和私人保险堕胎的患者经验：成功实施案例与尚存差距

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-04-12 DOI: 10.1111/psrh.12259

Madeline Quasebarth, Madeleine Boesche, Tecora Turner, Amy Moore, Danielle Young, Debra Stulberg, Lee Hasselbacher

{"title":"Patient experiences using public and private insurance coverage for abortion in Illinois: Implementation successes and remaining gaps","authors":"Madeline Quasebarth, Madeleine Boesche, Tecora Turner, Amy Moore, Danielle Young, Debra Stulberg, Lee Hasselbacher","doi":"10.1111/psrh.12259","DOIUrl":"https://doi.org/10.1111/psrh.12259","url":null,"abstract":"ContextInsurance coverage for abortion in states where care remains legal can alleviate financial burdens for patients and increase access. Recent policy changes in Illinois required Medicaid and some private insurance plans to cover abortion care. This study explores policy implementation from the perspectives of patients using their insurance to obtain early abortion care.MethodologyBetween July 2021 and February 2022, we interviewed Illinois residents who recently sought abortion care at ≤11 weeks of pregnancy. We also interviewed nine key informants with experience providing or billing for abortion or supporting insurance policy implementation in Illinois. We coded interview transcripts in Dedoose and developed code summaries to identify salient themes across interviews.ResultsMost participants insured by Illinois Medicaid or eligible for enrollment received full coverage for their abortions; most with private insurance did not and faced challenges learning about coverage status. Some opted not to use insurance, often citing privacy concerns. Participants who benefited from abortion coverage expressed relief, gave examples of other financial challenges they could prioritize, and described feeling in control of their abortion experience. Those without coverage described feeling stressed, uncertain, and constrained in their decision‐making.ConclusionWhen abortion was fully covered by insurance, it reduced financial burdens and enhanced reproductive autonomy. Illinois Medicaid policy—with seamless enrollment options and appropriate reimbursement rates—offers a model for improving abortion access in other states. Further investigation is needed to determine compliance among private insurance companies and increase transparency.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140590366","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}

引用次数: 0

Perspectives from the pandemic epicenter: Sexual and reproductive health of immigrant women in New York City 来自大流行病中心的视角：纽约市移民妇女的性健康和生殖健康

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-04-04 DOI: 10.1111/psrh.12260

Goleen Samari, Heather M. Wurtz, Sheila Desai, Kate Coleman‐Minahan

{"title":"Perspectives from the pandemic epicenter: Sexual and reproductive health of immigrant women in New York City","authors":"Goleen Samari, Heather M. Wurtz, Sheila Desai, Kate Coleman‐Minahan","doi":"10.1111/psrh.12260","DOIUrl":"https://doi.org/10.1111/psrh.12260","url":null,"abstract":"ContextThe United States' response to COVID‐19 created a policy, economic, and healthcare provision environment that had implications for the sexual and reproductive health (SRH) of racialized and minoritized communities. Perspectives from heterogenous immigrant communities in New York City, the pandemic epicenter in the United States (US), provides a glimpse into how restrictive social policy environments shape contraception, abortion, pregnancy preferences, and other aspects of SRH for marginalized immigrant communities.MethodsWe conducted in‐depth interviews in 2020 and 2021 with 44 cisgender immigrant women from different national origins and 19 direct service providers for immigrant communities in New York City to explore how immigrants were forced to adapt their SRH preferences and behaviors to the structural barriers of the COVID‐19 pandemic. We coded and analyzed the interviews using a constant comparative approach.ResultsPandemic‐related fears and structural barriers to healthcare access shaped shifts in contraceptive use and preferences among our participants. Immigrant women weighed their concerns for health and safety and the potential of facing discrimination as part of their contraceptive preferences. Immigrants also described shifts in their pregnancy preferences as rooted in concerns for their health and safety and economic constraints unique to immigrant communities.ConclusionUnderstanding how immigrant women's SRH shifted in response to the structural and policy constraints of the COVID‐19 pandemic can reveal how historically marginalized communities will be impacted by an increasingly restrictive reproductive health and immigration policy landscape.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140590459","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}

引用次数: 0

A prospective study of sexual risk patterns associated with delinquency and justice involvement among child welfare system-involved male adolescents in the United States. 对美国涉及儿童福利系统的男性青少年中与犯罪和司法参与相关的性风险模式的前瞻性研究。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-03-01 Epub Date: 2024-03-04 DOI: 10.1111/psrh.12255

Nickholas Grant, Gabriel J Merrin, Keisha April, Ayana April-Sandars, Ishita Arora, Derrick Gordon

{"title":"A prospective study of sexual risk patterns associated with delinquency and justice involvement among child welfare system-involved male adolescents in the United States.","authors":"Nickholas Grant, Gabriel J Merrin, Keisha April, Ayana April-Sandars, Ishita Arora, Derrick Gordon","doi":"10.1111/psrh.12255","DOIUrl":"10.1111/psrh.12255","url":null,"abstract":"Introduction: Early sexual activity and teen pregnancy are known risk factors for delinquency and justice involvement among male adolescents. However, less is known about these patterns among child welfare system (CWS)-involved boys who face significant social barriers and past/current traumatic experiences.Methods: We prospectively examined these associations among male adolescents who identified as low and high risk for child-maltreatment via a secondary data analysis of the Longitudinal Studies of Child Abuse and Neglect dataset-a large scale assessment of children, their parents, and their teachers in the United States to understand issues of child abuse and neglect. We extracted and examined data from 657 boys who were identified as at-risk for maltreatment or with histories of substantiated maltreatment at ages 6, 8, 12, 14, and 16. We used structural equation modeling to examine the relationship between sexual activity (i.e., age of sexual debut, actively having sex, and sex resulting in a child) and changes in delinquency and justice involvement.Results: Male adolescents who have engaged in sex and/or have fathered a child had greater increases in delinquency over time compared to those who have not had sex. Further, fathering a child was significantly associated with justice involvement, especially for the high-risk group.Conclusion: Results indicate that greater efforts should be taken to ascertain CWS-involved male adolescents' sexual health practices and parenting status. Male adolescents in the CWS require support with accessing developmentally appropriate sexual health education and family services.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029320","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}

引用次数: 0

Application of the unified theory of behavior to strengthen sexual health discussions between providers and young patients in the United States. 应用统一行为理论加强美国医疗服务提供者与年轻患者之间的性健康讨论。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-03-01 Epub Date: 2024-03-09 DOI: 10.1111/psrh.12253

Yzette Lanier, Dennis Rivera-Cash, Claudine Lavarin, Alena Goldstein, Luke Cantu, Baomi Phung, Vincent Guilamo-Ramos, Madeline Sutton

{"title":"Application of the unified theory of behavior to strengthen sexual health discussions between providers and young patients in the United States.","authors":"Yzette Lanier, Dennis Rivera-Cash, Claudine Lavarin, Alena Goldstein, Luke Cantu, Baomi Phung, Vincent Guilamo-Ramos, Madeline Sutton","doi":"10.1111/psrh.12253","DOIUrl":"10.1111/psrh.12253","url":null,"abstract":"Context: Sexual health discussions between healthcare providers and adolescent and young adult patients are an important strategy for addressing and improving sexual health. However, healthcare providers often do not engage in comprehensive sexual health discussions with young patients during routine clinical visits.Methods: We propose the use of a conceptual model, the Unified Theory of Behavior (UTB), as a tool that can aid healthcare providers in facilitating more comprehensive sexual health conversations with young patients.Results: We present clinical scenarios on how healthcare providers can use the UTB with existing sexual health assessments during routine, clinical visits with their patients.Conclusions: Using the UTB may be one effective tool to aid healthcare providers in initiating sexual health discussions and facilitating more comprehensive sexual health conversations with adolescent and young adult patients during routine clinical visits and sexual and reproductive health-focused visits.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066004","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}

引用次数: 0

Sexual health variation among gang-involved youth in Washington state: Social ecological implications for research and practice. 华盛顿州涉黑青少年的性健康差异：社会生态学对研究和实践的影响。

IF 3.4 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-03-01 Epub Date: 2024-02-23 DOI: 10.1111/psrh.12251

Asia S Bishop, Paula S Nurius, Sarah C Walker, Monica L Oxford

{"title":"Sexual health variation among gang-involved youth in Washington state: Social ecological implications for research and practice.","authors":"Asia S Bishop, Paula S Nurius, Sarah C Walker, Monica L Oxford","doi":"10.1111/psrh.12251","DOIUrl":"10.1111/psrh.12251","url":null,"abstract":"Introduction: Gang-involved youth experience greater disparities in sexual health compared to non-gang-involved youth. Yet, little is known about how and why sexual behaviors vary within the youth gang population. Developing relevant and effective service approaches requires an understanding of this variation and the environmental factors that influence patterns of sexual health risk.Methodology and results: Using latent class analysis, we identified four sexual behavior classes within a school-based sample of gang-involved youth in Washington State (N = 2060): Non-Sexually Active (54%), Limited Partners with Condom Use (14%), Multiple Partner with Sexting (19%), and High Sexual Vulnerability (13%). These classes were distinguished by age at sexual debut, number of sexual partners, condom use, and sexting. Interpersonal and macrosocial factors differentiated the classes, including multiform violence exposures, limited social support, and socioeconomic instability. We also found differences according to sexual identity and substance use.Discussion: Findings highlight the need for service approaches that are responsive to both the individual needs of gang-involved youth and the factors that shape their living environments. We discuss the implications for research and practice, including the potential utility of a harm reduction framework to promote sexual health and reduce disparities in the youth gang population.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11026090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Catalyst for change: Lessons learned from overcoming barriers to providing safe abortion care in Médecins Sans Frontières projects. 变革的催化剂：从克服无国界医生组织项目中提供安全堕胎护理的障碍中汲取的经验教训。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-03-01 Epub Date: 2022-10-23 DOI: 10.1363/psrh.12209

Manisha Kumar, Catrin Schulte-Hillen, Eva De Plecker, Ann Van Haver, Sonia Guinovart Marques, Maura Daly, Hilde Vochten, Lisa Merzaghi, Brice de le Vingne, Jean François Saint-Sauveur

{"title":"Catalyst for change: Lessons learned from overcoming barriers to providing safe abortion care in Médecins Sans Frontières projects.","authors":"Manisha Kumar, Catrin Schulte-Hillen, Eva De Plecker, Ann Van Haver, Sonia Guinovart Marques, Maura Daly, Hilde Vochten, Lisa Merzaghi, Brice de le Vingne, Jean François Saint-Sauveur","doi":"10.1363/psrh.12209","DOIUrl":"10.1363/psrh.12209","url":null,"abstract":"Context: Despite instituting a policy in 2004, Médecins Sans Frontières (MSF) continuously struggled to routinely provide safe abortion care (SAC). In 2016, the organization launched an initiative aimed at increasing availability of SAC in MSF projects and increasing understanding of abortion-related dynamics in humanitarian settings.Methodology: From March 2017 to April 2018, MSF staff conducted support visits to 10 projects in a country in sub-Saharan Africa. Each visit followed a systematic approach with six key components and related tools that were later shared with teams worldwide. Data regarding women seeking abortion services and related outcomes were collected and analyzed retrospectively.Results: From Q1 2017 through Q4 2019, SAC provision increased significantly in all 10 projects, rising from three to 759 safe abortions per quarter. Teams received 3831 patients seeking SAC and provided 3640 first and second trimester abortions, over 99% via medication methods. The overall complication rate was 4.29% and 0.3% for severe, life-threatening complications. No major security incidents were reported. MSF provision of SAC worldwide increased from 781 in 2016 (the year before this initiative began) to 21,546 in 2019.Conclusion: Implementation of SAC in humanitarian settings-even those with significant legal restrictions-is possible and necessary. Both first and second trimester medication abortion can be safely and effectively provided through both home- and facility-based models of care. Programmatic data provide valuable insights into abortion-related dynamics which must shape operational decision-making. Addressing internal barriers and providing direct field support were key to stimulating organizational cultural change.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563489","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}

引用次数: 0

Exploring provider preference and provision of abortion methods and stigma: Secondary analysis of a United Kingdom provider survey. 探索提供者对堕胎方法的偏好和提供以及耻辱感：对英国提供者调查的二次分析。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-03-01 Epub Date: 2024-03-08 DOI: 10.1111/psrh.12254

Katy Footman, Suzanna Bright, Jayne Kavanagh, Emma Parnham, Louise Bury, Lesley Hoggart

{"title":"Exploring provider preference and provision of abortion methods and stigma: Secondary analysis of a United Kingdom provider survey.","authors":"Katy Footman, Suzanna Bright, Jayne Kavanagh, Emma Parnham, Louise Bury, Lesley Hoggart","doi":"10.1111/psrh.12254","DOIUrl":"10.1111/psrh.12254","url":null,"abstract":"Introduction: Method choice is an important component of quality abortion care and qualitative research suggests that abortion stigma can influence provider preference and provision of abortion methods. This study is the first to explore the relationships between abortion providers' method preferences, their provision of medication or instrumentation abortion or both methods, and abortion stigma.Methods: We conducted secondary analysis of a survey of United Kingdom (UK) abortion providers (N = 172) to describe and compare providers' self-reported method preferences and provision. We used multinomial logistic regression to assess the association between method preference and provider experiences of abortion stigma (measured using a revised Abortion Provider Stigma Scale (APSS)), adjusting for relevant provider and facility characteristics.Results: Almost half (52%) of providers reported that they only provided medication abortion care, while 5% only provided instrumentation abortion care and 43% provided both methods. Most (62%) preferred to provide both methods while 32% preferred to provide only medication abortion and 6% only instrumentation abortion. There was no significant difference in revised APSS scores by provider method preference or provision.Discussion: Most surveyed UK abortion providers prefer to offer both methods, but over half only provide medication abortion. This may reflect patients' preferences for medication abortion, and health system and legal constraints on instrumentation abortion. Addressing these systemic constraints on method provision could expand patient choice. Providers' method preference was not significantly associated with provider stigma but future research should consider the influence of structural stigma on method provision at the health system level.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060852","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}

引用次数: 0

Abortion needs expressed on Reddit after the Dobbs v. Jackson Women's Health Organization decision in the United States. 美国多布斯诉杰克逊妇女健康组织案判决后，Reddit 上表达的堕胎需求。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2024-03-01 Epub Date: 2024-03-04 DOI: 10.1111/psrh.12252

Jennifer Neda John, Zelly C Martin

{"title":"Abortion needs expressed on Reddit after the Dobbs v. Jackson Women's Health Organization decision in the United States.","authors":"Jennifer Neda John, Zelly C Martin","doi":"10.1111/psrh.12252","DOIUrl":"10.1111/psrh.12252","url":null,"abstract":"Context: Women, transgender men, and gender non-binary individuals facing unwanted pregnancy use online resources for abortion information. We sought to determine the informational and emotional needs that those seeking abortion information on Reddit expressed immediately following the Dobbs v. Jackson Women's Health Organization (Dobbs) decision in the United States. Furthermore, we aimed to understand how the Reddit community addressed these needs.Methods: We collected posts on Reddit in the subreddit r/abortion that expressed informational or emotional needs related to the Dobbs decision created between June 24, 2022 and July 24, 2022. We identified posts using keywords including \"roe,\" \"rvw,\" and \"trigger law\" and then manually reviewed them to ensure relevance. We analyzed posts and their comments using qualitative descriptive analysis.Results: One hundred and ten posts met inclusion criteria. Original posters expressed needs for legal and medical information. Posters also expressed need for logistical support, including help accessing medication abortion, traveling out of state, and financing abortion care, and emotional support in general and resulting from fear of parental disapproval and shame relating to abortion stigma. Although responders to these comments addressed these needs by offering general support, accurate information, and reliable resources, intersecting and emotional needs sometimes went unaddressed.Conclusion: The Dobbs decision caused confusion and panic among abortion seekers requesting guidance on r/abortion, resulting in informational and emotional needs. While the r/abortion community actively addressed needs, inherent limitations of an online forum prevented some original posters from receiving the multifaceted support they needed.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029321","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}

引用次数: 0