Perspectives on Sexual and Reproductive Health最新文献_第8页

Safety and effectiveness of self-managed abortion using misoprostol alone acquired from an online telemedicine service in the United States. 单独使用米索前列醇进行自我管理流产的安全性和有效性，该方法来自美国的在线远程医疗服务。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2023-03-01 DOI: 10.1363/psrh.12219

Dana M Johnson, Mira Michels-Gualtieri, Rebecca Gomperts, Abigail R A Aiken

{"title":"Safety and effectiveness of self-managed abortion using misoprostol alone acquired from an online telemedicine service in the United States.","authors":"Dana M Johnson, Mira Michels-Gualtieri, Rebecca Gomperts, Abigail R A Aiken","doi":"10.1363/psrh.12219","DOIUrl":"https://doi.org/10.1363/psrh.12219","url":null,"abstract":"Objectives: To evaluate self-reported outcomes and serious adverse events following self-managed medication abortion using misoprostol alone provided from an online service.Study design: We conducted a retrospective record review of self-managed abortion outcomes using misoprostol obtained from Aid Access, an online telemedicine organization serving United States (US) residents, between June 1, 2020, and June 30, 2020. The main outcomes were the proportion of people who reported ending their pregnancy without instrumentation intervention and the proportion who received treatment for serious adverse events.Results: During the study period, 1016 people received prescriptions for misoprostol. We obtained follow-up information for 610 (60%) of whom 568 confirmed use of the medication and 42 confirmed non-use. When taking the medication, 96% were at or less than 10 weeks' gestation and 4% were more than 10 weeks. Overall, 88% (95% CI: 84.6-90.2) reported successfully ending their pregnancy without instrumentation intervention. Of the 568 who took the misoprostol, 12 (2%) reported experiencing one or more serious adverse events and 20 (4%) reported experiencing a symptom of a potential complication.Conclusions: Self-managed medication abortion using misoprostol provided by an online telemedicine service has a high rate of effectiveness and a low rate of serious adverse events. Outcomes compare favorably to other service delivery models using a similar regimen. As mifepristone continues to be over-regulated and the 2022 US Supreme Court ruling allows states to severely restrict access to in-clinic abortion care, this regimen is a promising option for self-managed abortion in the US.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"55 1","pages":"4-11"},"PeriodicalIF":5.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9818650","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: 5

Characterizing physician concerns with publicly supporting abortion at Wisconsin's largest medical school. 在威斯康星州最大的医学院，医生公开支持堕胎。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2023-03-01 DOI: 10.1363/psrh.12218

Abigail S Cutler, Laura T Swan, Madison Lands, Nicholas B Schmuhl, Jenny A Higgins

{"title":"Characterizing physician concerns with publicly supporting abortion at Wisconsin's largest medical school.","authors":"Abigail S Cutler, Laura T Swan, Madison Lands, Nicholas B Schmuhl, Jenny A Higgins","doi":"10.1363/psrh.12218","DOIUrl":"https://doi.org/10.1363/psrh.12218","url":null,"abstract":"Objective: To examine factors associated with physicians' level of concern and perceived consequences of publicly supporting abortion at Wisconsin's largest and only publicly funded medical school.Methods: We surveyed physicians at the University of Wisconsin School of Medicine and Public Health about their knowledge, attitudes, and referral practices regarding abortion care. Among those who expressed support for abortion (N = 701), we analyzed perceived concerns about making their support public.Results: Nearly a quarter (22%) of respondents felt very or extremely concerned that taking a strong public stance on abortion would alienate patients and 17% felt very or extremely concerned that doing so would alienate coworkers. More than a quarter (27%) felt very or extremely concerned that publicly supporting abortion would lead to harassment or harm. Those with greater concerns about expressing public support for abortion were comparatively less willing to refer for or participate in abortion care themselves.Conclusions: Many physicians supportive of abortion reported concerns over publicizing their support for this common health care service. These concerns may render physicians less likely to refer patients for needed abortion care or weigh in on abortion policy.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"55 1","pages":"23-27"},"PeriodicalIF":5.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9519061","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

Pregnancy intentions' relationship with infant, pregnancy, maternal, and early childhood outcomes: Evidence from births in Alaska, Missouri, and Oklahoma. 怀孕意向与婴儿、妊娠、母亲和幼儿结局的关系:来自阿拉斯加、密苏里和俄克拉何马州出生的证据。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2023-03-01 DOI: 10.1363/psrh.12222

Erica Hobby, Nicholas D E Mark, Alison Gemmill, Sarah K Cowan

{"title":"Pregnancy intentions' relationship with infant, pregnancy, maternal, and early childhood outcomes: Evidence from births in Alaska, Missouri, and Oklahoma.","authors":"Erica Hobby, Nicholas D E Mark, Alison Gemmill, Sarah K Cowan","doi":"10.1363/psrh.12222","DOIUrl":"https://doi.org/10.1363/psrh.12222","url":null,"abstract":"Objectives: Much of reproductive health care policy in the United States focuses on enabling women to have intended pregnancies. Investigating whether the association between pregnancy intention and adverse outcomes for mothers and children in the immediate and longer term is due to intention or a mother's demographics provides valuable context for policy makers aiming to improve maternal and child outcomes.Methods: We investigated relationships between pregnancy intention and pregnancy, infant, early childhood, and maternal outcomes using data from the Pregnancy Risk Assessment Monitoring System survey, conducted 2-8 months after the child's birth, and follow-up surveys from three states (Alaska, Missouri, and Oklahoma), administered at age 2-3 years old. We used logistic regressions with inverse propensity weights to measure associations, accounting for potential confounding factors.Results: After inverse propensity weighting, pregnancy intention was associated with adverse maternal pregnancy behaviors but not most infant outcomes. Mothers who reported an unwanted pregnancy were associated with increased odds of the child receiving a developmental delay diagnosis. Among those who did not report depression prior to pregnancy, mothers with unwanted pregnancies were more likely to experience persistent depression, and mothers with pregnancies mistimed by two or more years had a higher likelihood of experiencing depression postpartum or in the follow up period.Conclusions: Our findings suggest that pregnancy intention is less consequential for maternal and child well-being than socio-economic disadvantage, suggesting that re-orienting policy toward social conditions and reproductive autonomy will serve better individual and population health.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"55 1","pages":"62-76"},"PeriodicalIF":5.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9819198","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 incidence and service availability in the United States, 2020. 2020年美国堕胎率和服务可得性。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI: 10.1363/psrh.12215

Rachel K Jones, Marielle Kirstein, Jesse Philbin

{"title":"Abortion incidence and service availability in the United States, 2020.","authors":"Rachel K Jones, Marielle Kirstein, Jesse Philbin","doi":"10.1363/psrh.12215","DOIUrl":"https://doi.org/10.1363/psrh.12215","url":null,"abstract":"Background: This study provides a baseline assessment of abortion incidence and service delivery prior to Roe v. Wade being overturned.Methods: We collected information from all facilities known to have provided abortion services in the United States in 2019 and 2020. We examined abortion incidence by state, region and nationally and combined data on number of abortions with population data to estimate abortion rates. We also examined the number of abortion clinics, trends in medication abortion and service disruptions and changes in abortion protocols that occurred during the COVID-19 pandemic. We compare these findings to those of our prior Abortion Provider Census, which collected information for 2017.Results: We documented 930,160 abortions in 2020, an 8% increase from 2017. Between 2017 and 2020, abortion incidence increased in all four regions of the country and in a majority of states. The total number of clinics providing abortion care remained stable nationally but increased in the Midwest and the West and declined in the Northeast and South. There were 492,210 medication abortions in 2020, a 45% increase from 2017. A substantial minority of clinics adjusted protocols in response to COVID, most commonly adopting remote pre- and post-abortion counseling.Discussion: This study did not address factors behind the increase in abortion. However, this report demonstrates that the need for abortion care was growing just prior to the overturning Roe v. Wade, and the impact of this decision will be even more far-reaching than previously expected.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"54 4","pages":"128-141"},"PeriodicalIF":5.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f8/7a/PSRH-54-128.PMC10099841.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9291106","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: 44

Intimate relationships after receiving versus being denied an abortion: A 5-year prospective study in the United States. 接受堕胎和被拒绝堕胎后的亲密关系:一项在美国进行的5年前瞻性研究。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI: 10.1363/psrh.12216

Ushma D Upadhyay, Diana Greene Foster, Heather Gould, M Antonia Biggs

{"title":"Intimate relationships after receiving versus being denied an abortion: A 5-year prospective study in the United States.","authors":"Ushma D Upadhyay, Diana Greene Foster, Heather Gould, M Antonia Biggs","doi":"10.1363/psrh.12216","DOIUrl":"https://doi.org/10.1363/psrh.12216","url":null,"abstract":"Context: When an individual seeking an abortion cannot obtain one, carrying that pregnancy to term may affect both her relationship with the man involved in the pregnancy and her prospects for new intimate relationships. We aimed to assess the impact of receiving versus being denied a wanted abortion on women's intimate relationships, up to 5 years after seeking an abortion in the United States.Methods: Using mixed-effects regression models, we compared relationship outcomes among women who presented for abortion care just under facilities' gestational age limits (\"Near-limit abortion patients,\" n = 452) with those who presented just over, were denied an abortion (\"Turnaways,\" n = 146) at 30 US facilities.Results: At 1 week post-abortion seeking, the predicted probability of being in a relationship with the man involved in the pregnancy was 58%, gradually declining to 27% at 5 years with no significant differences between those who received and those who were denied an abortion. However, from 2 to 5 years post-abortion seeking, participants who were denied an abortion had double the odds (aOR = 2.01, 95% CI: 1.09-3.69) of being in a poor intimate relationship, with a predicted probability of being in a poor relationship of 14% among those denied an abortion compared with 9% among those who received one (p < 0.05).Conclusions: Carrying an unwanted pregnancy to term does not increase the chance of being in an intimate relationship with the man involved in the pregnancy but may have negative implications for the quality of future relationships up to 5 years post-abortion seeking.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"54 4","pages":"156-165"},"PeriodicalIF":5.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687108","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: 2

Randomized experimental testing of new survey approaches to improve abortion reporting in the United States. 改善美国堕胎报告的新调查方法的随机实验测试。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI: 10.1363/psrh.12217

Laura D Lindberg, Isaac Maddow-Zimet, Jennifer Mueller, Alicia VandeVusse

{"title":"Randomized experimental testing of new survey approaches to improve abortion reporting in the United States.","authors":"Laura D Lindberg, Isaac Maddow-Zimet, Jennifer Mueller, Alicia VandeVusse","doi":"10.1363/psrh.12217","DOIUrl":"https://doi.org/10.1363/psrh.12217","url":null,"abstract":"Context: Abortions are substantially underreported in surveys due to social stigma, compromising the study of abortion, pregnancy, fertility, and related demographic and health outcomes.Methods: In this study, we evaluated six methodological approaches identified through formative mixed-methods research to improve the measurement of abortion in surveys. These approaches included altering the placement of abortion items in the survey, the order of pregnancy outcome questions, the level of detail, the introduction to the abortion question, and the context of the abortion question, and using graduated sensitivity. We embedded a preregistered randomized experiment in a newly designed online survey about sexual and reproductive health behaviors (N = 6536). We randomized respondents to experimental arms in a fully crossed factorial design; we estimated an average treatment effect using standardized estimators from logistic regression models, adjusted for demographic covariates associated with reporting.Results: None of the experimental arms significantly improved abortion reporting compared to the control condition.Conclusion: More work is needed to improve reporting of abortion in future surveys, particularly as abortion access becomes increasingly restricted in the United States. Despite this study's null results, it provides a promising path for future efforts to improve abortion measurement. It is proof of concept for testing new approaches in a less expensive, faster, and more flexible format than embedding changes in existing national fertility surveys.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"54 4","pages":"142-155"},"PeriodicalIF":5.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10107886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9375814","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: 4

Service delivery at Title X sites in Texas during the COVID-19 pandemic. 在2019冠状病毒病大流行期间，德克萨斯州第十条站点的服务提供。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI: 10.1363/psrh.12211

Kristen Lagasse Burke, Gracia Sierra, Klaira Lerma, Kari White

{"title":"Service delivery at Title X sites in Texas during the COVID-19 pandemic.","authors":"Kristen Lagasse Burke, Gracia Sierra, Klaira Lerma, Kari White","doi":"10.1363/psrh.12211","DOIUrl":"https://doi.org/10.1363/psrh.12211","url":null,"abstract":"Context: The important role of Title X sites in supporting publicly funded reproductive healthcare was elevated during the COVID-19 pandemic, as many people experienced economic uncertainty and changed their fertility preferences. In this study, we assessed changes in service delivery during the first year of the COVID-19 pandemic at Title X-supported sites in Texas, a large state with a high uninsured rate and a diverse Title X network.Methods: Using surveys of Title X-funded organizations in Texas from April and November 2020, we examined the percentage of organizations reporting service modifications. With administrative data on 507,947 client encounters between March 2019 and March 2021, we assessed change in client volume at the onset of the pandemic and evaluated the association between regional COVID-19 case rates and the provision of key Title X services.Results: In April 2020, most organizations (78%) limited in-person operations while implementing telehealth (74%) and contactless contraception (67%). Network-wide encounter volume declined by 26% at pandemic onset (incidence rate ratio [IRR] = 0.74, 95% confidence interval [CI] = 0.65, 0.84). Health departments experienced the steepest declines in encounter volume (IRR = 0.43, 95% CI = 0.36-0.50). Weekly encounters, particularly for long-acting reversible method placement/removal and sexually transmitted infection testing, decreased as COVID-19 rates increased.Conclusions: Investment in public health infrastructure, including providing robust support to health departments as well as rebuilding and expanding the Title X network, is essential to safeguarding access to publicly funded reproductive healthcare during and after the pandemic.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"54 4","pages":"198-207"},"PeriodicalIF":5.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199674","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: 1

Person-centered, high-quality care from a distance: A qualitative study of patient experiences of TelAbortion, a model for direct-to-patient medication abortion by mail in the United States. 以人为本，高质量的远程护理:美国通过邮件直接对患者进行药物流产的一种模式——远程流产患者体验的定性研究。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI: 10.1363/psrh.12210

Courtney Kerestes, Rebecca Delafield, Jennifer Elia, Tara Shochet, Bliss Kaneshiro, Reni Soon

{"title":"Person-centered, high-quality care from a distance: A qualitative study of patient experiences of TelAbortion, a model for direct-to-patient medication abortion by mail in the United States.","authors":"Courtney Kerestes, Rebecca Delafield, Jennifer Elia, Tara Shochet, Bliss Kaneshiro, Reni Soon","doi":"10.1363/psrh.12210","DOIUrl":"https://doi.org/10.1363/psrh.12210","url":null,"abstract":"Context: Direct-to-patient telemedicine abortion allows people to receive mifepristone and misoprostol for medication abortion in their home without requiring an in-person visit with a healthcare provider. This method has high efficacy and safety, but less is known about the person-centered quality of care provided with telemedicine.Methods: We interviewed 45 participants from the TelAbortion study of direct-to-patient telemedicine abortion in the United States from January to July 2020. Semi-structured qualitative interviews queried their choices, barriers to care, expectations for care, actual abortion experience, and suggestions for improvement. We developed a codebook through an iterative, inductive process and performed content and thematic analyses.Results: The experience of direct-to-patient telemedicine abortion met the person-centered domains of dignity, autonomy, privacy, communication, social support, supportive care, trust, and environment. Four themes relate to the person-centered framework for reproductive health equity: (1) Participants felt well-supported and safe with TelAbortion; (2) Participants had autonomy in their care which led to feelings of empowerment; (3) TelAbortion exceeded expectations; and (4) Challenges arose when interfacing with the healthcare system outside of TelAbortion. Participants perceived abortion stigma which often led them to avoid traditional care and experienced enacted stigma during encounters with non-study healthcare workers.Conclusion: TelAbortion is a high quality, person-centered care model that can empower patients seeking care in an increasingly challenging abortion context.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"54 4","pages":"177-187"},"PeriodicalIF":5.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10686088","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: 1

Disruptions and opportunities in sexual and reproductive health care: How COVID-19 impacted service provision in three US states. 性健康和生殖健康保健的中断和机会:COVID-19如何影响美国三个州的服务提供。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI: 10.1363/psrh.12213

Alicia VandeVusse, Philicia W Castillo, Marielle Kirstein, Jennifer Mueller, Megan Kavanaugh

{"title":"Disruptions and opportunities in sexual and reproductive health care: How COVID-19 impacted service provision in three US states.","authors":"Alicia VandeVusse, Philicia W Castillo, Marielle Kirstein, Jennifer Mueller, Megan Kavanaugh","doi":"10.1363/psrh.12213","DOIUrl":"https://doi.org/10.1363/psrh.12213","url":null,"abstract":"Context: The COVID-19 pandemic abruptly disrupted the provision of sexual and reproductive health care in the United States.Methods: We conducted interviews with family planning clinic staff at 55 health care facilities in Arizona, Iowa, and Wisconsin in late 2020 and early 2021. We asked respondents about the challenges they faced and ways they adapted their service provision as a result of the pandemic. We conducted content and thematic analyses of the interview transcripts using an inductively developed qualitative coding scheme.Results: Family planning clinics and providers made a variety of changes to their clinic operations and service delivery. The three major areas of change for these facilities were implementation of COVID-19 safety procedures, shifting service delivery and staffing to meet patient needs, and the rapid uptake and expansion of telehealth.Conclusion: While providers faced many challenges, they also described opportunities to innovate and rethink standard of care protocols that may continue to shape sexual and reproductive health care even after the pandemic abates.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"54 4","pages":"188-197"},"PeriodicalIF":5.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9878085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9187192","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: 3

Identifying accurate pro-choice and pro-life identity labels in Spanish: Social media insights and implications for comparative survey research. 识别准确的西班牙语支持选择和支持生命的身份标签:社会媒体的见解和对比较调查研究的影响。

IF 5.8 2区医学

Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI: 10.1363/psrh.12208

Danny Valdez, Kristen N Jozkowski, María S Montenegro, Brandon L Crawford, Frederica Jackson

{"title":"Identifying accurate pro-choice and pro-life identity labels in Spanish: Social media insights and implications for comparative survey research.","authors":"Danny Valdez, Kristen N Jozkowski, María S Montenegro, Brandon L Crawford, Frederica Jackson","doi":"10.1363/psrh.12208","DOIUrl":"https://doi.org/10.1363/psrh.12208","url":null,"abstract":"Introduction: Although debate remains about the saliency and relevance of pro-choice and pro-life labels (as abortion belief indicators), they have been consistently used for decades to broadly designate abortion identity. However, clear labels are less apparent in other languages (e.g., Spanish). Social media, as an exploratory data science tool, can be leveraged to identify the presence and popularity of online abortion identity labels and how they are contextualized online.Purpose: This study aims to determine how popularly used Spanish-language pro-choice and pro-life identity labels are contextualized online.Method: We used Latent Dirichlet Allocation (LDA) topic models, an unsupervised natural language processing (NLP) application, to generate themes about Spanish language tweets categorized by Spanish abortion identity labels: (1) proelección (pro-choice); (2) derecho a decidir (right to choose); (3) proaborto (pro-abortion); (4) provida (pro-life); (5) antiaborto (anti-abortion); and (6) derecho a vivir (right to life). We manually reviewed themes for each identity label to assess scope.Results: All six identity labels included in our analysis contained some references to abortion. However, several labels were not exclusive to abortion. Proelección (pro-choice), for example, contained several themes related to ongoing presidential elections.Discussion and conclusion: No singular Spanish abortion identity label encapsulates abortion beliefs; however, there are several viable options. Just as the debate remains ongoing about pro-choice and pro-life as accurate indicators of abortion beliefs in English, we must also consider that identity is more complex than binary labels in Spanish.","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":"54 4","pages":"166-176"},"PeriodicalIF":5.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/18/PSRH-54-166.PMC10092859.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9666542","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: 5