Sexuality Research and Social Policy最新文献

{"title":"Unmet sex education needs among young adult Black women in the United States: A qualitative exploration of perceived informational gaps in school-based sex education.","authors":"Aaliyah Gray, Shelly Sinclair, Mary Jo Trepka, Kimberly M Nelson","doi":"10.1007/s13178-026-01336-3","DOIUrl":"https://doi.org/10.1007/s13178-026-01336-3","url":null,"abstract":"<p><strong>Introduction: </strong>Provision of adequate sex education for youth in the US has declined over several decades. Further, Black girls in US schools, in particular, are more likely to be provided poorer quality instruction compared to their peers.</p><p><strong>Methods: </strong>The purpose of this study was to describe unmet sex education needs among 453 young adult Black women (YABW) ages 18-22 years across the US. Data were collected in an online study from November to December 2023. Participants provided open-ended responses to a prompt asking what they wished they learned in sex education that they were not taught. Themes were developed using reflexive thematic analysis.</p><p><strong>Results: </strong>Eleven themes were identified including reflections on sex education quality, mechanics of having sex, anatomy and physiology, sexually transmitted infections, emotions about sex, contraception, relationships, concerns about safety, pregnancy, personal health and accessing care, and sexuality and gender identity.</p><p><strong>Conclusions: </strong>Results suggest that sex education in school settings inadequately educates YABW on foundational, relevant, and practical sexual and reproductive health topics.</p><p><strong>Policy implications: </strong>Our findings highlight the need for more practical, women-focused information that meets the needs of YABW sexual and reproductive health concerns. More work across state legislatures is needed to ensure implementation of comprehensive sex education in schools.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13105314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of state-level abortion policy climates among young adult Black women: Examining agreement between state classifications and participant perceptions.","authors":"Aaliyah Gray, Shelly Sinclair, Mary Jo Trepka, Kimberly M Nelson","doi":"10.1007/s13178-026-01303-y","DOIUrl":"10.1007/s13178-026-01303-y","url":null,"abstract":"<p><strong>Background: </strong>Awareness of state-level abortion policy is critical to reproductive care access, particularly among young adult Black women (YABW) who are anticipated to be greatly impacted by the US Supreme Court's overturning of abortion protections.</p><p><strong>Objective: </strong>This study assessed YABW's perceptions of the abortion policy climate in their state and the accuracy of these ratings against policy-driven classifications of state-level abortion climates.</p><p><strong>Study design: </strong>YABW (N = 483, 18-22 years) participated in an online sexual and reproductive health survey in 2023. We leveraged Guttmacher Institute's state classifications of abortion policy and participants rated their state's abortion policy climate from restrictive to protective. Agreement between participants' ratings and the state classifications was evaluated with Cohen's kappa; bias among participants' rating was assessed with chi-square goodness of fit test. Logistic regression was used to identify participant characteristics associated with participant bias.</p><p><strong>Results: </strong>Compared to state classifications, participants rated fewer states as restrictive and twice as many states as mixed; a third perceived states as less restrictive than classified. Those rating their state as more protective than classified lived in rural communities (aOR = 6.77) or the South (aOR = 12.52) and were sexually active (aOR = 3.97). Those rating their state as more restrictive than the classification were wealthier (aOR = 1.67), lived in the Northeast (aOR = 2.86), and did not complete high school (aOR = .18).</p><p><strong>Conclusions: </strong>A substantial proportion of YABW inaccurately assessed the restrictiveness of their states' abortion climates, which has implications for their reproductive decision making.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time Pressures and Sociocultural Constraints Affecting Access to Early Abortion Care Under Texas' \"6-Week\" Ban.","authors":"Kari White, Whitney Arey, Anna Chatillon, Anitra D Beasley, Cecili Chadwick, Asha Dane'el, Ophra Leyser-Whalen, Tracy A Weitz","doi":"10.1007/s13178-025-01153-0","DOIUrl":"https://doi.org/10.1007/s13178-025-01153-0","url":null,"abstract":"<p><strong>Introduction: </strong>In 2021, Texas Senate Bill 8 (SB8) prohibited abortion after detection of embryonic cardiac activity and was often referred to as a \"6-week ban.\" Limited evidence exists about how these laws intersect with people's processes seeking pregnancy confirmation and navigating barriers to abortion care.</p><p><strong>Methods: </strong>Between October 2021 and August 2022, we recruited Texans ≥ 15 years of age who were seeking abortion using online ads and flyers placed in out-of-state abortion-providing facilities. Participants completed in-depth interviews, and we coded transcripts using inductive and deductive coding. This analysis explores participants' discussions of time needed for pregnancy confirmation, decision making, and access to care in the context of SB8.</p><p><strong>Results: </strong>Most of the 107 participants identified their pregnancy soon after a missed period, but they often sought additional pregnancy confirmation, which delayed care. Participants expressed urgency around their search for abortion after learning about the \"6-week ban.\" Those who experienced financial, transportation, and work-related barriers felt there was insufficient time to get in-state care; others felt rushed to make a decision. Many recounted difficulties scheduling in-state appointments and were upset when facility staff denied care based on medical conventions for pregnancy dating and detection of cardiac activity before 6 weeks' gestation.</p><p><strong>Discussion: </strong>Framing SB8 as a \"6-week ban\" created stress among Texas abortion seekers, and the accumulation of small delays limited access to in-state care.</p><p><strong>Policy implications: </strong>Clearer messaging around when abortion is prohibited and free, accessible pregnancy confirmation services inclusive of all care options would better support pregnant people's abortion care navigation.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":"23 1","pages":"435-443"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Substance Use Among Gay Men Living in Mexico: Perceptions of Well-Being and Implications for Health.","authors":"Juan Carlos Mendoza-Pérez, Héctor Alexis López-Barrientos, Michael P Dentato","doi":"10.1007/s13178-025-01120-9","DOIUrl":"https://doi.org/10.1007/s13178-025-01120-9","url":null,"abstract":"<p><strong>Introduction: </strong>Studies on substance use among gay men are often analyzed from the framework of risk and harm, disregarding the user's perspective about various reasons for use, which for some may not be perceived as potentially harmful. The current study examines substance use among gay men and perceived benefits and adverse effects on their well-being from three unique geographical areas across Mexico.</p><p><strong>Methods: </strong>A mixed methods survey and three online focus groups were conducted in May 2022. Nineteen gay men (average age 32 years) from northern, central, and southern Mexico participated in the study. Data was interpreted utilizing a content analysis.</p><p><strong>Results: </strong>Poppers, crystal meth, and marijuana were the most recently consumed substances, with frequent use reported during sex. First-contact drugs and recreational drugs showed greater perceived social and mental health benefits. In contrast, drugs used during sex had greater perceived adverse effects on overall well-being, primarily with the use of crystal meth.</p><p><strong>Conclusions: </strong>There is an apparent ambivalence with using drugs based on the experiences of gay men participating in this study who live in Mexico. Some participants reported an improvement in mental health and emotional well-being, sexual experiences, and increased socialization. Other participants reported harmful effects upon their health, mental health, and social well-being based on decisions to use substances. Implementing a gay-affirming harm reduction model may improve overall health outcomes for this minority population, as well as their mental health, overall well-being, and care needs.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s13178-025-01120-9.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":"23 1","pages":"74-86"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Medical Mistrust Among Sexual and Gender Minority Young Adults.","authors":"Afiya Sajwani, Sarah W Whitton, Gregory Swann, Michael E Newcomb","doi":"10.1007/s13178-025-01139-y","DOIUrl":"https://doi.org/10.1007/s13178-025-01139-y","url":null,"abstract":"<p><strong>Introduction: </strong>Medical mistrust (MM), distrusting medical professionals and systems due to experiences of marginalization, is related to health disparities. Little is known about MM among young cisgender sexual minority women and transgender and non-binary (TNB) young adults. We examined correlates and compared rates of MM among these groups.</p><p><strong>Methods: </strong>Data came from a longitudinal cohort study, collected between 2019 and 2020. Participants completed measures of demographics (age, race/ethnicity, and gender identity), MM, victimization, internalized stigma, social support, resilience, STI testing, gender-affirming hormone use, and self-rated physical health. Bivariate correlational analyses tested the strength of associations between predictor variables and MM. Variables significantly correlated with MM were included in multiple regression models. Moderating effects of gender identity were also tested.</p><p><strong>Results: </strong>Analyses included 410 participants (<i>M</i> = 22.4, SD = 3.5, 18-33 years, 27% White, 33% TNB). MM was significantly correlated with victimization, resilience, family support, STI testing and self-rated health. In regression analyses, Black and TNB identities, higher victimization, lower family support, and poor self-rated health were significantly associated with higher MM (<i>R</i> ² = .147, <i>F</i>(9, 400) = 8.85, <i>p</i> < 0.001). Additionally, MM decreased as family support increased for cisgender, but not TNB participants (<i>R</i> ² = .152, <i>F</i>(17, 392) = 5.32, <i>p</i> < 0.000). Comparing model fit statistics, the main effects model best described our data.</p><p><strong>Conclusions: </strong>More distal instead of proximal minority stressors and family support over other types of social support were associated with reduced MM.</p><p><strong>Policy implications: </strong>Reducing general experiences of victimization, increasing family support, and considering intersectional structural stigma can help address MM among these groups.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":"23 1","pages":"357-370"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LGBTQ+ policies in the United States and mental health: The mediating role of sexual orientation discrimination among sexual minority women and gender diverse individuals assigned female at birth.","authors":"Emily Herry, Christina Dyar","doi":"10.1007/s13178-025-01246-w","DOIUrl":"10.1007/s13178-025-01246-w","url":null,"abstract":"<p><strong>Introduction: </strong>Research on the role of LGBTQ+ policies in the US has primarily examined how policies are associated with perceptions of LGBTQ+ communities, LGBTQ+ people's experiences of discrimination, or LGBTQ+ mental health. However, no research that we are aware of has examined the indirect effects of distinct LGBTQ+ policies on mental health outcomes among sexual minority women and gender diverse individuals assigned female at birth (SMWGD) through sexual orientation discrimination prospectively.</p><p><strong>Methods: </strong>We used state level data from the Movement Advancement Project in combination with baseline and follow up data from a sample of 429 SMWGD to understand associations between distinct LGBTQ+ policies, anxiety, and depression through sexual orientation discrimination. Participants were recruited online August 2020 through May 2021.</p><p><strong>Results: </strong>Only LGBTQ+ nondiscrimination policies, and no other policies, were significantly associated with sexual orientation discrimination. Participants living in states with more LGBTQ+ nondiscrimination policies experienced less sexual orientation discrimination at baseline, which in turn predicted less anxiety at follow-up (when controlling for anxiety at baseline). Additionally, living in states with better overall LGBTQ+ policies and youth policies were associated with significantly less anxiety, but not depression or sexual orientation discrimination.</p><p><strong>Conclusion: </strong>Results suggest that LGBTQ+ policies in the US have direct and indirect effects on the mental health of SMWGD. However, we must continue to monitor the role of LGBTQ+ policies on the lives of LGBTQ+ community members.</p><p><strong>Policy implications: </strong>Policymakers should promote nondiscrimination policies and address the real-life impact of LGBTQ+ polices in the lives of their LGBTQ+ citizens.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Youth voices are needed now more than ever to improve adolescent sexual health research: Lessons from five years with a youth advisory board.","authors":"Madison Cheng, Ezra Levinson, Ja'Karri Pierre, Divya Reddy, Klara Sattler, Oviya Siva, Jaden Wu, Kimberly M Nelson","doi":"10.1007/s13178-025-01230-4","DOIUrl":"10.1007/s13178-025-01230-4","url":null,"abstract":"<p><p>Youth Advisory Boards (YABs) can meaningfully incorporate youth voices into sexual health research with the combined benefits of leading to higher-quality, more effective research as well as providing YAB members with personal benefits such as exposure to scientific methods, research principles, and professional development opportunities. Previously published commentaries have outlined the experience of developing and maintaining a YAB in other areas of research and from a researcher perspective. This commentary, written by YAB members themselves, shares how they participated as equal co-creators in the development of a YAB for a sexual health study, what made it successful, and how other sexual health researchers can incorporate YABs into their own work.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12803725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID Stress & Mental Health Among Sexually Diverse Couples.","authors":"Madison Shea Smith, Michael E Newcomb","doi":"10.1007/s13178-025-01125-4","DOIUrl":"10.1007/s13178-025-01125-4","url":null,"abstract":"<p><strong>Introduction: </strong>It is now well-established that the COVID-19 pandemic had profound mental health impacts that were not distributed equally throughout all portions of the US population. In this study, we used mental health and COVID stress data from the National Couples' Health and Time (NCHAT) study to test the differential impact of COVID stress on key indicators of mental health (e.g., depression, anxiety) among sexually diverse couples.</p><p><strong>Methods: </strong>We leveraged a sample of N=1515 couples (3030 individuals) from the NCHAT study, who filled out self-report measures of COVID stress (e.g., concerns about acquiring COVID, immunocompromised household members), depression, anxiety, general stress, emotion regulation, and positive/negative coping behaviors in 2020 and 2021. These data were submitted to a series of constrained latent variable actor-partner interdependence models.</p><p><strong>Results: </strong>COVID stress had widespread impacts on mental health problems for groups identifying as gay/lesbian, straight, and plurisexual. However, people identifying as plurisexual (e.g., bisexual, pansexual) and their partners tended to experience: 1) a stronger COVID stress-anxiety association compared to people identifying as gay/lesbian and straight and 2) tended to be more dissimilar with their partners on mental health.</p><p><strong>Conclusions: </strong>These results imply unique impacts of COVID stress among subgroups of people identifying as plurisexual and their partners, as well as prevention approaches for further study.</p><p><strong>Policy implications: </strong>Our study suggests that reliance on one's romantic partner may be key to incorporate in future public health messaging yet may not be as beneficially impactful for all groups (e.g., people identifying as plurisexuals).</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12900056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies to Improve the Sexual and Reproductive Health of Youth Involved with the Child Welfare System: A Systematic Review.","authors":"Julia Brasileiro, Judith Kotiuga, Jordyn McCrimmon, Elizabeth M Aparicio, Aaron Lankster, Laura Widman","doi":"10.1007/s13178-025-01126-3","DOIUrl":"10.1007/s13178-025-01126-3","url":null,"abstract":"<p><strong>Introduction: </strong>Youth involved with the child welfare system face notably poorer sexual and reproductive health (SRH) outcomes compared to their peers. Several SRH programs have been developed to address these health disparities, yet there is limited consolidated research examining these programs. The purpose of this systematic review was to synthesize quantitative and qualitative research on programs and conceptual models that could improve the SRH of child welfare system-involved youth.</p><p><strong>Methods: </strong>We conducted a systematic search of published articles using <i>PsychINFO</i>, <i>Medline</i>, <i>CINAHL</i>, and <i>Communication Source</i> through March 1, 2023, as well as a gray literature search. Study inclusion criteria included: 1) a program or conceptual model designed to promote the SRH of child welfare system -nvolved youth; 2) a U.S.-based sample; and 3) available in English.</p><p><strong>Results: </strong>We located 29 articles; 24 assessed programs (20 targeting youth and 4 targeting adults) and 5 presented conceptual models. Most youth programs focused on reducing pregnancies or HIV/STIs. Four programs for youth evaluated through RCTs were efficacious in improving SRH outcomes over time. Four programs for foster caregivers and social workers emphasized developing skills for communicating with youth about SRH topics.</p><p><strong>Conclusions: </strong>This review sheds light on the current effectiveness of existing SRH programs for youth and adults, as well as gaps in available programs and research.</p><p><strong>Policy implications: </strong>Increased investment is needed in youth programs that emphasize the positive dimensions of sexuality and relationships, alongside adult programs designed to enhance skills for supporting youth SRH. Additionally, funders should prioritize rigorous evaluations of these SRH initiatives to ensure their effectiveness and sustainability.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feelings about abortion at time of care: Findings from an Ohio abortion facility.","authors":"Payal Chakraborty, Bucky Foster, Mikaela H Smith, Sarah Hayford, Alison H Norris","doi":"10.1007/s13178-025-01097-5","DOIUrl":"10.1007/s13178-025-01097-5","url":null,"abstract":"<p><strong>Introduction: </strong>Prevailing abortion stigma may contribute to how people feel prior to receiving an abortion, and these feelings may influence healthcare decision making. We analyzed data from a patient intake questionnaire regarding feelings at the time of first abortion appointment. We described responses, co-occurrence of sentiments, and associations between responses and abortion characteristics.</p><p><strong>Methods: </strong>We abstracted data from a random 20% sample of medical charts at an abortion facility in Ohio for patients who sought abortions from 2014-2018 (N=762). We analyzed data from an intake questionnaire used to assess patients' sentiments prior to their abortion. The questionnaire had 10 intake items to which patients could respond \"yes,\" \"maybe,\" or \"no.\" The questionnaire also asked, \"How are you feeling today?\" and listed several emotions for patients to select.</p><p><strong>Results: </strong>About 37% of patients responded with exclusively positive emotions, 27% with mixed emotions, and 27% with exclusively negative emotions. Reporting mixed (adjusted odds ratio [95%CI]: 0.33[0.16-0.71]) and negative only (0.38[0.18-0.32]) sentiments was associated with a decreased odds of receiving an abortion. Responding \"yes\" (vs. \"no\") to being afraid an abortion will hurt was associated with a decreased odds of having a procedural abortion vs. a medication abortion (0.62[0.40-0.96]). Responding \"yes\" to \"I am not sure if I am making the right decision\" was associated with a longer time between consultation and the abortion (adjusted incident rate ratio [95%CI]: 2.16[1.48-3.16]).</p><p><strong>Conclusions: </strong>Sentiment toward abortion is complicated and deserves nuanced attention, rather than being grouped into a strictly positive or negative experience.</p><p><strong>Policy implications: </strong>Assessing patient sentiment prior to an abortion procedure may be valuable for providing patient-centered abortion care.</p>","PeriodicalId":47654,"journal":{"name":"Sexuality Research and Social Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}