在州外堕胎的患者中，堕胎药邮寄选择的意识

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111122

AL Woodcock, A Gero, S Elliott, C Sexsmith, T Proaño, DK Turok, J Sanders

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引用次数: 0

摘要

目的了解外州流产患者是否通过邮寄方式了解流产药物，并探讨其知晓程度的预测因素。方法：从2024年9月到2025年2月，我们招募了离开家乡到俄勒冈州、华盛顿州和犹他州的15家计划生育诊所接受堕胎手术的患者。符合条件的参与者年龄在18岁或以上，会说英语或西班牙语。调查问题包括通过邮寄方式选择堕胎药的意识以及参与者决定旅行堕胎的原因。我们使用卡方检验对分类数据和逻辑回归评估邮寄药片意识的差异和预测因素。结果最终分析样本共113人。大多数参与者，82人（73%），确定他们的胎龄为11周。少数参与者通过邮件知道避孕药（n=41, 36.9%），大多数参与者（34/41,83%）希望药物流产。在知情的人中，21人（59%）通过在线邮件选项了解药物，10人（22%）从社交媒体了解药物；只有5人（12%）从医疗保健提供者那里了解到这种选择。参与者没有提供旅行的主要原因。那些通过邮件了解药片的人更有可能用西班牙语完成调查（OR, 3.66; 95% CI, 1.03-13.10），并且有公共健康保险与没有保险的人相比（OR, 3.85; 95% CI, 1.25-11.86）。结论：尽管怀孕11周，大多数出国堕胎的参与者都不知道邮寄避孕药的选择。大多数知道这种选择的人仍然希望亲自进行药物流产。

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AWARENESS OF ABORTION PILLS-BY-MAIL OPTIONS AMONG PATIENTS TRAVELING OUT-OF-STATE FOR ABORTION

Objectives

We aimed to understand if patients who traveled out-of-state for abortion care were aware of abortion medication by mail options and explore predictors of awareness.

Methods

From September 2024 to February 2025, we recruited patients who traveled out of their home state to receive an abortion at 15 Planned Parenthood clinics in Oregon, Washington, and Utah. Eligible participants were aged 18 or older and spoke English or Spanish. Survey questions included awareness of the option for medication abortion pills by mail and reasons for participants’ decision to travel for abortion. We assessed differences in and predictors of awareness of pills by mail using chi-squared test for categorical data and logistic regression.

Results

The final analytic sample included 113 respondents. Most participants, 82 (73%), identified their gestational age to be <11 weeks. A minority of participants were aware of pills by mail (n=41, 36.9%) and most (34/41, 83%) desired a medication abortion. Among those who were aware, 21 (59%) learned about the pills by mail option online and 10 (22%) from social media; only five (12%) learned of this option from a healthcare provider. Participants provided no dominant reason for traveling. Those aware of pills by mail were more likely to complete the survey in Spanish (OR, 3.66; 95% CI, 1.03-13.10) and have public health insurance vs. no insurance (OR, 3.85; 95% CI, 1.25-11.86).

Conclusions

Most participants traveling out of state for abortion were unaware of pill by mail options despite being <11 weeks’ gestation. A majority of those aware of the option still wanted a medication abortion in person.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.