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Legal Abortion Research Articles

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4932 Articles

Published in last 50 years

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  • Access To Abortion
  • Access To Abortion
  • Abortion Providers
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  • Restrictive Abortion
  • Restrictive Abortion
  • Abortion Practices
  • Abortion Practices
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Articles published on Legal Abortion

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“When you provide abortion services, you are looked upon as a bad guy”: experiences of abortion stigma by health providers in Nigeria

ABSTRACT Background Abortion stigma as reported globally has been inadequately documented empirically in Nigeria, Africa’s most populous country with a restrictive abortion law and a high rate of unsafe abortions. Objective The objectives of this study were to investigate the ways in which abortion stigma is experienced by Nigerian health professionals and how such experiences influence health professionals’ practice of safe abortion and post-abortion care. Methods The study utilized qualitative research consisting of in-depth interviews with 10 abortion providers. We elicited information with an open-ended interview guide that investigated the understanding of participants’ experiences of abortion stigma in Nigeria. The data were analysed qualitatively and thematically using Atlas.ti. Results The themes centred on perceptions and experiences of stigma among the providers interviewed. Participants’ experiences of abortion stigma included the following: being treated differently to other health professionals; experiencing disapproval and disrespect; name-calling and societal judgement; tagging and profiling of clinics by anti-abortionists; and social isolation. Participants attributed stigma to cultural and religious beliefs, the restrictive national abortion law, and pointed to hypocrisy. Some reported effects of stigma on providers included a feeling of insecurity, social exclusion, secrecy, and insincerity in clinical practice, discouragement, and guilt feelings. Despite the negative impacts, many respondents reported a sense of satisfaction stemming from their views that they were saving lives. Conclusion Systematic efforts to address these adverse factors could reduce the level of stigma experienced by providers, with a potential follow-through effect of improving women’s access to safe abortion care in Nigeria.

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  • Global Health Action
  • Oct 30, 2024
  • Friday Okonofua + 4
Open Access
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From Roe to Dobbs: 50 Years of Cause and Effect of US State Abortion Regulations.

The Roe era was hardly a monolith. For more than 50 years-beginning with abortion reforms in the 1960s and continuing through the Dobbs decision in 2022-state regulations of abortion were neither uniform nor consistent. States reformed and repealed abortion bans leading up to the Roe decision in 1973. Following Roe, they enacted both demand-side regulations of people seeking abortions and supply-side regulations of people providing abortions. The resulting laboratory of state policies affords natural experiments that have yielded evidence on the effects of abortion regulations on demographic, health, economic, and other social outcomes. I present a brief history of state policy variation from 1967 through 2016 and review the empirical scholarship studying its effects. This literature demonstrates that the liberalization of abortion access in the 1960s and 1970s allowed women greater control over their fertility, resulting in increased educational attainment and earnings. Subsequent state restrictions in the 1980s through 2010s had the opposite effect, particularly when they increased the financial and logistical costs of obtaining an abortion. I conclude with a discussion of implications for the post-Dobbs era, considering to what extent evidence from the past foretells the future.

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  • Annual review of public health
  • Oct 30, 2024
  • Caitlin Myers
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Unsafe abortion and its complications: A silent and unprecedented catastrophe happening in our society

The term abortion often connotes criminal induced abortion in the context of our local setting. The socio-cultural and religious perceptions associated with having an abortion make the practice almost a taboo such that the procedure is often performed clandestinely with unimaginable and sometimes fatal consequences. The restrictive abortion laws in Nigeria, unmet needs for contraceptives, widening poverty and illiteracy, paved the way for unskilled personnel and quacks to dominate abortion services making the practice quite unsafe. In this editorial, we x-ray some reported abortion cases and how these challenges impact the health and reproductive careers of young women in Nigeria.

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  • World Journal of Advanced Research and Reviews
  • Oct 30, 2024
  • Nevo Calistus Obiora
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A Woman’s Right to Know: State Abortion Law and the Due Process Fair Notice Requirement

When the Supreme Court overturned Roe v. Wade in 2022, the loss of reproductive freedom was not the only health care crisis created by the Court. Across the country, people with chronic conditions, including autoimmune disease, were unable to access their prescription medication after abortion bans imposed restrictions on abortion-inducing drugs. Texas’s state medication abortion law, the Woman’s Right to Know Act, may prevent those with disabilities from accessing lifesaving medication with abortifacient properties. This unintended consequence puts health care professionals such as doctors and pharmacists at risk of legal liability for simply prescribing the best course of treatment. This Note argues that the Woman’s Right to Know Act has left health care professionals unable to understand what conduct is prohibited and provides too much discretion to law enforcement, rendering the law unconstitutionally vague. Clarifying the law and prohibiting provider liability is in the best interests of both patients and providers and will allow health care professionals to continue their work to protect patient health.

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  • Boston College Law Review
  • Oct 28, 2024
  • Maria Russo
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5.L. Round table: Gaining or losing ground? Leveraging social innovation to improve abortion access in Europe

Abstract Sexual and reproductive health services are fundamental to ensuring a wide range of human rights, including the right to health. This includes guaranteeing access to abortion care, which international human rights bodies and the World Health Organization have recognised as a critical component of states’ obligation to respect and ensure human rights. Abortion regulation in Europe continues to evolve along a continuum from restrictive to liberal. For decades, the legislative trend across Europe has been towards the expansion of entitlements to abortion, and the repeal of legal and policy restrictions. In the last ten years, over 15 European countries have undertaken reforms to modernize their laws, including Belgium, France, Ireland, the Netherlands, and Spain. Currently, new progressive reforms are being considered in several countries. However, more restrictive reforms have also been adopted. Health system structures and sociopolitical, cultural, ethical, and moral dimensions shape access to abortion services, while abortion regulation often causes tensions in countries. The landscape is complex, with debates over legalisation and decriminalisation of abortion, and the procedural steps to ensure service provision. Differences in regulation across and within countries result in myriad access inequalities. Understanding abortion regulation in Europe is vital to assessing service equity and access. Exploring the sociopolitical contexts of abortion helps identify potential actions for ensuring access to abortion care. In exploring the range of potential actions, we focus on social innovation, i.e., new social practices to better meet social needs and the processes undertaken to get there. The country expert (HSPM) network of the European Observatory has launched a cross-country study of the state of abortion services in 19 high-income countries since 2018. This workshop will outline the legal, regulatory, service-delivery, and sociopolitical contexts of abortion in Europe, identifying challenges to access. It will take recent experiences in Germany, Ireland, and Portugal to examine differential access, ongoing political debates, and social positioning of abortion in Europe, and as a springboard to discuss the role of social innovation in shaping legal and regulatory changes. Lastly, this workshop will explore how the public health research community can contribute to evidence-based abortion policymaking and implementation. This interactive workshop will start with a presentation of findings from the European Observatory’s cross-country comparison. Then, country experts from the 3 case studies and a representative from the Center for Reproductive Rights will examine the sociopolitical environment of abortion policymaking in Europe. Discussion with audience interventions will reflect on opportunities for social innovation and movement building toward better access to abortion care in Europe and explore the role of the public health research community. Key messages • European abortion laws constantly evolve with a prevalent legislative trend towards expanding access and removing barriers; social innovation can be a lever to progressive law and policy reforms. • In all countries, those seeking abortion care continue to experience multiple access barriers, including those related to policy, regulation, financing, geography, and culture. Speakers/Panelists Katherine Polin Berlin University of Technology, Berlin, Germany Miriam Blümel Berlin University of Technology, Berlin, Germany Catherine Conlon Trinity College Dublin, Dublin, Ireland Ines Fronteira National School of Public Health - NOVA University of Lisbon, Lisbon, Portugal Adriana Lamačková Center for Reproductive Rights, Geneva, Switzerland

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  • European Journal of Public Health
  • Oct 28, 2024
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Online Forum Conversations on Abortion in Poland: Navigating Medical, Emotional, and Legal Challenges

Abstract Background Abortion is a common medical procedure worldwide, but access is restricted in Poland, forcing many women to seek abortions without medical supervision. This can lead to health risks and reflects broader challenges regarding reproductive rights and healthcare. Methods We conducted a qualitative and quantitative analysis of online forums discussing abortion to understand the challenges faced by women in Poland. Data was gathered from popular abortion forums identified through Google searches, with a pilot study refining the research focus. Results A total of 13,397 responses from 370 threads across 4 forums were analyzed. The most prevalent theme was the ‘Abortion Process Progression,’ indicating a strong need for information and support. Discussions on ‘Emotional and Psychological Aspects’ and ‘Medical and Pharmacological Aspects’ highlighted the need for holistic care. This suggests that legal restrictions and fear of repercussions hinder women’s access to professional assistance, exacerbating health disparities and inequalities. Conclusions This study offers a general look at the abortion experiences of Polish women, revealing challenges that often go unnoticed by policymakers and healthcare professionals. By analyzing online forums, it uncovers nuanced issues such as the lack of access to medical supervision, information gaps, and emotional support, highlighting discrepancies between policy and needs. The findings call for decriminalizing abortion, launching educational campaigns to combat misinformation, and strengthening support systems, aligning Poland’s reproductive health services with European Union standards, ensuring women’s access to safe and supportive healthcare. Key messages • This study shows how Poland’s restrictive abortion laws push women to online forums, revealing medical, emotional, and logistical challenges, emphasizing the need for care and accurate information. • The research highlights the need for decriminalizing abortion, addressing misinformation, and support Poland’s reproductive health services with EU standards, ensuring safer care for women.

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  • European Journal of Public Health
  • Oct 28, 2024
  • K B Klimiuk + 2
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How Dobbs May Influence the Geographic Distribution of Medical Trainees in the United States.

Third- and fourth-year U.S. medical students applying to residency were surveyed between August 6 and October 22, 2022, to assess the impact of Dobbs v. Jackson Women's Health Organization (Dobbs) on medical student residency application location choices. Across all medical specialties, most respondents were unlikely or very unlikely to apply to one or more residency programs located in a state with abortion restrictions (57.9%) and were considering changes in state abortion access when choosing the location of residencies to apply to (77.0%). Respondents in states with no abortion restrictions were less likely to apply to a program in a state with abortion restrictions (2 [1, 3] p < .001). The Dobbs decision significantly impacts residency application decisions for medical students in all specialties. Students are choosing to avoid or target states with restrictive abortion legislation based on their personal views.

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  • Health education & behavior : the official publication of the Society for Public Health Education
  • Oct 27, 2024
  • Ariana M Traub + 5
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Adalékok az abortusz büntetőjogi megítélésének történetéhez

Aim: To examine how the social and, at the same time, legal perception of induced abortion has changed since the Middle Ages. Examining the criminal law norms seems to be a good indicator of this because these norms are meant to play the role of a capstone for the protection of social values. Methodology: Processing and analysis of legal norms and literature data from a historical perspective. A value-oriented analysis of the mentioned sources accompanies this. Findings: The normative system of the middle ages was permeated by the Christian religion and the morality based on it. Thus, at this age, there was no doubt that taking away the life of the fetus was a sin and a crime as well. This rule prevailed in later times until 1945. The abortion ban that remained after the communist takeover was based on entirely different moral foundations. It was based on the fact that workers are needed for social development, and taking away fetal life deprives socialist society of this resource. State socialism later relaxed the rules. This change was followed by the criminal law with a significant lag until finally, in 1962, only illegal abortion was punishable. The changes after the regime change consolidated the legislative attitude according to which the fetus is not a human being. The criminal law norms are also in line with this. Value: Historical outline of the protection of fetal life, with particular regard to its protection under criminal law. Changes in European culture led to the development of different images of people. An imprint of these is the protection of fetal life.

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  • Belügyi Szemle
  • Oct 24, 2024
  • Miklós Tihanyi
Open Access
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Abortion Law Illiberalism and Feminist Politics in Comparative Perspective

Since the 1970s, a liberal politics has dominated comparative abortion law, one almost too ubiquitous to name. This article tracks departures from liberal abortion law in Europe and the Americas that have reshaped the field of comparative abortion law. Section 2 examines the repurposing of liberal abortion law for illiberal ends in a conservative moment of authoritarian governments and their anti-gender campaigns. Drawing on larger ideas of autocratic legalism, the article analyzes how governments and courts have used the features of liberal abortion law to revoke or defeat abortion rights. Section 3 examines the counter-emergence of a feminist protest politics that has abandoned liberal abortion law in a democratic remaking of society and state. Today, in abortion lawmaking through democratized institutions and in the unmaking of abortion law through direct action, feminist movements are reclaiming comparative abortion law and its politics.

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  • Annual Review of Law and Social Science
  • Oct 17, 2024
  • Joanna N Erdman + 1
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We are civil society!

The study expands on the current debate about post-socialist civil society and social movements, specifically in Croatia. Taking the strategic practices of the Croatian feminist movement in relation to the right to abortion in the last decade as the research unit, it employs the conception of post-socialist civil societies, focuses on the practices of civil society, and differentiates between contentious and compliant practices regardless of the form of organisation or engagement. The study examines whether the strategic practices of the Croatian feminist movement have changed in the last decade and, if so, which factors have played the most significant role. The study is based on a critical content analysis of interviews with the actors themselves and draws on their interpretations of the strategic practices. It finds that the Croatian feminist movement has, in the last decade, rethought the dominant compliant strategic practices inherent in the nonprofit sector and the organisations within it and has turned more towards contentious practices. The research described in the paper finds that there are three dominant factors behind the rethinking of the strategic practice: two external – the growing prominence of the conservative movement and the new expected abortion law – and one internal: a generational shift.

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  • Intersections
  • Oct 16, 2024
  • Ludmila Böhmová
Open Access
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Miscarriage: cases of unfair incrimination reveal weaknesses in the criminalization of abortion

The article examines the historical, religious and legal context of abortion, highlighting its criminalization in Ecuador and its impact on women's health and rights. Subsequently, it addresses the injustice of criminalization derived from a situation of spontaneous abortion and proposes to evaluate the theoretical elements that should be considered to avoid the issuance of sentences to women who experience this condition. To this end, the methodology employed focused on the analysis of representative cases. The cases analyzed include Sara, Marta, Paola and Maribel, who suffered unjust detentions and cruel treatment in the judicial system due to medical complications or situations of gender violence. The findings reveal a pattern of discrimination and stigmatization against low-income women and marginalized communities and conclude that the criminalization of abortion increases risks to women's health and lives, perpetuating gender-based violence and inequality. This ultimately highlights the urgent need to reform abortion laws and policies in Ecuador to protect human rights and promote gender equality.

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  • Centro Sur
  • Oct 15, 2024
  • Ana Cristina Pardo Torres + 1
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A Return to Black Codes: How the Dobbs Decision Debilitated the 14th Amendment

Substantive due process, drawn from the 14th Amendment, has been a consistent judicial doctrine for establishing and protecting the rights and liberties of Black citizens in the face of systemic racism. This prompts a question for political consideration and investigation: if the 14th Amendment is a constitutional equilibrium for rights Black citizens would otherwise not enjoy, could the rescission of a right decided and sustained by the 14th Amendment that is not racially explicit have negative racial implications for Black Americans? This study answers this question through an atheoretical case study on the ruling in Dobbs v. Jackson Women’s Health Organization, which overturned Roe v. Wade. This study finds that the ruling in Dobbs weakened the 14th Amendment by allowing parameters to be placed on substantive due process. Though the question before the Court was the constitutionality of Mississippi’s abortion law, the implications of weakening the 14th Amendment are that it allows for the legal and cultural revitalization of Black exclusion that existed under the Black Codes, which has already come to fruition in Students for Fair Admissions, Inc. v. President and Fellows of Harvard College and the end of affirmative action.

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  • Social Sciences
  • Oct 11, 2024
  • Timothy Elijah Lewis
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The increasing investigations and prosecutions for illegal abortion in Britain: A case for decriminalisation

The increasing investigations and prosecutions for illegal abortion in Britain: A case for decriminalisation

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  • Clinical Ethics
  • Oct 10, 2024
  • Zoe L Tongue
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Do all roads lead to the same destination? Proximity to abortion providers, abortions, and their conditions in Portugal

In Portugal, 65% of gynecologists conscientiously object to performing abortions, limiting the provision of abortion services across the country. This paper exploits quasi-random variation in abortion supply related to changes in doctor availability to examine how variations in proximity to an abortion provider affect the probability a pregnancy is aborted and the conditions under which abortions occur, including when, where, and how. Using a novel dataset of the universe of legal abortions in Portugal, I find suggestive evidence that there are fewer abortions among women living further away from a provider relative to women living closer. I also find evidence that these women have abortions later, are more likely to be referred by public hospitals to private clinics, and have an increased risk of having a surgical abortion.

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  • Journal of Population Economics
  • Oct 10, 2024
  • António Melo
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Abortion Law Changes and Occupational Therapy Practice in the United States.

The U.S. Supreme Court overturned Roe v. Wade in 2022, changing access to abortion in many states. The impact of these changes on occupational therapy practice has not yet been explored through empirical research. To explore the perspectives of occupational therapy practitioners on how restrictions to abortion in the United States may have influenced their clients' needs and thus their practice. This was a qualitative research study. We used an interpretivist epistemological approach and an inductive, thematic content analysis. Participants were recruited through state occupational therapy associations and social media. Two independent researchers coded data and had an initial agreement percentage of 88%. Data trustworthiness was enhanced through documentation of decisions, reflexive thinking about our positionality and the data, and team-based discussions. Occupational therapy practitioners (N = 15) working in states with new abortion law changes at the time of interviews. The four key themes of this study were as follows: (1) abortion restriction laws are affecting some occupational therapy clients' mental health, (2) clients are discussing reproductive health with occupational therapy practitioners across a variety of settings, (3) occupational therapy practitioners are using clinical judgment and their personal beliefs to support clients affected by abortion restrictions, and (4) occupational therapy practitioners are seeking guidance and evidence-based resources to best support clients in the wake of abortion-related legislation changes. Our findings underscore the relevance of reproductive health to occupational therapy practice and highlight the importance of preparing occupational therapy practitioners to respond to client needs related to abortion care. Plain-Language Summary: We sought to determine whether occupational therapy practitioners perceive that the 2022 abortion-related restrictions are affecting occupational therapy practice; specifically, we wanted to know whether and how practice is being affected and what resources occupational therapy practitioners might need to address clients' needs. Fifteen occupational therapy practitioners were interviewed and revealed that many of their clients were experiencing stress and anxiety (i.e., mental health challenges) specifically related to abortion access. We also found that occupational therapy practitioners who routinely discuss reproductive health with clients were commonly hearing from clients about abortion-related needs. Overall, this research uncovers a need for resources and guidance from state or national occupational therapy organizations so that occupational therapy practitioners can better support their clients given these new changes in abortion access. Positionality Statement: We are a team of three researchers who identify as cisgender women, and we reside in an urban area in the northeastern United States. Two of us identify as White, and one identifies as a person of color. We have all participated in reproductive health access advocacy and critically examined our own lenses as we engaged in this analysis.

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  • The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • Oct 9, 2024
  • Darya Nemati + 2
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Attitudes of medical students towards abortion and their willingness to perform abortion: meta-analysis

Background and Objectives: This study evaluates the opinion of medical students about abortion and their willingness to perform the abortion. Methods: After a systematic review, meta-analyses of proportions were performed to achieve percent estimates of medical students’ opinions about abortion and willingness to perform the abortion. Results: 15 studies appraising 6341 medical students were included. Most medical students opined that abortion should be provided if the mother's life is threatened (89%), in case of rape (84%), if the mother's mental health is affected (79%), if the fetus is seriously defective (73%); and on mother’s request (37%). Medical students informed that they would perform abortion if the mother's life is threatened (87%); in case of rape (77%); if the fetus is seriously defective (78%); if the mother's mental health is threatened (65%); in case of teenage pregnancy (51%); on mother’s request (25%); and if court rules (19%). Religiosity was associated with significantly lower proabortion (favoring legalization of abortion) attitudes of medical students (OR: 0.10 [95% CI: 0.04, 0.24]; p&lt;0.00001) but longer duration of medical education was associated with higher proabortion attitudes (OR: 1.75 [95% CI: 1.42, 2.14]; p&lt;0.00001). Conclusion: Attitudes of medical students towards abortion are generally ambivalent where the majority opine that abortion should be performed under certain circumstances. Keywords: Abortion; medical students; attitudes; opinion.

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  • African Health Sciences
  • Oct 6, 2024
  • Jian-Xin Hu + 3
Open Access
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Legal abortion performed by pre-teens: primary health care workers’ perception and knowledge

This study aims to put into evidence Distrito Federal’s (DF) primary health care workers’ perception and knowledge regarding legal abortion, performed by 10 to 14 year old pre-teens. This is a descriptive study of qualitative approach. Semi-structured interviews were done to 17 primary health care workers currently working in Basic Health Units (BHU) of DF, under contract with DF’s Secretariat of Health. This article showed the worker’s lack of knowledge regarding legal abortion and specific care towards the age group, copying their knowledge regarding adults without adaptation for pre-teens. Workers’ personal beliefs influenced their practice and their choice to correctly inform Health Care users.

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  • Concilium
  • Oct 5, 2024
  • Danielle Lourenço Ataide + 4
Open Access
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Trusted networks: a study of communication flow and access to abortion information in Argentina.

In December 2020, Argentina approved a new abortion law following decades of feminist and social advocacy. This paper presents qualitative findings from interviews and focus group discussions with people in local communities focusing on how individuals of reproductive age access and communicate sexual and reproductive health information, particularly regarding abortion. Sixteen in-depth interviews were conducted with key informants working in the field of SRHR and four focus group discussions took place with cisgender women and girls, transmasculine people and non-binary people of reproductive age. We found that information exchange and communication about sexual and reproductive health issues, particularly abortion, took place mainly through informal social networks engaging with activists and feminist grass-root organisations. These informal social networks were built on trust as a collective affect that enabled open communication about abortion. Information sharing through word of mouth, in person and via digital means using different social media platforms, is an important means of information sharing and communication in Argentina. Monitoring the implementation of abortion policies in this country should include investigating the impact of people accessing abortion through informal social networks in terms of abortion pathways and intersections with the formal health system.

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  • Culture, health & sexuality
  • Oct 1, 2024
  • Mercedes Vila Ortiz + 9
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Perceived impact of abortion access on quality of cancer care and on future practice location decisions among oncology fellow physicians: An ASCO State of Cancer Care in America study.

43 Background: The Supreme Court decision in Dobbs v. Jackson Women’s Health Organization (2022) allows states to ban or limit abortion without health exceptions for pregnant persons. Notably, about 1 out of every 1000 pregnant persons has cancer and abortion is utilized in up to 28% of pregnant patients with cancer. To investigate the impact of this court decision on oncology practice, we studied perceptions among oncology fellows of the effect of abortion restrictions on quality care and whether they anticipate care implications to influence their decisions on future practice location. Methods: Fellows who took the 2024 ASCO Medical Oncology In-Training Exam (ITE) were invited to take an optional post-ITE survey assessing perceived (1) effect of abortion policies on ability to provide 9 key aspects of quality cancer care, including care access and delays, trust, and professional well-being and (2) impact of abortion restrictions on quality care in decisions of future practice location. Agreement (Agree, Strongly Agree) and impact on future practice location (Somewhat likely, Very likely) were compared by respondent gender and abortion policies (banned/under legal contention vs legal) in their own or neighboring state using chi-squared analysis. Results: Of 1884 US medical oncology fellows who took the ITE, 1254 (67%, inc. 49% male, 46% female) participated in this survey; 34% trained in states with bans, 44% in states adjacent to states with bans, and 22% in and adjacent to states where abortion is legal. Overall, 33% of fellows report that abortion restrictions affected their ability to deliver at least one aspect of quality care, including 22% reporting limited availability/delays of drugs and 28% reporting poorer job satisfaction. For all 9 aspect of quality care, agreement was strongly associated with local abortion status (p&lt;0.001). For example, 37% of fellows in abortion-restricted states report reduced patient trust and relationship quality vs. 20% among those in states adjacent to bans vs. 18% among those in and adjacent to legal states (p&lt;0.001). Over half (51%) of fellows report that they are likely to consider the impact of local abortion policies on quality care when deciding future practice location (28% were neutral, 21% unlikely to consider). More fellows training in states where abortion is legal report being likely to consider the impact of local abortion policies on care in future practice location decisions (55%) than those training in abortion-restricted states (45%) (p&lt;0.001). More women (58%) than men (45%) report being likely to consider the impact of local abortion policies on quality care in future practice location (p&lt;0.001). Conclusions: Findings provide early insights into the impact of abortion restrictions both on key aspects of quality care as well as the geographic distribution of future oncologists.

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  • JCO Oncology Practice
  • Oct 1, 2024
  • M Kelsey Kirkwood + 9
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"Trust Women": Characteristics of and learnings from patients of a Shield Law medication abortion practice in the United States.

The 2022 Massachusetts Shield Law protects telemedicine providers who care for abortion seekers in other states from criminal, civil, and licensure penalties. In this article we explore the characteristics of patients of The Massachusetts Medication Abortion Access Project (The MAP). The MAP is an asynchronous telemedicine service that offers mifepristone/misoprostol to abortion seekers in all 50 states who are at or under 11 weeks pregnancy gestation on initial intake. The MAP charges USD250 using a pay-what-you-can model. We analyzed medical questionnaires and payments submitted by patients who received care from The MAP during its first 6 months of operations using descriptive statistics and for content and themes. From October 1, 2023-March 31, 2024, 1994 patients accessed care through The MAP. Almost all (n = 1973, 99%) identified as women/girls and about half (n = 984, 49%) were aged 20-29. The MAP cared for patients in 45 states; 84% (n = 1672) of these patients received pills in abortion ban or restricted southern states. Patients paid USD134.50 on average; 29% (n = 577) paid USD25 or less. Nearly two-thirds (n = 1293, 65%) received subsidized care; financial hardship featured prominently in patient comments. Considerable demand exists for medication abortion care from Shield Law providers. The MAP demonstrates that providers can trust women and other pregnancy capable people to decide for themselves whether to obtain medication abortion pills by mail and to pay what they can afford without being required to justify their need. Identifying ways to support Shield Law provision and further subsidize abortion care are needed.

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  • Perspectives on sexual and reproductive health
  • Sep 30, 2024
  • Angel M Foster + 7
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