Abortion Knowledge and Experiences Among U.S. Servicewomen: A Qualitative Study

Grindlay, Kate; Seymour, J; Fix, Laura; Reiger, Sarah T.; Keefe-Oates, Brianna; Grossman, Daniel

doi:10.1363/psrh.12044

Cited by 14 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In some circumstances, bene ciaries were eligible for reimbursement for travel for the procedures due to the care not being available in network. (20)(21)(22) Our ndings show that in our two comparator states (Texas and Virginia), the immediate implementation of abortion access restrictions was associated with higher rates of vasectomy utilization post Dobbs decision. This nding has been replicated in at least one other study; however no direct analysis on the effect of restrictions by differing gestational age, or other factors on the rate of vasectomy post Dobbs has been published to date.…”

Section: Discussionmentioning

confidence: 65%

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

Pierson,

Banaag,

Janvrin

et al. 2024

Preprint

View full text Add to dashboard Cite

Dobbs v. Jackson Women’s Health Organization has already had profound impact on reproductive health care in the United States. Some studies have reported increased incidence of vasectomy after the Dobbs decision. The Military Health System (MHS) provides a unique opportunity to evaluate this relationship in a universally insured, geographically representative population. We conducted a retrospective cross-sectional study of vasectomies among all male beneficiaries in the MHS, ages 18 to 64, from 2018 to 2022. Analyses included descriptive statistics on patient demographics, rate change, time analysis, logistic regressions for the odds of a vasectomy after the Dobbs decision, and state-level analysis. Our analysis indicated a 19.7% increase in vasectomy utilization in 2022 compared to the average from 2018–2021. Analysis by state showed that the relative increase in vasectomy after the Dobbs decision was greater in a state immediately implementing a restriction on abortion access (Texas, 29.3%) compared to a state with no such restriction (Virginia, 10.6%). Our findings highlight the impact of the Dobbs decision on reproductive health care utilization outside of abortion.

show abstract

Section: Discussionmentioning

confidence: 65%

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

Pierson,

Banaag,

Janvrin

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…89 Because of the societal stigma that surrounds abortion, women go to great lengths to maintain the privacy of their abortion in both legally restrictive and permissive settings. 19,90 Healthcare facilities should ensure their policies and staff maintain the privacy and con dentiality of all patients. Women undergoing abortion care have the right to be a rmed as moral decision-makers, determine their involvement in their care, and receive care that is provided discreetly and without judgment.…”

Section: Individual and Societal Factorsmentioning

confidence: 99%

“One’s life becomes even more miserable when we hear all those hurtful words.” A mixed methods systematic review of disrespect and abuse in abortion care.

Munnangi,

Shreedhar,

Lippus

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Disrespect and abuse during facility-based abortion and postabortion care (PAC) manifests in various forms, including disrespect, abuse (physical, verbal, and sexual), stigma, discrimination, failure to meet standards of care, neglect, breaches in privacy and confidentiality, misinformation or a lack of information, mistreatment or undignified care, and protests. The objective of this mixed methods systematic review was to describe the various forms of disrespect and abuse that women face during abortion or PAC. Methods We conducted a comprehensive literature search in Embase, Medline, and PubMed using Medical Subject Headings (MeSH) and text-based terms targeting disrespect and abuse in facility-based abortion care. The initial search was conducted in 2019, followed by an updated search in 2023. Thirty-eight articles conducted in 20 countries met inclusion criteria and were included in this review. Results The most frequently observed form of disrespect and abuse, identified in 31 studies, was the failure to meet care standards in providing quality abortion care or PAC, particularly in terms of offering adequate and accurate information to women before, during and after the procedures. Additionally, stigma was reported in 20 studies, disrespect in 19 studies, discrimination in 10 studies, and both verbal and physical abuse, as well as humiliation and condescension, each in 8 studies. The presence of abortion protestors was also noted in 8 studies. Conclusions Our results indicate the need for multi-level strategies to transform healthcare providers' perceptions and attitudes towards women seeking abortion care, and other actions at the individual, institutional, and policy levels to provide quality, respectful abortion care. We found that providers sometimes highlighted caste or other markers of vulnerability as part of disrespectful care. The systematic measurement of disrespect and abuse in abortion care and PAC could help understand the distribution of experiences across different groups.

show abstract

“…1 3 Because pregnant servicemembers cannot remain in certain military positions or roles, they lose work time during and after pregnancy, and must also be evacuated if deployed and returned to their home station. 14 Prior research has found concerns among servicemembers that pregnancy and associated stigmas, lost work time, and deployment disruptions could harm their careers, [15][16][17][18] despite official guidance that pregnancy will not be the basis for downgrading marks or adverse career impacts. 12 For servicemembers seeking to terminate a pregnancy, federal law only allows abortion provision and TRICARE insurance coverage in cases of rape, incest, and life endangerment of the pregnant person.…”

Section: Introductionmentioning

confidence: 99%

“…Research has found numerous barriers to servicemembers seeking abortion care on their own, including legal, logistical, and financial barriers, concerns about confidentiality, and fear of negative career impacts. [15][16][17] In the civilian population, the percentage of unintended pregnancies that resulted in abortion was 42% in 2011. 11 There are no published data on the prevalence of abortion among US servicemembers with unintended pregnancies.…”

Section: Introductionmentioning

confidence: 99%

Unintended Pregnancy and Abortion in the US Navy, 2016

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background The unintended pregnancy rate in the US military is higher than among civilians. While 42% of unintended pregnancies end in abortion among civilian women, there are no data on the prevalence of abortion in the military overall or by service branch. Objective This analysis was conducted to estimate unintended pregnancy rates and the percentage of unintended pregnancies that resulted in abortion among active-duty US Navy members aged 44 years or younger reporting female gender in 2016. Design Cross-sectional survey data from the 2016 Navy Pregnancy and Parenthood Survey, collected from August to November 2016. Participants Our sample included 3,423 active-duty US Navy members aged 44 years or younger reporting female gender, generated from a stratified random sample of 38% of all active-duty Navy women in pay grades E2-E9 and O1-O5 in 2016; the survey had a 20% response rate for females. Main Measures We calculated pregnancy and unintended pregnancy rates, the percentage of pregnancies that were unintended, and the percentage of unintended pregnancies resulting in birth and abortion in the prior fiscal year. Key Results Overall, the self-reported unintended pregnancy rate was 52 per 1,000 participants and 38.1% of pregnancies were unintended. The adjusted unintended pregnancy rate accounting for abortion underreporting was 68 per 1,000 participants. Unintended pregnancy rates were highest among individuals who were younger (aged 18–24) and in enlisted pay grades, compared to their counterparts. Six percent reported their unintended pregnancy resulted in abortion. Six respondents reported becoming pregnant while deployed; none of these pregnancies resulted in abortion. Conclusions In this first study to report on abortion prevalence among US servicemembers, we found the proportion of unintended pregnancies resulting in abortion among a sample of US Navy members in 2016 was much lower than civilians, yet unintended pregnancy rates were higher.

show abstract

Abortion Knowledge and Experiences Among U.S. Servicewomen: A Qualitative Study

Abstract: Policy recommendations to better meet the needs of servicewomen include wider dissemination of the military's abortion policy, establishing abortion referral and support guidelines, and improving confidentiality in military health services.

Cited by 14 publications

References 13 publications

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

Vasectomy incidence in the Military Health System after the reversal of Roe v. Wade

“One’s life becomes even more miserable when we hear all those hurtful words.” A mixed methods systematic review of disrespect and abuse in abortion care.

Unintended Pregnancy and Abortion in the US Navy, 2016

Contact Info

Product

Resources

About