Knowledge, opinion and experience related to abortion self-induction in Texas

Grossman, Daniel; Hendrick, E.; Fuentes, Liza; White, Kari; Hopkins, Kristine; Stevenson, A.; López, Carmina; Yeatman, Sara; Potter, JoNell

doi:10.1016/j.contraception.2015.06.036

Cited by 42 publications

(43 citation statements)

References 0 publications

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“…Women who experienced barriers accessing RH services were particularly interested in and supportive of alternative models of MA provision. These findings are consistent with evidence from Europe and the United States showing that some women access abortion outside the formal health care system due to barriers accessing care [17,23,33]. In a survey in Texas, women reporting barriers to RH care were significantly more likely to know someone who had self-managed an abortion, as were Latinas living near the Mexican border [20].…”

Section: Discussionsupporting

confidence: 85%

Support for and interest in alternative models of medication abortion provision among a national probability sample of U.S. women

et al. 2019

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The objective was to assess women's personal interest in and support for three alternative models of medication abortion (MA) provision. Study design: Using an online survey of a U.S. national, probability-based representative sample of women ages 18-49, we gauged personal interest in and general support for three alternative models for accessing abortion pills: (1) in advance from a doctor for future use, (2) over-the-counter (OTC) from a drugstore and (3) online without a prescription. We conducted multivariable analyses to identify characteristics associated with support for these provision models. Results: Fifty percent (n=7022) of eligible women invited completed the survey. Nearly half (49%) supported and 30% were personally interested in one or more of the three access models; 44% supported advance provision, 37% supported OTC access, and 29% supported online access. Common advantages reported for advance provision, OTC and online access included privacy (49%, 29% and 46%, respectively), convenience (38%, 44% and 38%) and being able to end the pregnancy earlier (48%, 40% and 29%). Common disadvantages included concern that women might take the pills incorrectly (55%, 53% and 57%), not seeing a clinician before the abortion (52%, 54% and 53%) and safety (42%, 43% and 60%). History of abortion and experiencing barriers accessing reproductive health services were associated with greater support for the alternative models. Conclusion: Women are interested in and support alternative models of MA provision, in particular, advance provision. However, they also reported concerns about incorrect pill use and not seeing a clinician beforehand. Implications: Offering women more choices in how they access medication abortion, including options where they can safely self-manage their own care, has the potential to expand access to care.

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Section: Discussionsupporting

confidence: 85%

Support for and interest in alternative models of medication abortion provision among a national probability sample of U.S. women

et al. 2019

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“…; Coutts and Jann ; Yeatman and Trinitapoli ; Grossman et al. ). Additionally, researchers in India have used a mixed‐methods narrative approach to improve reporting with significant success (Edmeades et al.…”

mentioning

confidence: 99%

Can a List Experiment Improve Validity of Abortion Measurement?

Bell

Bishai

2019

Studies in Family Planning

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Although induced abortion is common, measurement issues have long made this area of research challenging. The current analysis applies an indirect method known as the list experiment to try to improve survey‐based measurement of induced abortion. We added a double list experiment to a population‐based survey of reproductive age women in Rajasthan, India and compared resulting abortion estimates to those we obtained via direct questioning in the same sample. We then evaluated list experiment assumptions. The final sample completing the survey consisted of 6,035 women. Overall, 1.8 percent of the women reported a past abortion via the list experiment questions, whereas 3.5 percent reported an abortion via the direct questions, and this difference was statistically significant. As such, the list experiment failed to produce more valid estimates of this sensitive behavior on a population‐based survey of reproductive age women in Rajasthan, India. One explanation for the poor list experiment performance is our finding that key assumptions of the methodology were violated. Women may have mentally enumerated the treatment list items differently from the way they enumerated control list items. Further research is required to determine whether researchers can learn enough about how the list experiment performs in different contexts to effectively and consistently leverage its potential benefits to improve measurement of induced abortion.

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“…The second technique, the anonymous third‐party reporting method (also known as the confidant's method or the best‐friend report), asks respondents about other people's behavior. It has been used to study abortion rates in non‐Western settings and self‐induced abortion in Texas . In its simplest form, it asks women about their best friend's behavior.…”

Section: Indirect Questioning Techniquesmentioning

confidence: 99%

“…It has been used to study abortion rates in non-Western settings 21,22 and self-induced abortion in Texas. 23 In its simplest form, it asks women about their best friend' s behavior. A limitation is that women may keep their abortion secret even from their best friend.…”

Section: Current Measuresmentioning

confidence: 99%