The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic

OBJECTIVES: To assess whether state-level abortion restrictions resulted in differential uptake of innovative medication abortion practices such as changing ultrasound requirements, offering telehealth, or dispensing medications without a physical exam during the early COVID-19 pandemic. METHODS: We...

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Detalles Bibliográficos
Autores principales: Janiak, Elizabeth, Belizaire, Carmela, Liu, Jessie, Fulcher, Isabel R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
Brief Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010011/
https://www.ncbi.nlm.nih.gov/pubmed/35430237
http://dx.doi.org/10.1016/j.contraception.2022.04.003
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author Janiak, Elizabeth
Belizaire, Carmela
Liu, Jessie
Fulcher, Isabel R.
author_facet Janiak, Elizabeth
Belizaire, Carmela
Liu, Jessie
Fulcher, Isabel R.
author_sort Janiak, Elizabeth
collection PubMed
description OBJECTIVES: To assess whether state-level abortion restrictions resulted in differential uptake of innovative medication abortion practices such as changing ultrasound requirements, offering telehealth, or dispensing medications without a physical exam during the early COVID-19 pandemic. METHODS: We used data from a prospective national survey of abortion providers to assess the association between a novel index of state-level abortion hostility and adoption of medication abortion services innovations during the pandemic. RESULTS: Clinics in states with low or medium hostility were more likely to adopt innovative practices than those in high or extreme hostility states. CONCLUSIONS: Clinics in abortion hostile states were less likely to adopt clinical recommendations and public health best practices for abortion care during the COVID-19 pandemic.
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spelling pubmed-90100112022-04-15 The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic Janiak, Elizabeth Belizaire, Carmela Liu, Jessie Fulcher, Isabel R. Contraception Brief Research Article OBJECTIVES: To assess whether state-level abortion restrictions resulted in differential uptake of innovative medication abortion practices such as changing ultrasound requirements, offering telehealth, or dispensing medications without a physical exam during the early COVID-19 pandemic. METHODS: We used data from a prospective national survey of abortion providers to assess the association between a novel index of state-level abortion hostility and adoption of medication abortion services innovations during the pandemic. RESULTS: Clinics in states with low or medium hostility were more likely to adopt innovative practices than those in high or extreme hostility states. CONCLUSIONS: Clinics in abortion hostile states were less likely to adopt clinical recommendations and public health best practices for abortion care during the COVID-19 pandemic. Elsevier Inc. 2022-09 2022-04-14 /pmc/articles/PMC9010011/ /pubmed/35430237 http://dx.doi.org/10.1016/j.contraception.2022.04.003 Text en © 2022 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Brief Research Article
Janiak, Elizabeth
Belizaire, Carmela
Liu, Jessie
Fulcher, Isabel R.
The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic
title The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic
title_full The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic
title_fullStr The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic
title_full_unstemmed The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic
title_short The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic
title_sort association of u.s. state-level abortion restrictions with medication abortion service delivery innovations during the early covid-19 pandemic
topic Brief Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010011/
https://www.ncbi.nlm.nih.gov/pubmed/35430237
http://dx.doi.org/10.1016/j.contraception.2022.04.003
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