The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic.
Ontology highlight
ABSTRACT: 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.
SUBMITTER: Janiak E
PROVIDER: S-EPMC9010011 | biostudies-literature | 2022 Sep
REPOSITORIES: biostudies-literature
Publications
The association of U.S. state-level abortion restrictions with medication abortion service delivery innovations during the early COVID-19 pandemic.
Janiak Elizabeth E Belizaire Carmela C Liu Jessie J Fulcher Isabel R IR
Contraception 20220414
<h4>Objectives</h4>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.<h4>Methods</h4>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 s ...[more]
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