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Demand for Self-Managed Medication Abortion Through an Online Telemedicine Service in the United States

Abigail R. A. Aiken MD, PhD, MPH, Jennifer E. Starling MS, Alexandra van der Wal MS, Sascha van der Vliet MS, Kathleen Broussard MA, Dana M. Johnson MPAff, Elisa Padron BA, Rebecca Gomperts MD, MPP, PhD, and James G. Scott PhD

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Correspondence should be sent to Abigail R. A. Aiken, LBJ School of Public Affairs, University of Texas at Austin, Austin, TX 78712 (e-mail: ). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints” link.

CONTRIBUTORS

A. R. A. Aiken originated the research question, devised the study, and wrote the first draft of the article. A. R. A. Aiken, K. Broussard, D. M. Johnson, and E. Padron interpreted the findings. J. E. Starling and J. G. Scott performed the data analysis. A. van der Wal and S. van der Vliet prepared the data for analysis. R. Gomperts provided the de-identified data. All authors discussed article findings and revised subsequent drafts of the article for accuracy and intellectual content.

Peer Reviewed

https://doi.org/10.2105/AJPH.2019.305369
Accepted: August 24, 2019
Published Online: December 04, 2019

REFERENCES

References

1. Jones RK, Jerman J. Abortion incidence and service availability in the United States, 2014. Perspect Sex Reprod Health. 2017;49(1):17–27. Crossref, Medline, Google Scholar
2. Foster DG. Dramatic decreases in US abortion rates: public health achievement or failure? Am J Public Health. 2017;107(12):1860–1862. Link, Google Scholar
3. Nash E, Benson-Gold R, Ansari-Thomas Z, Cappello O, Mohammed L. Laws affecting reproductive health and rights: state trends at midyear, 2016. 2016. Available at: https://www.guttmacher.org/article/2016/07/laws-affecting-reproductive-health-and-rights-state-trends-midyear-2016. Accessed December 14, 2018. Google Scholar
4. Aiken AR, Broussard K, Johnson DM, Padron E. Motivations and experiences of people seeking medication abortion online in the United States. Perspect Sex Reprod Health. 2018;50(4):157–163. Crossref, Medline, Google Scholar
5. Grossman D, Ralph L, Raifman S, et al. Lifetime prevalence of self-induced abortion among a nationally representative sample of US women. Contraception. 2018;97(5):460. Crossref, Google Scholar
6. Jerman J, Jones RK, Onda T. Characteristics of US abortion patients in 2014 and changes since 2008. 2016. Available at: https://www.guttmacher.org/sites/default/files/report_pdf/characteristics-us-abortion-patients-2014.pdf. Accessed June 18, 2019. Google Scholar
7. Rosing MA, Archbald CD. The knowledge, acceptability, and use of misoprostol for self-induced medical abortion in an urban US population. J Am Med Womens Assoc. 2000;55(3 suppl):183–185. Google Scholar
8. Texas Policy Evaluation Project. Study finds at least 100,000 Texas women have attempted to self-induce abortion. 2015. Available at: https://liberalarts.utexas.edu/txpep/releases/self-induction-release.php. Accessed June 19, 2019. Google Scholar
9. Texas Policy Evaluation Project. Texas women’s experiences attempting self-induced abortion in the face of dwindling options. 2015. Available at: https://liberalarts.utexas.edu/txpep/_files/pdf/TxPEP-Research-Brief-WomensExperiences.pdf. Accessed June 19, 2019. Google Scholar
10. Jerman J, Onda T, Jones RK. What are people looking for when they google “self-abortion”? Contraception. 2018;97(6):510–514. Crossref, Medline, Google Scholar
11. Murtagh C, Wells E, Raymond EG, Coeytaux F, Winikoff B. Exploring the feasibility of obtaining mifepristone and misoprostol from the Internet. Contraception. 2018;97(4):287–291. Crossref, Medline, Google Scholar
12. Gomperts RJ, Jelinska K, Davies S, Gemzell‐Danielsson K, Kleiverda G. Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services. BJOG. 2008;115(9):1171–1175; discussion 1175–1178. Crossref, Medline, Google Scholar
13. Wainwright M, Colvin CJ, Swartz A, Leon N. Self-management of medical abortion: a qualitative evidence synthesis. Reprod Health Matters. 2016;24(47):155–167. Crossref, Medline, Google Scholar
14. Aiken ARA, Johnson DM, Broussard K, Padron E. Experiences of women in Ireland who accessed abortion by travelling abroad or by using abortion medication at home: a qualitative study. BMJ Sex Reprod Health. 2018;44(3):181–186. Crossref, Google Scholar
15. Aiken ARA, Padron E, Broussard K, Johnson D. The impact of Northern Ireland’s abortion laws on women’s abortion decision-making and experiences. BMJ Sex Reprod Health. 2018; Epub ahead of print. Google Scholar
16. Les K, Gomperts R, Gemzell-Danielsson K. Experiences of women living in Hungary seeking a medical abortion online. Eur J Contracept Reprod Health Care. 2017;22(5):360–362. Crossref, Medline, Google Scholar
17. Aiken AR, Digol I, Trussell J, Gomperts R. Self reported outcomes and adverse events after medical abortion through online telemedicine: population based study in the Republic of Ireland and Northern Ireland. BMJ. 2017;357:j2011. Crossref, Medline, Google Scholar
18. Grossman D, Holt K, Peña M, et al. Self-induction of abortion among women in the United States. Reprod Health Matters. 2010;18(36):136–146. Crossref, Medline, Google Scholar
19. Nash E, Benson-Gold R, Mohammed L, et al. Policy trends in the States, 2017. 2018. Available at: https://www.guttmacher.org/article/2018/01/policy-trends-states-2017#_ftnref1. Accessed December 14, 2018. Google Scholar
20. Ojanen-Goldsmith AR, Dutton-Kenny M. Beyond the clinic: characteristics and experiences of community-based abortion providers, facilitators and counselors outside the formal health care system in North America. Contraception. 2017;96(4):275. Crossref, Google Scholar
21. Jones RK, Jerman J. Time to appointment and delays in accessing care among US abortion patients. 2016. Available at: http://repositorio.gire.org.mx/bitstream/123456789/2088/1/delays-in-accessing-care.pdf. Accessed December 14, 2018. Google Scholar
22. Gerdts C, Fuentes L, Grossman D, et al. Impact of clinic closures on women obtaining abortion services after implementation of a restrictive law in Texas. Am J Public Health. 2016;106(5):857–864. Link, Google Scholar
23. Karasek D, Roberts SC, Weitz TA. Abortion patients’ experience and perceptions of waiting periods: survey evidence before Arizona’s two-visit 24-hour mandatory waiting period law. Womens Health Issues. 2016;26(1):60–66. Crossref, Medline, Google Scholar
24. White K, Turan JM, Grossman D. Travel for abortion services in Alabama and delays obtaining care. Womens Health Issues. 2017;27(5):523–529. Crossref, Medline, Google Scholar
25. Aiken ARA. Erosion of women’s reproductive rights in the United States. BMJ. 2019;366:l4444. Crossref, Medline, Google Scholar
26. Cates W. The Hyde amendment in action: how did the restriction of federal funds for abortion affect low-income women? JAMA. 1981;246(10):1109–1112. Crossref, Medline, Google Scholar
27. Aiken AR, Guthrie KA, Schellekens M, et al. Barriers to accessing abortion services and perspectives on using mifepristone and misoprostol at home in Great Britain. Contraception. 2018;97(2):177–183. Crossref, Medline, Google Scholar
28. Doran F, Nancarrow S. Barriers and facilitators of access to first-trimester abortion services for women in the developed world: a systematic review. J Fam Plann Reprod Health Care. 2015;41(3):170–180. Crossref, Medline, Google Scholar
29. Grossman DA, Grindlay K, Buchacker T, Potter JE, Schmertmann CP. Changes in service delivery patterns after introduction of telemedicine provision of medical abortion in Iowa. Am J Public Health. 2013;103(1):73–78. Link, Google Scholar
30. Kapp N, Grossman D, Jackson E, Castleman L, Brahmi D. A research agenda for moving early medical pregnancy termination over the counter. BJOG. 2017;124(11):1646–1652. Crossref, Medline, Google Scholar
31. Diaz-Tello F, Mikesell M, Adams JE. Roe’s unfinished promise: decriminalizing abortion once and for all. 2017. Available at: https://ssrn.com/abstract=3082643. Accessed December 14, 2018. Google Scholar
32. Ravitz J. Abortion pills now available by mail in US—but FDA may be investigating. 2018. Available at: https://www.cnn.com/2018/10/23/health/abortion-pills-by-mail-us-fda/index.html. Accessed December 14, 2018. Google Scholar
33. American College of Obstetricians and Gynecologists. Position statement on the decriminalization of self-induced abortion. 2017. Available at: https://www.acog.org/Clinical-Guidance-and-Publications/Position-Statements/Decriminalization-of-Self-Induced-Abortion. Accessed December 14, 2018. Google Scholar
34. Tasset J, Harris LH. Harm reduction for abortion in the United States. Obstet Gynecol. 2018;131(4):621–624. Crossref, Medline, Google Scholar

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Abigail R. A. Aiken, MD, PhD, MPH, Jennifer E. Starling, MS, Alexandra van der Wal, MS, Sascha van der Vliet, MS, Kathleen Broussard, MA, Dana M. Johnson, MPAff, Elisa Padron, BA, Rebecca Gomperts, MD, MPP, PhD, and James G. Scott, PhDAbigail R. A. Aiken and Dana M. Johnson are with the LBJ School of Public Affairs, University of Texas, Austin. Jennifer E. Starling and James G. Scott are with the Department of Statistics and Data Sciences, University of Texas, Austin. Alexandra van der Wal and Sascha van der Vliet are with the Faculty of Science, VU University, Amsterdam. Kathleen Broussard is with the Department of Sociology, University of Texas, Austin. Elisa Padron is with the College of Natural Sciences, University of Texas, Austin. Rebecca Gomperts is with the Women on Web International Foundation, Amsterdam. “Demand for Self-Managed Medication Abortion Through an Online Telemedicine Service in the United States”, American Journal of Public Health 110, no. 1 (January 1, 2020): pp. 90-97.

https://doi.org/10.2105/AJPH.2019.305369

PMID: 31622157

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