Demand for Self-Managed Medication Abortion Through an Online Telemedicine Service in the United States
Autor: | Kathleen Broussard, James G. Scott, Sascha van der Vliet, Jennifer E. Starling, Rebecca Gomperts, Elisa Padron, Alexandra van der Wal, Abigail R.A. Aiken, Dana M. Johnson |
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Rok vydání: | 2020 |
Předmět: |
Adult
Telemedicine Gestational Age Abortion Health Services Accessibility Young Adult Pregnancy medicine Humans Service (business) Health Services Needs and Demand Internet Motivation Abortifacient Agents Self-Management Public Health Environmental and Occupational Health Abortion Induced Middle Aged medicine.disease United States Socioeconomic Factors Privacy Female Business Medical emergency Confidentiality |
Zdroj: | American Journal of Public Health. 110:90-97 |
ISSN: | 1541-0048 0090-0036 |
Popis: | Objectives. To examine demand for abortion medications through an online telemedicine service in the United States. Methods. We examined requests from US residents to the online telemedicine abortion service Women on Web (WoW) between October 15, 2017, and August 15, 2018. We calculated the population-adjusted rate of requests by state and examined the demographics, clinical characteristics, and motivations of those seeking services, comparing those in states with hostile versus supportive abortion policy climates. Results. Over 10 months, WoW received 6022 requests from US residents; 76% from hostile states. Mississippi had the highest rate of requests (24.9 per 100 000 women of reproductive age). In both hostile and supportive states, a majority (60%) reported a combination of barriers to clinic access and preferences for self-management. Cost was the most common barrier (71% in hostile states; 63% in supportive states; P Conclusions. Demand for self-managed medication abortion through online telemedicine is prevalent in the United States. There is a public health justification to make these abortions as safe, effective, and supported as possible. |
Databáze: | OpenAIRE |
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