Abortion attempts without clinical supervision among transgender, nonbinary and gender-expansive people in the United States
| Autor: | Laura Ellwein Fix, Caitlin Gerdts, Annesa Flentje, Micah E. Lubensky, Eli Goldberg, Mitchell R. Lunn, Juno Obedin-Maliver, Sachiko Ragosta, Ari Stoeffler, Matthew R. Capriotti, Jen Hastings, Heidi Moseson |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pride
medicine.medical_specialty media_common.quotation_subject criminal reproductive rights Abortion Transgender Persons induced 03 medical and health sciences 0302 clinical medicine Pregnancy Transgender Reproductive rights Medicine Humans reproductive and urinary physiology media_common Reproductive health Original Research family planning services 030219 obstetrics & reproductive medicine 030505 public health business.industry Infant Newborn Obstetrics and Gynecology Clinical supervision Abortion Induced medicine.disease abortion United States Abortion Spontaneous Reproductive Health Reproductive Medicine Family medicine Preceptorship Female 0305 other medical science business abortifacient agents Autonomy |
| Zdroj: | BMJ Sexual & Reproductive Health |
| ISSN: | 2515-2009 2515-1991 |
| Popis: | BackgroundTransgender, nonbinary and gender-expansive (TGE) people face barriers to abortion care and may consider abortion without clinical supervision.MethodsIn 2019, we recruited participants for an online survey about sexual and reproductive health. Eligible participants were TGE people assigned female or intersex at birth, 18 years and older, from across the United States, and recruited through The PRIDE Study or via online and in-person postings.ResultsOf 1694 TGE participants, 76 people (36% of those ever pregnant) reported considering trying to end a pregnancy on their own without clinical supervision, and a subset of these (n=40; 19% of those ever pregnant) reported attempting to do so. Methods fell into four broad categories: herbs (n=15, 38%), physical trauma (n=10, 25%), vitamin C (n=8, 20%) and substance use (n=7, 18%). Reasons given for abortion without clinical supervision ranged from perceived efficiency and desire for privacy, to structural issues including a lack of health insurance coverage, legal restrictions, denials of or mistreatment within clinical care, and cost.ConclusionsThese data highlight a high proportion of sampled TGE people who have attempted abortion without clinical supervision. This could reflect formidable barriers to facility-based abortion care as well as a strong desire for privacy and autonomy in the abortion process. Efforts are needed to connect TGE people with information on safe and effective methods of self-managed abortion and to dismantle barriers to clinical abortion care so that TGE people may freely choose a safe, effective abortion in either setting. |
| Databáze: | OpenAIRE |
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