"Adoption is just not for me": How abortion patients in Michigan and New Mexico factor adoption into their pregnancy outcome decisions.

Objectives: In public discourses in the United States, adoption is often suggested as a less objectionable, equal substitute for abortion, despite this pregnancy outcome occurring much less frequently than the outcomes of abortion and parenting. This qualitative study explores whether and how abortion patients weighed adoption as part of their pregnancy decisions and, for those who did, identifies factors that contributed to their ultimate decision against adoption.

Study Design: We interviewed 29 abortion patients from 6 facilities in Michigan and New Mexico in 2015.

Use of concurrent multiple methods of contraception in the United States, 2008 to 2015.

Objective: To identify prevalence of, characteristics associated with, and combinations of, use of more than one method of contraception at last intercourse among US women between 2008 and 2015.

Methods: We conducted bivariate and multivariable logistic regression analyses using data on concurrent contraceptive use from 2 nationally representative samples of women ages 15 to 44 who had used some form of contraception at last intercourse in the past 3 months in the 2006-2010 ( = 6601) and 2013-2017 ( = 5562) cycles of the National Survey of Family Growth.

Results: Use of more than one method of contraception at last sex increased from 14% in 2008 to 18% in 2015 (<0.

Transgender abortion patients and the provision of transgender-specific care at non-hospital facilities that provide abortions.

Objective: To estimate the number of transgender and gender non-binary (TGNB) individuals who obtained abortions in the United States and the extent to which abortion facilities offer transgender-specific health services.

Study Design: We collected survey data from all known health care facilities that provided abortions in 2017. For the first time, the questionnaire included items about TGNB abortion patients and services.

Challenges and strategies for contraceptive care in independent abortion clinics in the United States, 2017.

Objective: Many patients may wish to receive contraceptive counseling and services during an abortion visit, but a 2009 study documented challenges faced by abortion clinics, especially independent ones, in providing contraceptive care. Since then, the Affordable Care Act (ACA) has made contraception more accessible by expanding coverage to millions of individuals and by eliminating out of pocket costs. This paper aims to update this previous work and describe recent challenges in providing contraceptive care in independent abortion settings following the ACA, as well as the strategies used to address these challenges.

Distance Traveled to Obtain Clinical Abortion Care in the United States and Reasons for Clinic Choice.

Greater distance to abortion facilities is associated with greater out-of-pocket costs, emergency room follow-up care, negative mental health, and delayed care among U.S. abortion patients.

"It's not something you talk about really": information barriers encountered by women who travel long distances for abortion care.

Objective: For individuals traveling significant distances for time-sensitive abortion care, accurate information about service options and locations is critical, but little is known regarding information barriers that individuals may encounter and strategies for circumventing these barriers.

Study Design: In early 2015, we conducted in-depth interviews with 29 patients who had traveled for abortion care at six facilities in Michigan and New Mexico. We identified information-related barriers that respondents encountered in understanding their pregnancy options and/or where to obtain an abortion between the time of pregnancy discovery, including any contact with a crisis pregnancy center, to the day of the abortion procedure through inductive and deductive analysis.

Sexual Orientation and Exposure to Violence Among U.S. Patients Undergoing Abortion.

Objective: To assess the characteristics of patients undergoing abortion in the United States according to sexual orientation and exposure to sexual and physical violence.

Methods: Data for this observational study come from the Guttmacher Institute's 2014 Abortion Patient Survey, which obtained information from 8,380 individuals obtaining abortions at nonhospital facilities in the United States; 7,656 of those (91%) provided information on sexual orientation identity. We used simple logistic regression to assess differences between heterosexuals and three sexual minority groups-bisexual, lesbian, and something else-according to demographic characteristics and exposure to sexual and physical violence.

What are people looking for when they Google "self-abortion"?

Objective: To examine the motivations and circumstances of individuals seeking information about self-abortion on the Internet.

Study Design: We identified 26 terms that we anticipated someone might use to find information about self-abortion on the internet. Users who entered these terms into the Google search engine were provided with a link to our survey via Google AdWords.

Differences in Abortion Service Delivery in Hostile, Middle-ground, and Supportive States in 2014.

Objectives: In 2013, the majority of women lived in states considered hostile to abortion rights, or states with numerous abortion restrictions. By comparison, 31% lived in supportive states. This study examined differences in abortion service delivery according to the policy climate in which clinics must operate.

Population Group Abortion Rates and Lifetime Incidence of Abortion: United States, 2008-2014.

Objectives: To assess the prevalence of abortion among population groups and changes in rates between 2008 and 2014.

Methods: We used secondary data from the Abortion Patient Survey, the American Community Survey, and the National Survey of Family Growth to estimate abortion rates. We used information from the Abortion Patient Survey to estimate the lifetime incidence of abortion.

Contraceptive method use in the United States: trends and characteristics between 2008, 2012 and 2014.

Objective: The objective was to examine levels of, correlates of and changes in the use of individual and grouped methods of contraception among US females aged 15-44 from 2008 to 2014.

Study Design: Using three rounds of the National Survey of Family Growth, we analyzed samples of 12,279 (2008), 5601 (2012) and 5699 (2014) females. We conducted simple and multivariable logistic regression analyses to identify associations between demographic characteristics and contraceptive use, as well as between characteristics and changes in use patterns.

Which Abortion Patients Have Had a Prior Abortion? Findings from the 2014 U.S. Abortion Patient Survey.

Background: Updated information about abortion patients who have had a prior abortion could inform patient-centered practices that help women avoid unintended pregnancies in the future.

Materials And Methods: Data come from a national sample of 8,380 nonhospital U.S.

Barriers to Abortion Care and Their Consequences For Patients Traveling for Services: Qualitative Findings from Two States.

Context: Abortion availability and accessibility vary by state. Especially in areas where services are restricted or limited, some women travel to obtain abortion services in other states. Little is known about the experience of travel to obtain abortion.

Characteristics and Circumstances of U.S. Women Who Obtain Very Early and Second-Trimester Abortions.

Objective: To determine which characteristics and circumstances were associated with very early and second-trimester abortion.

Methods: Paper and pencil surveys were collected from a national sample of 8,380 non-hospital U.S.

Abortion Incidence and Service Availability In the United States, 2014.

Context: National and state-level information about abortion incidence can help inform policies and programs intended to reduce levels of unintended pregnancy.

Methods: In 2015-2016, all U.S.

Changes in Use of Long-Acting Reversible Contraceptive Methods Among U.S. Women, 2009-2012.

Objective: To examine current levels, current correlates of, and changes in long-acting reversible contraceptive (LARC) use, including intrauterine devices and implants, among females aged 15-44 years using contraception between 2008-2010 and 2011-2013 with specific attention to associations between race, income, and age and their LARC use.

Methods: We analyzed data from two rounds of the National Survey of Family Growth, nationally representative samples of females aged 15-44 years, consisting of 6,428 females in 2008-2010 and 5,601 females in 2011-2013. We conducted simple and multivariable logistic regression analyses with adjustments for the sampling design to identify demographic characteristics predictive of LARC use and changes in these patterns between the two time periods.

Changes in out-of-pocket costs for hormonal IUDs after implementation of the Affordable Care Act: an analysis of insurance benefit inquiries.

Background: The Affordable Care Act (ACA) requires that privately insured women can obtain contraceptive services and supplies without cost sharing. This may substantially affect women who prefer an intrauterine device (IUD), a long-acting reversible contraceptive, because of high upfront costs that they would otherwise face. However, imperfect enforcement of and exceptions to this provision could limit its effect.

Benefits of meeting the contraceptive needs of Cameroonian women.

(1) In 2013, an estimated 40% of pregnancies in Cameroon were unintended. (2) More than six in 10 women who want to avoid pregnancy either do not practice contraception or use a relatively ineffective traditional method. These women can be said to have an unmet need for modern contraception.

Secondary measures of access to abortion services in the United States, 2011 and 2012: gestational age limits, cost, and harassment.

Background: Aspects of U.S. clinical abortion service provision such as gestational age limits, charges for abortion services, and anti-abortion harassment can impact the accessibility of abortion; this study documents changes in these measures between 2008 and 2012.

Abortion incidence and service availability in the United States, 2011.

Context: Following a long-term decline, abortion incidence stabilized between 2005 and 2008. Given the proliferation of state-level abortion restrictions, it is critical to assess abortion incidence and access to services since that time.

Methods: In 2012-2013, all facilities known or expected to have provided abortion services in 2010 and 2011 were surveyed.

How far did US women travel for abortion services in 2008?

Background: Some women must travel substantial distances in order to access abortion services, and this can present a barrier to care. This study assesses how far abortion patients traveled to a provider in 2008 and which groups were more likely to travel farther.

Methods: We used data from a national sample of 8,338 abortion patients to estimate how far women traveled to get to the facility where they obtained their abortion.

Meeting the contraceptive needs of teens and young adults: youth-friendly and long-acting reversible contraceptive services in U.S. family planning facilities.

Purpose: Increased use of contraceptive services, including long-acting reversible contraceptives (LARCs), among sexually active teens and young adults could significantly reduce unintended pregnancy. Objectives were to describe youth-friendly contraceptive services (including LARC) available to teens and young adults at U.S.

Long-acting reversible contraception for adolescents and young adults: patient and provider perspectives.

Study Objective: To describe and explore provider- and patient-level perspectives regarding long-acting reversible contraception (LARC) for teens and young adults (ages 16-24).

Methods: Data collection occurred between June and December 2011. We first conducted telephone interviews with administrative directors at 20 publicly funded facilities that provide family planning services.

Changes in use of long-acting contraceptive methods in the United States, 2007-2009.

Objective: To examine trends in the use of long-acting reversible contraceptive (LARC) methods-the intrauterine device (IUD) and implant--and the extent to which these methods have replaced permanent sterilization and less effective short-acting methods.

Design: We tabulated data from female survey respondents overall and by demographic subgroups. We performed t-tests of the differences in the proportions of female contraceptors using LARC in 2007 and 2009.

Characteristics of women in the United States who use long-acting reversible contraceptive methods.

Objective: To examine characteristics of U.S. women that are associated with use of long-acting reversible contraception and changes in these characteristics between 2002 and 2006-2008.