Characteristics of foreign-born abortion patients in the United States, 2021-2022.

Objectives: This study aimed to examine the characteristics of foreign-born abortion patients compared to those born in the Unites States and to explore whether barriers for foreign-born patients varied by state Medicaid coverage of abortion care.

Study Design: We used data from the Guttmacher Institute's 2021-2022 Abortion Patient Survey, a national sample of patients obtaining clinic-based abortion care in the United States. We compared sociodemographic characteristics of foreign- and US born respondents, as well as barriers to care.

Characteristics and Circumstances of Adolescents Obtaining Abortions in the United States.

The purpose of this study is to describe the sociodemographic and situational circumstances of adolescents obtaining abortion in the United States prior to the decision. We use data from the Guttmacher Institute's 2021-2022 Abortion Patient Survey, a cross-sectional survey of 6698 respondents; our analytic sample includes 633 adolescents (<20 years), 2152 young adults (20-24 years), and 3913 adults (25+ years). We conducted bivariate analyses to describe the characteristics and logistical and financial circumstances of adolescents obtaining abortions in comparison to respondents in the other age groups.

An estimate of lifetime incidence of abortion in the United States using the 2021-2022 Abortion Patient Survey.

Objectives: The Guttmacher Institute estimated that, in 2014, 24% of US women of reproductive age would have an abortion by age 45 if the 2014 abortion rate was maintained. This study updates the estimated lifetime incidence of abortion in the year(s) just prior to the Dobbs decision, which removed federal protections for abortion.

Study Design: We used data from the Guttmacher Institute's 2021-2022 Abortion Patient Survey and population data for 2020 and 2021 from the Census Bureau, as well as abortion counts from the Guttmacher Institute's 2020 Abortion Provider Census, to estimate abortion rates, first-abortion rates, and cumulative abortion rates, all by age group.

Medicaid's role in alleviating some of the financial burden of abortion: Findings from the 2021-2022 Abortion Patient Survey.

Background: Medicaid is the most common type of health insurance held by abortion patients, but the Hyde amendment prohibits the use of Medicaid to pay for this care. Seventeen states allow state Medicaid funds to cover abortion.

Methods: We used data from a national sample of 6698 people accessing abortions at 56 facilities across the United States between June 2021 and July 2022.

Characteristics of U.S. Abortion Patients Who Obtained Care Out of State Prior to the Overturning of Roe v. Wade.

Context: In light of the Dobbs v. Jackson Women's Health Organization decision overturning Roe v. Wade, the number of people who need to travel out of state for abortion is increasing as several states impose abortion bans.

Characteristics of people obtaining medication vs procedural abortions in clinical settings in the United States: Findings from the 2021-2022 Abortion Patient Survey.

Objectives: This study aimed to compare the characteristics of people obtaining medication and procedural abortions in clinical settings in the United States.

Study Design: We conducted a cross-sectional survey of people obtaining abortions at a sample of 56 US facilities between June 2021 and July 2022. We restricted analyses to patients with pregnancies less than 11 weeks' gestation presenting at 43 clinics offering both medication and procedural abortion.

Characteristics of abortion patients in protected and restricted states accessing clinic-based care 12 months prior to the elimination of the federal constitutional right to abortion in the United States.

Background: As a result of the June 2022 decision of the United States (US) Supreme Court, as many as 24 states have, or are expected to, ban or severely restrict abortion. We provide baseline information about abortion patients living in different state environments prior to this decision.

Methods: We obtained surveys from 6674 women, transgender men, and other pregnancy capable individuals accessing abortion care at 56 facilities across the US between June 2021 and July 2022.

Abortion incidence and service availability in the United States, 2020.

Background: This study provides a baseline assessment of abortion incidence and service delivery prior to Roe v. Wade being overturned.

Methods: We collected information from all facilities known to have provided abortion services in the United States in 2019 and 2020.

Telehealth for Contraceptive Care During the COVID-19 Pandemic: Results of a 2021 National Survey.

To investigate trends in the use and quality of telehealth for contraceptive care during the COVID-19 pandemic in the United States. The 2021 Guttmacher Survey of Reproductive Health Experiences is a national online survey of 6211 people assigned female at birth, aged 18 to 49 years, and that ever had penile‒vaginal sex. We used weighted bivariable and multivariable logistic regressions to analyze the use of telehealth for contraceptive care and the quality of this care.

Abortion Access for Incarcerated People: Incidence of Abortion and Policies at U.S. Prisons and Jails.

Objective: To understand abortion incidence among incarcerated people and the relation to prison and jail pregnancy policies.

Methods: We collected abortion numbers and policy data from convenience sample of 22 state prison systems, all Federal Bureau of Prisons sites, and six county jails that voluntarily reported monthly, aggregate pregnancy outcomes for 12 months in 2016-2017. Sites also completed a baseline survey of institution characteristics and pregnancy policies, including abortion.

Fertility intentions and recent births among US abortion patients.

Objective: To examine fertility intentions among abortion patients and the potential of abortion for avoiding short birth intervals.

Study Design: We used national data from a sample of more than 8000 individuals obtaining abortions in the United States in 2014. We created a measure of fertility intentions based on prior births and responses to an item asking about future childbearing expectations.

Sexual orientation-related differences in contraceptive use: A brief report based on a cohort of adolescent and young women.

Objectives: To examine contraceptive methods used by adolescent/young adult women of diverse sexual orientations.

Study Design: We collected data from 12,902 females, born 1982-1995, from the longitudinal Growing Up Today Study.

Results: Compared to heterosexuals, lesbians were half as likely to use contraceptives; other sexual minority subgroups (e.

Abortion service delivery in clinics by state policy climate in 2017.

Objective: The objective was to examine service delivery in clinics that provided abortions in 2017, including differences by abortion policy climate.

Study Design: Using data from the Guttmacher Institute's 2017 Abortion Provider Census, we examine amount charged for abortion care, pregnancy gestation at which abortions were offered, number of days per week that clinics provided abortions and types of nonabortion services offered. Our analysis focuses on the 808 clinic facilities that provided 95% of abortions that year.

Trends in medication abortion and the role of low-volume and nonmetropolitan mifepristone purchasers: 2008-2011 and 2014-2017.

Objective: The objective was to examine trends in the number of low-volume and nonmetropolitan mifepristone purchasers and their role in the expansion of medication abortion.

Methods: We use deidentified data from Danco Laboratories, the sole distributor of mifepristone during the study period, to examine trends in mifepristone distribution. We focus on customers who purchased < 100 doses a year and a subset of those who purchased < 10 doses for the periods of 2008-2011 and 2014-2017.

Change and stability in contraceptive use patterns among US women over a 12-month period: analysis using the 2013-2015 National Survey of Family Growth life history calendar.

Objective: To improve understanding of contraceptive use over 1 year among women in the United States.

Study Design: We used the 2013-2015 National Survey of Family Growth to examine monthly contraceptive use patterns over a 12-month period. We focused on use of contraception during months in which non-sterilized women were sexually active and not pregnant; our outcomes were contraceptive use in every month, some months, and no months.

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.

Pregnancy Prevalence and Outcomes in U.S. Jails.

Objective: To describe the number of admissions of pregnant people to U.S. jails and the outcomes of pregnancies that end in custody.

Sexual Orientation Differences in Pregnancy and Abortion Across the Lifecourse.

Objectives: We examined sexual orientation-related differences in various pregnancy outcomes (e.g., teen pregnancy, abortion) across the lifespan.

Characteristics of Immigrants Obtaining Abortions and Comparison with U.S.-Born Individuals.

Little information exists about individuals born outside of the United States who seek abortion services from U.S.-based providers.

Contraceptive use by women across different sexual orientation groups.

Objectives: To examine contraceptive methods used across sexual orientation groups.

Study Design: We collected data from 118,462 female participants in two longitudinal cohorts-the Nurses' Health Study (NHS) 2 (founded in 1989, participants born 1947-1964) and NHS3 (founded in 2010, born 1965-1995). We used log-binomial models to estimate contraceptive methods ever used across sexual orientation groups and cohorts, adjusting for age and race.

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.

Is pregnancy fatalism normal? An attitudinal assessment among women trying to get pregnant and those not using contraception.

Objectives: To assess factors associated with pregnancy fatalism among U.S. adult women.