Amanda E. Bryson MD, MPH , Elizabeth R. Boskey PhD, MPH, MSSW , Laura K. Grubb MD, MPH, FAAP , Jessica Y. Shim MD , Kathryn E. Fay MD, MSCI
{"title":"多布斯决定后，影响北美儿童和青少年妇科协会会员为青少年提供药物流产意愿的因素。","authors":"Amanda E. Bryson MD, MPH , Elizabeth R. Boskey PhD, MPH, MSSW , Laura K. Grubb MD, MPH, FAAP , Jessica Y. Shim MD , Kathryn E. Fay MD, MSCI","doi":"10.1016/j.jpag.2024.07.013","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><div>To assess willingness to provide medication abortion among North American Society for Pediatric and Adolescent Gynecology (NASPAG) clinicians caring for adolescents and young adults (AYA) following <em>Dobbs v. Jackson Women's Health Organization</em>.</div></div><div><h3>Design</h3><div>Cross-sectional online survey.</div></div><div><h3>Methods</h3><div>Potential participants received an e-mail invitation via the NASPAG listserv. A 43-item questionnaire queried demographics, practice setting, abortion training and practice, willingness to provide medication abortion, potential or real barriers to providing medication abortion, and sentiments of abortion. Descriptive statistics, <em>χ</em><sup>2</sup>, and Fisher's exact tests were used.</div></div><div><h3>Results</h3><div>Of the 70 participants, 51% were willing to provide a medication abortion for an adolescent who requested it in their clinical practice. The most common barriers to providing medication abortion were legislative restrictions (47%) and dispensing pills from clinic (33%). Participants’ willingness to provide a medication abortion differed by type of practice (<em>P</em> = .001), availability of mifepristone (<em>P</em> = .006), perception of state's abortion policy (<em>P</em> = .001), concern about legislative restrictions (<em>P</em> = .008), experience providing abortion (<em>P</em> = .04), and receipt of medication abortion training (<em>P</em> = .02). Willingness to provide medication abortion also differed based on various sentiments of abortion measured but not on opinion regarding legality of abortion for adolescents (<em>P</em> = .49).</div></div><div><h3>Conclusions</h3><div>Perception of state's abortion rights and concern about legislative restrictions influenced NASPAG clinicians’ willingness to provide medication abortion for adolescents. Interventions to minimize legislative interference with medical care, increase abortion training, and implement medication abortion in pediatric settings may expand AYA medication abortion access.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 586-594"},"PeriodicalIF":1.7000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors Affecting Willingness to Provide Medication Abortion Among North American Society for Pediatric and Adolescent Gynecology Members Caring for Adolescents and Young Adults Following the Dobbs Decision\",\"authors\":\"Amanda E. Bryson MD, MPH , Elizabeth R. Boskey PhD, MPH, MSSW , Laura K. Grubb MD, MPH, FAAP , Jessica Y. Shim MD , Kathryn E. Fay MD, MSCI\",\"doi\":\"10.1016/j.jpag.2024.07.013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Study Objective</h3><div>To assess willingness to provide medication abortion among North American Society for Pediatric and Adolescent Gynecology (NASPAG) clinicians caring for adolescents and young adults (AYA) following <em>Dobbs v. Jackson Women's Health Organization</em>.</div></div><div><h3>Design</h3><div>Cross-sectional online survey.</div></div><div><h3>Methods</h3><div>Potential participants received an e-mail invitation via the NASPAG listserv. A 43-item questionnaire queried demographics, practice setting, abortion training and practice, willingness to provide medication abortion, potential or real barriers to providing medication abortion, and sentiments of abortion. Descriptive statistics, <em>χ</em><sup>2</sup>, and Fisher's exact tests were used.</div></div><div><h3>Results</h3><div>Of the 70 participants, 51% were willing to provide a medication abortion for an adolescent who requested it in their clinical practice. The most common barriers to providing medication abortion were legislative restrictions (47%) and dispensing pills from clinic (33%). Participants’ willingness to provide a medication abortion differed by type of practice (<em>P</em> = .001), availability of mifepristone (<em>P</em> = .006), perception of state's abortion policy (<em>P</em> = .001), concern about legislative restrictions (<em>P</em> = .008), experience providing abortion (<em>P</em> = .04), and receipt of medication abortion training (<em>P</em> = .02). Willingness to provide medication abortion also differed based on various sentiments of abortion measured but not on opinion regarding legality of abortion for adolescents (<em>P</em> = .49).</div></div><div><h3>Conclusions</h3><div>Perception of state's abortion rights and concern about legislative restrictions influenced NASPAG clinicians’ willingness to provide medication abortion for adolescents. Interventions to minimize legislative interference with medical care, increase abortion training, and implement medication abortion in pediatric settings may expand AYA medication abortion access.</div></div>\",\"PeriodicalId\":16708,\"journal\":{\"name\":\"Journal of pediatric and adolescent gynecology\",\"volume\":\"37 6\",\"pages\":\"Pages 586-594\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-08-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pediatric and adolescent gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S108331882400264X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pediatric and adolescent gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S108331882400264X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Factors Affecting Willingness to Provide Medication Abortion Among North American Society for Pediatric and Adolescent Gynecology Members Caring for Adolescents and Young Adults Following the Dobbs Decision
Study Objective
To assess willingness to provide medication abortion among North American Society for Pediatric and Adolescent Gynecology (NASPAG) clinicians caring for adolescents and young adults (AYA) following Dobbs v. Jackson Women's Health Organization.
Design
Cross-sectional online survey.
Methods
Potential participants received an e-mail invitation via the NASPAG listserv. A 43-item questionnaire queried demographics, practice setting, abortion training and practice, willingness to provide medication abortion, potential or real barriers to providing medication abortion, and sentiments of abortion. Descriptive statistics, χ2, and Fisher's exact tests were used.
Results
Of the 70 participants, 51% were willing to provide a medication abortion for an adolescent who requested it in their clinical practice. The most common barriers to providing medication abortion were legislative restrictions (47%) and dispensing pills from clinic (33%). Participants’ willingness to provide a medication abortion differed by type of practice (P = .001), availability of mifepristone (P = .006), perception of state's abortion policy (P = .001), concern about legislative restrictions (P = .008), experience providing abortion (P = .04), and receipt of medication abortion training (P = .02). Willingness to provide medication abortion also differed based on various sentiments of abortion measured but not on opinion regarding legality of abortion for adolescents (P = .49).
Conclusions
Perception of state's abortion rights and concern about legislative restrictions influenced NASPAG clinicians’ willingness to provide medication abortion for adolescents. Interventions to minimize legislative interference with medical care, increase abortion training, and implement medication abortion in pediatric settings may expand AYA medication abortion access.
期刊介绍：
Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology.
The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.
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