This mixed-method study will qualitatively and quantitatively analyze calls from a US Hotline that, since 2019, has provided expert advice support to people in the US who are sourcing or managing an abortion on their own. We will evaluate frequency of texts and calls to the hotline by location of caller and conduct thematic analysis ...Read more >

Self-managed abortion is a safe and effective way to obtain abortion services, especially when abortion access is restricted. The use of websites that sell abortion medications is on the rise. Yet, little is known about patients who seek abortion pills directly from these websites and their considerations regarding this option for their abortion care. This ...Read more >

Despite several attempts to restrict abortion post-Dobbs, self-managed abortion is an important option for those seeking abortion care in the US as a result of: (1) increasing geographical and state-level legal disparities in access to and provision of legal abortion, and (2) exacerbation of inequalities in abortion access and care for the most vulnerable and ...Read more >

Individuals living in Appalachian Regional Commission (ARC) designated counties experience worse sexual and reproductive health outcomes compared to those in non-Appalachian counties. While legal abortion has always been disproportionately inaccessible in Appalachia, much of the Appalachian region is now without proximal access to clinic-based abortion after the Dobbs court case. Within this unique backdrop, self-managed ...Read more >

This research project will examine the impact of the US Supreme Court’s Dobbs decision on Indigenous people who receive abortion-related financial assistance from the nonprofit organization Indigenous Women Rising (IWR). IWR’s mission is to honor and promote Indigenous people’s right to equitable and culturally safe reproductive health options. Its programs include an abortion fund that ...Read more >

Patients seeking abortion services are having to drive farther than ever before since the landmark US Supreme Court decision, Dobbs v. Jackson Women’s Health Organization. Consequently, online abortion services staffed by US-based clinicians are burgeoning. This study leverages Access, Delivered’s existing patient database of Aid Access patients served by US-based clinicians in permissible states and ...Read more >

Little data exist describing abortion care navigation patterns in the post-Dobbs legal landscape. While the Abortion Access Dashboard predicts where individuals may seek abortion care by providing average travel distance to the nearest abortion facility with appointment availability, additional factors could influence such decisions and increase travel distances. Abortion funds play a vital role in ...Read more >

The Supreme Court’s 2022 decision in Dobbs v Jackson Women’s Health Organization upended the abortion ecosystem in the US by allowing states to restrict, or entirely ban, abortion care. In this study, we will examine the impacts that this change had on interstate travel for abortion. We will leverage data from #WeCount on abortion utilization ...Read more >

Each day in the US, hundreds of birthing people suffer a severe pregnancy-related complication known as Severe Maternal Morbidity (SMM). Recently, the rate of SMM has continued to increase and disparities persist. Black women insured by Medicaid are nearly twice as likely to experience SMM compared to White women. In a post-Dobbs era, many scholars ...Read more >

Following the Dobbs decision people in abortion-restrictive states who require in-person abortion care are now forced to travel to less-restrictive states. We know that traveling for out-of-state abortion increases costs, requires arrangements (time off work, childcare, travel), and reduces privacy reinforcing existing socioeconomic inequalities. Residential segregation influences structural racism in different neighborhoods. Structural racism is ...Read more >