Unwanted abortion disclosure and social support in the abortion decision and mental health symptoms: A cross-sectional survey
To assess the extent of unwanted abortion disclosure and levels of social support in the abortion decision and their association with depression, anxiety, and stress. From January to June 2019, we surveyed people presenting for abortion at four clinics in California, New Mexico, and Illinois regardi...
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Published in | Contraception (Stoneham) Vol. 119; p. 109905 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.03.2023
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Abstract | To assess the extent of unwanted abortion disclosure and levels of social support in the abortion decision and their association with depression, anxiety, and stress.
From January to June 2019, we surveyed people presenting for abortion at four clinics in California, New Mexico, and Illinois regarding their experiences accessing abortion. We used multivariable regression to examine associations between unwanted abortion disclosure and social support in the abortion decision, and symptoms of depression, anxiety and stress.
Among 1092 people approached, 784 (72% response rate) eligible individuals initiated the survey, and 746 responded to the unwanted abortion disclosure item and were included in analyses. Over one-quarter (27%) told someone they would have preferred not to tell about their decision, mostly due to obstacles getting to the appointment—time to appointment (46%), travel distance (33%), and costs (32%). Three-quarters (74%, n=546) had at least one person in their life who supported the abortion decision “very much”; 20% had someone who supported the decision “not at all.” In adjusted analyses, unwanted abortion disclosure was associated with more symptoms of depression (B = 0.62, 95% confidence interval: 0.28, 0.95), anxiety (B = 1.79; 95% CI: 0.76, 2.82) and stress (B = 1.80, 95% CI: 0.64, 1.72). People also had more symptoms of depression and stress when one or more person (B = 0.64; 95% CI: 0.27, 1.02 and B = 0.75, 95% CI: 0.15, 1.35, respectively) or the man involved in the pregnancy (B = 0.67, 95% CI: 0.16, 1.18 and B = 0.96, 95% CI: 0.13, 1.78, respectively) supported their decision “not at all” (vs “very much” support).
Being forced to disclose the abortion decision due to logistical and cost constraints may be harmful to people's mental health.
Logistical burdens such as travel, time to access care, and costs needed to access abortion may force people seeking abortion to involve others who are unsupportive in the abortion decision having negative implications for their mental health. |
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AbstractList | To assess the extent of unwanted abortion disclosure and levels of social support in the abortion decision and their association with depression, anxiety, and stress.
From January to June 2019, we surveyed people presenting for abortion at four clinics in California, New Mexico, and Illinois regarding their experiences accessing abortion. We used multivariable regression to examine associations between unwanted abortion disclosure and social support in the abortion decision, and symptoms of depression, anxiety and stress.
Among 1092 people approached, 784 (72% response rate) eligible individuals initiated the survey, and 746 responded to the unwanted abortion disclosure item and were included in analyses. Over one-quarter (27%) told someone they would have preferred not to tell about their decision, mostly due to obstacles getting to the appointment—time to appointment (46%), travel distance (33%), and costs (32%). Three-quarters (74%, n=546) had at least one person in their life who supported the abortion decision “very much”; 20% had someone who supported the decision “not at all.” In adjusted analyses, unwanted abortion disclosure was associated with more symptoms of depression (B = 0.62, 95% confidence interval: 0.28, 0.95), anxiety (B = 1.79; 95% CI: 0.76, 2.82) and stress (B = 1.80, 95% CI: 0.64, 1.72). People also had more symptoms of depression and stress when one or more person (B = 0.64; 95% CI: 0.27, 1.02 and B = 0.75, 95% CI: 0.15, 1.35, respectively) or the man involved in the pregnancy (B = 0.67, 95% CI: 0.16, 1.18 and B = 0.96, 95% CI: 0.13, 1.78, respectively) supported their decision “not at all” (vs “very much” support).
Being forced to disclose the abortion decision due to logistical and cost constraints may be harmful to people's mental health.
Logistical burdens such as travel, time to access care, and costs needed to access abortion may force people seeking abortion to involve others who are unsupportive in the abortion decision having negative implications for their mental health. OBJECTIVESTo assess the extent of unwanted abortion disclosure and levels of social support in the abortion decision and their association with depression, anxiety, and stress. STUDY DESIGNFrom January to June 2019, we surveyed people presenting for abortion at four clinics in California, New Mexico, and Illinois regarding their experiences accessing abortion. We used multivariable regression to examine associations between unwanted abortion disclosure and social support in the abortion decision, and symptoms of depression, anxiety and stress. RESULTSAmong 1092 people approached, 784 (72% response rate) eligible individuals initiated the survey, and 746 responded to the unwanted abortion disclosure item and were included in analyses. Over one-quarter (27%) told someone they would have preferred not to tell about their decision, mostly due to obstacles getting to the appointment-time to appointment (46%), travel distance (33%), and costs (32%). Three-quarters (74%, n=546) had at least one person in their life who supported the abortion decision "very much"; 20% had someone who supported the decision "not at all." In adjusted analyses, unwanted abortion disclosure was associated with more symptoms of depression (B = 0.62, 95% confidence interval: 0.28, 0.95), anxiety (B = 1.79; 95% CI: 0.76, 2.82) and stress (B = 1.80, 95% CI: 0.64, 1.72). People also had more symptoms of depression and stress when one or more person (B = 0.64; 95% CI: 0.27, 1.02 and B = 0.75, 95% CI: 0.15, 1.35, respectively) or the man involved in the pregnancy (B = 0.67, 95% CI: 0.16, 1.18 and B = 0.96, 95% CI: 0.13, 1.78, respectively) supported their decision "not at all" (vs "very much" support). CONCLUSIONBeing forced to disclose the abortion decision due to logistical and cost constraints may be harmful to people's mental health. IMPLICATIONSLogistical burdens such as travel, time to access care, and costs needed to access abortion may force people seeking abortion to involve others who are unsupportive in the abortion decision having negative implications for their mental health. |
ArticleNumber | 109905 |
Author | Biggs, M. Antonia Driver, Matthew Kaller, Shelly Ralph, Lauren J. |
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Cites_doi | 10.1111/j.1467-9531.2007.00180.x 10.1016/j.socscimed.2016.01.050 10.1080/01612840.2019.1565873 10.1007/s00737-017-0723-z 10.1371/journal.pone.0226417 10.1363/4310311 10.1097/01.MLR.0000093487.78664.3C 10.1016/j.psychres.2017.01.097 10.1037/0022-3514.74.3.735 10.1363/psrh.12132 10.1016/j.jadohealth.2013.09.021 10.2466/pr0.106.2.534-538 10.1363/48e8516 10.1186/s12978-021-01165-0 10.1016/j.jad.2015.11.014 10.1186/s12905-019-0775-5 10.1371/journal.pone.0128832 10.2307/2136404 10.1363/psrh.12015 10.1016/j.whi.2014.01.003 10.1001/archinte.166.10.1092 10.1001/jamapsychiatry.2016.3478 10.1363/48e8216 10.1186/1472-6874-14-76 10.1016/j.whi.2013.03.001 10.2307/2136017 10.1111/j.1743-6109.2011.02604.x 10.1016/j.socscimed.2017.01.011 10.1186/s12978-022-01486-8 10.1016/j.socscimed.2021.113747 |
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Keywords | Depression Anxiety Abortion Stress Mental health Social support |
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References | Roberts, Johns, Williams, Wingo, Upadhyay (bib0031) 2019; 19 Roberts, Turok, Belusa, Combellick, Upadhyay (bib0027) 2016; 48 Khan, Husain (bib0004) 2010; 106 Kroenke, Spitzer, Williams (bib0020) 2003; 41 von Hippel (bib0025) 2007; 37 Rocca, Kimport, Roberts, Gould, Neuhaus, Foster (bib0008) 2015; 10 Anderson, Hatch, Comacchio, Howard (bib0005) 2017; 20 Astbury-Ward, Parry, Carnwell (bib0012) 2012; 9 Biaggi, Conroy, Pawlby, Pariante (bib0006) 2016; 191 Spitzer, Kroenke, Williams, Löwe (bib0021) 2006; 166 Herbell, Zauszniewski (bib0007) 2019; 40 Ralph, Ehrenreich, Kaller, Biggs (bib0019) 2022; 19 Jones, Jerman (bib0026) 2017; 49 Milner, Krnjacki, Butterworth, LaMontagne (bib0001) 2016; 153 Cowan (bib0010) 2017; 177 Zabin, Hirsch, Emerson, Raymond (bib0017) 1992; 24 Ralph, Gould, Baker, Foster (bib0018) 2014; 54 Biggs, Brown, Foster (bib0009) 2020; 15 Harris, Roberts, Biggs, Rocca, Foster (bib0024) 2014; 14 Cohen, Kamarck, Mermelstein (bib0022) 1983; 24 Roberts, Gould, Kimport, Weitz, Foster (bib0029) 2014; 24 Birtel, Wood, Kempa (bib0002) 2017; 252 Ozbay, Johnson, Dimoulas, Morgan, Charney, Southwick (bib0003) 2007; 4 Jones, Upadhyay, Weitz (bib0028) 2013; 23 Coleman-Minahan, Jean Stevenson, Obront, Hays (bib0016) 2020; 52 Biggs, Upadhyay, McCulloch, Foster (bib0023) 2017; 74 Hanschmidt, Linde, Hilbert, Riedel- Heller, Kersting (bib0014) 2016; 48 Rossier, Marchin, Kim, Ganatra (bib0015) 2021; 18 Kimport, Foster, Weitz (bib0011) 2011; 43 Upadhyay, McCook, Bennett, Cartwright, Roberts (bib0030) 2021; 274 Major, Richards, Cooper, Cozzarelli, Zubek (bib0013) 1998; 74 Roberts (10.1016/j.contraception.2022.10.007_bib0027) 2016; 48 Roberts (10.1016/j.contraception.2022.10.007_bib0031) 2019; 19 Herbell (10.1016/j.contraception.2022.10.007_bib0007) 2019; 40 Harris (10.1016/j.contraception.2022.10.007_bib0024) 2014; 14 Major (10.1016/j.contraception.2022.10.007_bib0013) 1998; 74 Rossier (10.1016/j.contraception.2022.10.007_bib0015) 2021; 18 Ralph (10.1016/j.contraception.2022.10.007_bib0018) 2014; 54 Jones (10.1016/j.contraception.2022.10.007_bib0026) 2017; 49 Astbury-Ward (10.1016/j.contraception.2022.10.007_bib0012) 2012; 9 Roberts (10.1016/j.contraception.2022.10.007_bib0029) 2014; 24 Ozbay (10.1016/j.contraception.2022.10.007_bib0003) 2007; 4 Coleman-Minahan (10.1016/j.contraception.2022.10.007_bib0016) 2020; 52 von Hippel (10.1016/j.contraception.2022.10.007_bib0025) 2007; 37 Cohen (10.1016/j.contraception.2022.10.007_bib0022) 1983; 24 Spitzer (10.1016/j.contraception.2022.10.007_bib0021) 2006; 166 Kroenke (10.1016/j.contraception.2022.10.007_bib0020) 2003; 41 Milner (10.1016/j.contraception.2022.10.007_bib0001) 2016; 153 Khan (10.1016/j.contraception.2022.10.007_bib0004) 2010; 106 Kimport (10.1016/j.contraception.2022.10.007_bib0011) 2011; 43 Jones (10.1016/j.contraception.2022.10.007_bib0028) 2013; 23 Cowan (10.1016/j.contraception.2022.10.007_bib0010) 2017; 177 Biggs (10.1016/j.contraception.2022.10.007_bib0023) 2017; 74 Birtel (10.1016/j.contraception.2022.10.007_bib0002) 2017; 252 Biaggi (10.1016/j.contraception.2022.10.007_bib0006) 2016; 191 Zabin (10.1016/j.contraception.2022.10.007_bib0017) 1992; 24 Ralph (10.1016/j.contraception.2022.10.007_bib0019) 2022; 19 Anderson (10.1016/j.contraception.2022.10.007_bib0005) 2017; 20 Rocca (10.1016/j.contraception.2022.10.007_bib0008) 2015; 10 Biggs (10.1016/j.contraception.2022.10.007_bib0009) 2020; 15 Hanschmidt (10.1016/j.contraception.2022.10.007_bib0014) 2016; 48 Upadhyay (10.1016/j.contraception.2022.10.007_bib0030) 2021; 274 |
References_xml | – volume: 43 start-page: 103 year: 2011 end-page: 109 ident: bib0011 article-title: Social sources of women's emotional difficulty after abortion: lessons from women's abortion narratives publication-title: Perspect Sex Reprod Health contributor: fullname: Weitz – volume: 10 year: 2015 ident: bib0008 article-title: Decision rightness and emotional responses to abortion in the United States: a longitudinal study publication-title: PLOS ONE contributor: fullname: Foster – volume: 74 start-page: 169 year: 2017 end-page: 178 ident: bib0023 article-title: Women's mental health and well-being 5 years after receiving or being denied an abortion: a prospective, longitudinal cohort study publication-title: JAMA Psychiatry contributor: fullname: Foster – volume: 49 start-page: 17 year: 2017 end-page: 27 ident: bib0026 article-title: Abortion incidence and service availability in the United States, 2014 publication-title: Perspect Sex Reprod Health contributor: fullname: Jerman – volume: 15 year: 2020 ident: bib0009 article-title: Perceived abortion stigma and psychological well-being over five years after receiving or being denied an abortion publication-title: PloS One contributor: fullname: Foster – volume: 52 start-page: 15 year: 2020 end-page: 22 ident: bib0016 article-title: Adolescents obtaining abortion without parental consent: their reasons and experiences of social support publication-title: Perspect Sex Reprod Health contributor: fullname: Hays – volume: 9 start-page: 3137 year: 2012 end-page: 3147 ident: bib0012 article-title: Stigma, abortion, and disclosure–findings from a qualitative study publication-title: J Sex Med contributor: fullname: Carnwell – volume: 153 start-page: 20 year: 2016 end-page: 26 ident: bib0001 article-title: The role of social support in protecting mental health when employed and unemployed: a longitudinal fixed-effects analysis using 12 annual waves of the HILDA cohort publication-title: Soc Sci Med contributor: fullname: LaMontagne – volume: 24 start-page: e211 year: 2014 end-page: e218 ident: bib0029 article-title: Out-of-pocket costs and insurance coverage for abortion in the United States publication-title: Womens Health Issues Off Publ Jacobs Inst Womens Health contributor: fullname: Foster – volume: 40 start-page: 613 year: 2019 end-page: 620 ident: bib0007 article-title: Stress experiences and mental health of pregnant women: the mediating role of social support publication-title: Issues Ment Health Nurs contributor: fullname: Zauszniewski – volume: 48 start-page: 169 year: 2016 end-page: 177 ident: bib0014 article-title: Abortion stigma: a systematic review publication-title: Perspect Sex Reprod Health contributor: fullname: Kersting – volume: 166 start-page: 1092 year: 2006 end-page: 1097 ident: bib0021 article-title: A brief measure for assessing generalized anxiety disorder: the GAD-7 publication-title: Arch Intern Med contributor: fullname: Löwe – volume: 24 start-page: 385 year: 1983 end-page: 396 ident: bib0022 article-title: A global measure of perceived stress publication-title: J Health Soc Behav contributor: fullname: Mermelstein – volume: 19 start-page: 78 year: 2019 ident: bib0031 article-title: Estimating the proportion of Medicaid-eligible pregnant women in Louisiana who do not get abortions when Medicaid does not cover abortion publication-title: BMC Womens Health contributor: fullname: Upadhyay – volume: 252 start-page: 1 year: 2017 end-page: 8 ident: bib0002 article-title: Stigma and social support in substance abuse: implications for mental health and well-being publication-title: Psychiatry Res contributor: fullname: Kempa – volume: 19 start-page: 176 year: 2022 ident: bib0019 article-title: A cross-sectional study examining consideration of self-managed abortion among people seeking facility-based care in the United States publication-title: Reprod Health contributor: fullname: Biggs – volume: 74 start-page: 735 year: 1998 end-page: 752 ident: bib0013 article-title: Personal resilience, cognitive appraisals, and coping: an integrative model of adjustment to abortion publication-title: J Pers Soc Psychol contributor: fullname: Zubek – volume: 191 start-page: 62 year: 2016 end-page: 77 ident: bib0006 article-title: Identifying the women at risk of antenatal anxiety and depression: a systematic review publication-title: J Affect Disord contributor: fullname: Pariante – volume: 20 start-page: 449 year: 2017 end-page: 462 ident: bib0005 article-title: Prevalence and risk of mental disorders in the perinatal period among migrant women: a systematic review and meta-analysis publication-title: Arch Womens Ment Health contributor: fullname: Howard – volume: 18 start-page: 114 year: 2021 ident: bib0015 article-title: Disclosure to social network members among abortion-seeking women in low- and middle-income countries with restrictive access: a systematic review publication-title: Reprod Health contributor: fullname: Ganatra – volume: 4 start-page: 35 year: 2007 end-page: 40 ident: bib0003 article-title: Social support and resilience to stress publication-title: Psychiatry Edgmont contributor: fullname: Southwick – volume: 41 start-page: 1284 year: 2003 end-page: 1292 ident: bib0020 article-title: The Patient Health Questionnaire-2: validity of a two-item depression screener publication-title: Med Care contributor: fullname: Williams – volume: 24 start-page: 148 year: 1992 end-page: 154 ident: bib0017 article-title: To whom do inner-city minors talk about their pregnancies? Adolescents’ communication with parents and parent surrogates publication-title: Fam Plann Perspect contributor: fullname: Raymond – volume: 37 start-page: 83 year: 2007 end-page: 117 ident: bib0025 article-title: Regression with missing Ys: an improved strategy for analyzing multiply imputed data publication-title: Sociol Methodol contributor: fullname: von Hippel – volume: 48 start-page: 179 year: 2016 end-page: 187 ident: bib0027 article-title: Utah's 72-hour waiting period for abortion: experiences among a clinic-based sample of women publication-title: Perspect Sex Reprod Health contributor: fullname: Upadhyay – volume: 177 start-page: 259 year: 2017 end-page: 268 ident: bib0010 article-title: Enacted abortion stigma in the United States publication-title: Soc Sci Med contributor: fullname: Cowan – volume: 106 start-page: 534 year: 2010 end-page: 538 ident: bib0004 article-title: Social support as a moderator of positive psychological strengths and subjective well-being publication-title: Psychol Rep contributor: fullname: Husain – volume: 54 start-page: 428 year: 2014 end-page: 434 ident: bib0018 article-title: The role of parents and partners in minors’ decisions to have an abortion and anticipated coping after abortion publication-title: J Adolesc Health Off Publ Soc Adolesc Med contributor: fullname: Foster – volume: 14 start-page: 76 year: 2014 ident: bib0024 article-title: Perceived stress and emotional social support among women who are denied or receive abortions in the United States: a prospective cohort study publication-title: BMC Womens Health contributor: fullname: Foster – volume: 23 start-page: e173 year: 2013 end-page: e178 ident: bib0028 article-title: At what cost? Payment for abortion care by U.S. women publication-title: Womens Health Issues contributor: fullname: Weitz – volume: 274 year: 2021 ident: bib0030 article-title: State abortion policies and Medicaid coverage of abortion are associated with pregnancy outcomes among individuals seeking abortion recruited using Google Ads: a national cohort study publication-title: Soc Sci Med contributor: fullname: Roberts – volume: 37 start-page: 83 year: 2007 ident: 10.1016/j.contraception.2022.10.007_bib0025 article-title: Regression with missing Ys: an improved strategy for analyzing multiply imputed data publication-title: Sociol Methodol doi: 10.1111/j.1467-9531.2007.00180.x contributor: fullname: von Hippel – volume: 153 start-page: 20 year: 2016 ident: 10.1016/j.contraception.2022.10.007_bib0001 article-title: The role of social support in protecting mental health when employed and unemployed: a longitudinal fixed-effects analysis using 12 annual waves of the HILDA cohort publication-title: Soc Sci Med doi: 10.1016/j.socscimed.2016.01.050 contributor: fullname: Milner – volume: 40 start-page: 613 year: 2019 ident: 10.1016/j.contraception.2022.10.007_bib0007 article-title: Stress experiences and mental health of pregnant women: the mediating role of social support publication-title: Issues Ment Health Nurs doi: 10.1080/01612840.2019.1565873 contributor: fullname: Herbell – volume: 20 start-page: 449 year: 2017 ident: 10.1016/j.contraception.2022.10.007_bib0005 article-title: Prevalence and risk of mental disorders in the perinatal period among migrant women: a systematic review and meta-analysis publication-title: Arch Womens Ment Health doi: 10.1007/s00737-017-0723-z contributor: fullname: Anderson – volume: 15 year: 2020 ident: 10.1016/j.contraception.2022.10.007_bib0009 article-title: Perceived abortion stigma and psychological well-being over five years after receiving or being denied an abortion publication-title: PloS One doi: 10.1371/journal.pone.0226417 contributor: fullname: Biggs – volume: 43 start-page: 103 year: 2011 ident: 10.1016/j.contraception.2022.10.007_bib0011 article-title: Social sources of women's emotional difficulty after abortion: lessons from women's abortion narratives publication-title: Perspect Sex Reprod Health doi: 10.1363/4310311 contributor: fullname: Kimport – volume: 41 start-page: 1284 year: 2003 ident: 10.1016/j.contraception.2022.10.007_bib0020 article-title: The Patient Health Questionnaire-2: validity of a two-item depression screener publication-title: Med Care doi: 10.1097/01.MLR.0000093487.78664.3C contributor: fullname: Kroenke – volume: 252 start-page: 1 year: 2017 ident: 10.1016/j.contraception.2022.10.007_bib0002 article-title: Stigma and social support in substance abuse: implications for mental health and well-being publication-title: Psychiatry Res doi: 10.1016/j.psychres.2017.01.097 contributor: fullname: Birtel – volume: 74 start-page: 735 year: 1998 ident: 10.1016/j.contraception.2022.10.007_bib0013 article-title: Personal resilience, cognitive appraisals, and coping: an integrative model of adjustment to abortion publication-title: J Pers Soc Psychol doi: 10.1037/0022-3514.74.3.735 contributor: fullname: Major – volume: 52 start-page: 15 year: 2020 ident: 10.1016/j.contraception.2022.10.007_bib0016 article-title: Adolescents obtaining abortion without parental consent: their reasons and experiences of social support publication-title: Perspect Sex Reprod Health doi: 10.1363/psrh.12132 contributor: fullname: Coleman-Minahan – volume: 54 start-page: 428 year: 2014 ident: 10.1016/j.contraception.2022.10.007_bib0018 article-title: The role of parents and partners in minors’ decisions to have an abortion and anticipated coping after abortion publication-title: J Adolesc Health Off Publ Soc Adolesc Med doi: 10.1016/j.jadohealth.2013.09.021 contributor: fullname: Ralph – volume: 106 start-page: 534 year: 2010 ident: 10.1016/j.contraception.2022.10.007_bib0004 article-title: Social support as a moderator of positive psychological strengths and subjective well-being publication-title: Psychol Rep doi: 10.2466/pr0.106.2.534-538 contributor: fullname: Khan – volume: 48 start-page: 169 year: 2016 ident: 10.1016/j.contraception.2022.10.007_bib0014 article-title: Abortion stigma: a systematic review publication-title: Perspect Sex Reprod Health doi: 10.1363/48e8516 contributor: fullname: Hanschmidt – volume: 18 start-page: 114 year: 2021 ident: 10.1016/j.contraception.2022.10.007_bib0015 article-title: Disclosure to social network members among abortion-seeking women in low- and middle-income countries with restrictive access: a systematic review publication-title: Reprod Health doi: 10.1186/s12978-021-01165-0 contributor: fullname: Rossier – volume: 191 start-page: 62 year: 2016 ident: 10.1016/j.contraception.2022.10.007_bib0006 article-title: Identifying the women at risk of antenatal anxiety and depression: a systematic review publication-title: J Affect Disord doi: 10.1016/j.jad.2015.11.014 contributor: fullname: Biaggi – volume: 19 start-page: 78 year: 2019 ident: 10.1016/j.contraception.2022.10.007_bib0031 article-title: Estimating the proportion of Medicaid-eligible pregnant women in Louisiana who do not get abortions when Medicaid does not cover abortion publication-title: BMC Womens Health doi: 10.1186/s12905-019-0775-5 contributor: fullname: Roberts – volume: 10 year: 2015 ident: 10.1016/j.contraception.2022.10.007_bib0008 article-title: Decision rightness and emotional responses to abortion in the United States: a longitudinal study publication-title: PLOS ONE doi: 10.1371/journal.pone.0128832 contributor: fullname: Rocca – volume: 4 start-page: 35 year: 2007 ident: 10.1016/j.contraception.2022.10.007_bib0003 article-title: Social support and resilience to stress publication-title: Psychiatry Edgmont contributor: fullname: Ozbay – volume: 24 start-page: 385 year: 1983 ident: 10.1016/j.contraception.2022.10.007_bib0022 article-title: A global measure of perceived stress publication-title: J Health Soc Behav doi: 10.2307/2136404 contributor: fullname: Cohen – volume: 49 start-page: 17 year: 2017 ident: 10.1016/j.contraception.2022.10.007_bib0026 article-title: Abortion incidence and service availability in the United States, 2014 publication-title: Perspect Sex Reprod Health doi: 10.1363/psrh.12015 contributor: fullname: Jones – volume: 24 start-page: e211 year: 2014 ident: 10.1016/j.contraception.2022.10.007_bib0029 article-title: Out-of-pocket costs and insurance coverage for abortion in the United States publication-title: Womens Health Issues Off Publ Jacobs Inst Womens Health doi: 10.1016/j.whi.2014.01.003 contributor: fullname: Roberts – volume: 166 start-page: 1092 year: 2006 ident: 10.1016/j.contraception.2022.10.007_bib0021 article-title: A brief measure for assessing generalized anxiety disorder: the GAD-7 publication-title: Arch Intern Med doi: 10.1001/archinte.166.10.1092 contributor: fullname: Spitzer – volume: 74 start-page: 169 year: 2017 ident: 10.1016/j.contraception.2022.10.007_bib0023 article-title: Women's mental health and well-being 5 years after receiving or being denied an abortion: a prospective, longitudinal cohort study publication-title: JAMA Psychiatry doi: 10.1001/jamapsychiatry.2016.3478 contributor: fullname: Biggs – volume: 48 start-page: 179 year: 2016 ident: 10.1016/j.contraception.2022.10.007_bib0027 article-title: Utah's 72-hour waiting period for abortion: experiences among a clinic-based sample of women publication-title: Perspect Sex Reprod Health doi: 10.1363/48e8216 contributor: fullname: Roberts – volume: 14 start-page: 76 year: 2014 ident: 10.1016/j.contraception.2022.10.007_bib0024 article-title: Perceived stress and emotional social support among women who are denied or receive abortions in the United States: a prospective cohort study publication-title: BMC Womens Health doi: 10.1186/1472-6874-14-76 contributor: fullname: Harris – volume: 23 start-page: e173 year: 2013 ident: 10.1016/j.contraception.2022.10.007_bib0028 article-title: At what cost? Payment for abortion care by U.S. women publication-title: Womens Health Issues doi: 10.1016/j.whi.2013.03.001 contributor: fullname: Jones – volume: 24 start-page: 148 year: 1992 ident: 10.1016/j.contraception.2022.10.007_bib0017 article-title: To whom do inner-city minors talk about their pregnancies? Adolescents’ communication with parents and parent surrogates publication-title: Fam Plann Perspect doi: 10.2307/2136017 contributor: fullname: Zabin – volume: 9 start-page: 3137 year: 2012 ident: 10.1016/j.contraception.2022.10.007_bib0012 article-title: Stigma, abortion, and disclosure–findings from a qualitative study publication-title: J Sex Med doi: 10.1111/j.1743-6109.2011.02604.x contributor: fullname: Astbury-Ward – volume: 177 start-page: 259 year: 2017 ident: 10.1016/j.contraception.2022.10.007_bib0010 article-title: Enacted abortion stigma in the United States publication-title: Soc Sci Med doi: 10.1016/j.socscimed.2017.01.011 contributor: fullname: Cowan – volume: 19 start-page: 176 year: 2022 ident: 10.1016/j.contraception.2022.10.007_bib0019 article-title: A cross-sectional study examining consideration of self-managed abortion among people seeking facility-based care in the United States publication-title: Reprod Health doi: 10.1186/s12978-022-01486-8 contributor: fullname: Ralph – volume: 274 year: 2021 ident: 10.1016/j.contraception.2022.10.007_bib0030 article-title: State abortion policies and Medicaid coverage of abortion are associated with pregnancy outcomes among individuals seeking abortion recruited using Google Ads: a national cohort study publication-title: Soc Sci Med doi: 10.1016/j.socscimed.2021.113747 contributor: fullname: Upadhyay |
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SubjectTerms | Abortion Abortion, Induced - psychology Anxiety Cross-Sectional Studies Depression Disclosure Female Humans Mental Health Pregnancy Social Support Stress |
Title | Unwanted abortion disclosure and social support in the abortion decision and mental health symptoms: A cross-sectional survey |
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