Evidence map›Paper›PMID 29992793›Full record

ArticlePerspectives on sexual and reproductive health2018

Motivations and Experiences of People Seeking Medication Abortion Online in the United States.

Abigail R A Aiken, Kathleen Broussard, Dana M Johnson, Elisa Padron

Abstract read
In one paragraph

Article in Perspectives on sexual and reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The use of telemedicine services for medical abortion.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
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  8. Abortion access barriers shared in "r/abortion" afterSexual and reproductive health matters · 2024
    Article
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  18. Self-Managed Abortion in the United States.Current obstetrics and gynecology reports · 2023
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Abigail R A AikenAssistant professor, LBJ School of Public Affairs, and faculty research associate, Population Research Center, University of Texas at Austin.
Kathleen BroussardGraduate student, Department of Sociology, and graduate research trainee, Population Research Center, University of Texas at Austin.
Dana M JohnsonGraduate student, LBJ School of Public Affairs, University of Texas at Austin.
Elisa PadronUndergraduate student, College of Natural Sciences, University of Texas at Austin.

Funding

Training Program in Population StudiesT32HD007081 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI Aprile Dawn Benner, Abigail Mae Weitzman · 1985 to 2026
$6.8M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
NICHD NIH HHS P2C HD042849NICHD NIH HHS T32 HD007081Society of Family Planning SFPRF10-JI2
6 · The paper itself

Abstract

contextState legislation restricting access to abortion in the clinic setting raises the possibility that an increasing number of individuals in the United States will self-manage their abortion at home. Medications sourced online represent a potential pathway to abortion self-management. Yet, very little is known about the reasons U.S. residents may seek abortion online or their experiences finding medications and information.

methodsIn January-June 2017, anonymous in-depth interviews were conducted with 32 people from 20 states who sought abortion medications online (30 women and two men seeking medications for their partners). Participants were asked about their (or their partners') motivations for considering self-managed abortion, the sources of medications they identified and any other methods they considered. Transcripts were coded and analyzed according to the principles of grounded theory.

resultsThe analysis revealed four key themes: Seeking abortion medications online can be a response to clinic access barriers both in states with and in ones without restrictive abortion laws; self-managed abortion can be a preference over clinical care; online options offer either information or medications, but not both; and the lack of trusted online options can delay care and lead to consideration of ineffective or unsafe alternatives.

conclusionCurrent online options for abortion medications leave many important needs unmet, particularly for women who encounter barriers to obtaining clinic-based abortion services. There is a public health justification to reduce clinic access barriers and to make medication abortion that is sourced online and managed at home as safe and supported as possible.

Indexed as

Abortifacient AgentsMotivationAbortion, InducedAdultAmbulatory Care FacilitiesFemaleHealth Services AccessibilityHumansInternetMalePatient Acceptance of Health CarePregnancySelf-ManagementUnited StatesAbortifacient Agents

Identifiers

PMID29992793
PMCPMC8256438

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.