Evidence map›Paper›PMID 33674348›Full record

ArticleBMJ sexual & reproductive health2022

Abortion attempts without clinical supervision among transgender, nonbinary and gender-expansive people in the United States.

Heidi Moseson, Laura Fix, Caitlin Gerdts, Sachiko Ragosta, Jen Hastings, Ari Stoeffler, Eli A Goldberg, Mitchell R Lunn, Annesa Flentje, Matthew R Capriotti and 2 more

Open access · hybridAbstract read
In one paragraph

Article in BMJ sexual & reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 2% of its field
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  17. Self-managed abortion: Toxic legislation, non-toxic medication.The American journal of emergency medicine · 2023
    Article
  18. Self-Managed Abortion in the United States.Current obstetrics and gynecology reports · 2023
    Review
  19. Review
  20. Review
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

12 authors at 4 institutions in 1 country.

Heidi MosesonIbis Reproductive Health, Oakland, California, USA hmoseson@gmail.com.ORCID http://orcid.org/0000-0002-2488-2429
Laura FixIbis Reproductive Health, Cambridge, Massachusetts, USA.ORCID http://orcid.org/0000-0001-5655-086X
Caitlin GerdtsIbis Reproductive Health, Oakland, California, USA.ORCID http://orcid.org/0000-0002-2488-5072
Sachiko RagostaIbis Reproductive Health, Oakland, California, USA.
Jen HastingsDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California, USA.
Ari StoefflerIbis Reproductive Health, Cambridge, Massachusetts, USA.
Eli A GoldbergDepartment of Family Medicine, The Robert Larner, M.D. College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Mitchell R LunnDepartment of Nephrology, Stanford University School of Medicine, Stanford, California, USA.
Annesa FlentjeThe PRIDE Study, Stanford University, Stanford, California, USA.
Matthew R CapriottiThe PRIDE Study, Stanford University, Stanford, California, USA.
Micah E LubenskyThe PRIDE Study, Stanford University, Stanford, California, USA.
Juno Obedin-MaliverDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, USA.
Ibis Reproductive Health · USPride Foundation · USUniversity of California, San Francisco · USUniversity of Vermont · US

Funding

UCSF-Kaiser Urological Epidemiology Research Career Development ProgramK12DK111028 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2016 to 2025
$5.3M
Gene expression outcomes in interventions for substance using HIV+ minority menK23DA039800 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FLENTJE, ANNESA · 2015 to 2019
$1.0M
NIDA NIH HHS K23 DA039800NIDDK NIH HHS K12 DK111028
6 · The paper itself

Abstract

backgroundTransgender, nonbinary and gender-expansive (TGE) people face barriers to abortion care and may consider abortion without clinical supervision.

methodsIn 2019, we recruited participants for an online survey about sexual and reproductive health. Eligible participants were TGE people assigned female or intersex at birth, 18 years and older, from across the United States, and recruited through The PRIDE Study or via online and in-person postings.

resultsOf 1694 TGE participants, 76 people (36% of those ever pregnant) reported

conclusionsThese data highlight a high proportion of sampled TGE people who have attempted abortion without clinical supervision. This could reflect formidable barriers to facility-based abortion care as well as a strong desire for privacy and autonomy in the abortion process. Efforts are needed to connect TGE people with information on safe and effective methods of self-managed abortion and to dismantle barriers to clinical abortion care so that TGE people may freely choose a safe, effective abortion in either setting.

Indexed as

Abortion, InducedAbortion, SpontaneousTransgender PersonsAdolescentAdultAgedFemaleHumansMaleMiddle AgedPreceptorshipPregnancyReproductive HealthUnited StatesYoung Adultabortifacient agentsabortioncriminalfamily planning servicesinducedreproductive healthreproductive rights

Identifiers

PMID33674348
PMCPMC8685648
OpenAlexW3135252952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.