ArticleInternational journal of environmental research and public health2021
Real-Time Effects of Payer Restrictions on Reproductive Healthcare: A Qualitative Analysis of Cost-Related Barriers and Their Consequences among U.S. Abortion Seekers on Reddit.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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.
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Who cites it
18 citing papers in PubMed.
- Exploring State- and Individual-Level Characteristics Associated with Perceived Barriers to Accessing Sexual and Reproductive Health Care Among Young Adult Black Women.Journal of sex research · 2026Article
- Later Abortion Care Availability, Quoted Self-Pay Prices, and State Medicaid Acceptance.JAMA network open · 2026Article
- Public Perspectives of Oral and Maxillofacial Injuries Related to Domestic Abuse Experiences and Help-Seeking Barriers: Web Scraping of Reddit Posts.Dental traumatology : official publication of International Association for Dental Traumatology · 2026Article
- Examining women's experiences with medication abortion: a critical inquiry of women's online narratives post-Dobbs.Frontiers in global women's health · 2026Article
- How Women with Endometriosis Use Social Media for Support and Self-Management: An Analysis of Reddit Content.International journal of environmental research and public health · 2025Article
- Using Natural Language Processing to Describe the Use of an Online Community for Abortion During 2022: Dynamic Topic Modeling Analysis of Reddit Posts.JMIR infodemiology · 2025Article
- Have Others Had This Experience? A Qualitative Analysis of Posts on Self-Managed Abortion to US-Based Reddit Community.Perspectives on sexual and reproductive health · 2025Article
- Changes in abortion access after implementation of Medicaid coverage in Illinois: a retrospective analysis.BMJ public health · 2025Article
- Abortion access barriers shared in "r/abortion" afterSexual and reproductive health matters · 2024Article
- Catastrophic Health Expenditures for In-State and Out-of-State Abortion Care.JAMA network open · 2024Article
- Abortion assistance fund staff and volunteers as patient navigators following an abortion ban in Texas.Perspectives on sexual and reproductive health · 2024Article
- Pricing of medication abortion in the United States, 2021-2023.Perspectives on sexual and reproductive health · 2024Article
- Characteristics and Circumstances of Adolescents Obtaining Abortions in the United States.International journal of environmental research and public health · 2024Article
- Obstetrics and gynecology applicant perceptions of residency program culture with virtual interviews: a qualitative analysis of social media posts.BMC medical education · 2024Article
- Analyzing Reddit Forums Specific to Abortion That Yield Diverse Dialogues Pertaining to Medical Information Seeking and Personal Worldviews: Data Mining and Natural Language Processing Comparative Study.Journal of medical Internet research · 2024Article
- "I'm going to be forced to have a baby": A study of COVID-19 abortion experiences on Reddit.Perspectives on sexual and reproductive health · 2023Article
- "Am I the Only One Who Feels Like This?": Needs Expressed Online by Abortion Seekers.Social work · 2023Article
- The Dobbs Decision and the Future of Occupational Health in the US.Occupational health science · 2023Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe Hyde Amendment and related policies limit or prohibit Medicaid coverage of abortion services in the United States. Most research on cost-related abortion barriers relies on clinic-based samples, but people who desire abortions may never make it to a healthcare center. To examine a novel, pre-abortion population, we analyzed a unique qualitative dataset of posts from Reddit, a widely used social media platform increasingly leveraged by researchers, to assess financial obstacles among anonymous posters considering abortion.
methodsIn February 2020, we used Python to web-scrape the 250 most recent posts that mentioned abortion, removing all identifying information and usernames. After transferring all posts into NVivo, a qualitative software package, the team identified all datapoints related to cost. Three qualitatively trained evaluators established and applied codes, reaching saturation after 194 posts. The research team used a descriptive qualitative approach, using both inductive and deductive elements, to identify and analyze themes related to financial barriers.
resultsWe documented multiple cost-related deterrents, including lack of funds for both the procedure and attendant travel costs, inability to afford desired abortion modality (i.e., medication or surgical), and for some, consideration of self-managed abortion options due to cost barriers.
conclusionsFindings from this study underscore the centrality of cost barriers and third-party payer restrictions to stymying reproductive health access in the United States. Results may contribute to the growing evidence base and building political momentum focused on repealing the Hyde Amendment.
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Registered trials
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