Evidence map›Paper›PMID 38432536›Full record

ArticleAnnals of epidemiology2024

Restrictive abortion legislation and adverse mental health during pregnancy and postpartum.

Sarah McKetta, Payal Chakraborty, Catherine Gimbrone, Kodiak R S Soled, Tabor Hoatson, Ariel L Beccia, Colleen A Reynolds, Aimee K Huang, Brittany M Charlton

Abstract read
In one paragraph

Article in Annals of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

9 authors.

Sarah McKettaDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States. Electronic address: sarahmcketta@fas.harvard.edu.
Payal ChakrabortyDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States.
Catherine GimbroneDepartment of Epidemiology, Columbia University Mailman School of Public Health, United States.
Kodiak R S SoledDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States.
Tabor HoatsonDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States.
Ariel L BecciaDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, United States.
Colleen A ReynoldsDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, United States.
Aimee K HuangDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, United States.
Brittany M CharltonDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States; Department of Pediatrics, Harvard Medical School, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, United States.

Funding

Integrating lifecourse approaches, biologic and digital phenotypes in support of heart and lung disease epidemiologic researchU01HL145386 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, MANSON, JOANN ELISABETH · 2019 to 2025
$17.8M
Training Program in Cancer EpidemiologyT32CA009001 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI A. Heather Eliassen, Meir Stampfer · 1985 to 2026
$17.3M
RESEARCH TRAINING PROGRAM IN PSYCHIATRIC EPIDEMIOLOGYT32MH013043 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Katherine M. Keyes · 1985 to 2026
$11.7M
CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
Strengthening mentorship for sexual and gender minority health researchersR01MD015256 · NIMHD · HARVARD PILGRIM HEALTH CARE, INC. · PI CHARLTON, BRITTANY MICHELLE · 2021 to 2025
$4.8M
The Harvard Chan Education Program in Cancer Prevention and ControlT32CA057711 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Karen M. Emmons, ANNE LINDSAY FRAZIER · 2019 to 2026
$3.3M
Nurses Health Study 3: A multiple exposure environmental epidemiology cohort of young adultsR24ES028521 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, LADEN, FRANCINE · 2018 to 2022
$2.1M
Sexual Minority Mental Health During the COVID-19 Pandemic: An Intersectional, Social Epidemiologic InvestigationF32MD017452 · NIMHD · BOSTON CHILDREN'S HOSPITAL · PI BECCIA, ARIEL L · 2022 to 2025
$228k
NCI NIH HHS T32 CA009001NCI NIH HHS T32 CA057711NHLBI NIH HHS T32 HL098048NHLBI NIH HHS U01 HL145386NIEHS NIH HHS R24 ES028521NIMHD NIH HHS F32 MD017452NIMHD NIH HHS R01 MD015256NIMH NIH HHS T32 MH013043
6 · The paper itself

Abstract

purposeTo determine the impact of abortion legislation on mental health during pregnancy and postpartum and assess whether pregnancy intention mediates associations.

methodsWe quantified associations between restrictive abortion laws and stress, depression symptoms during and after pregnancy, and depression diagnoses after pregnancy using longitudinal data from Nurses' Health Study 3 in 2010-2017 (4091 participants, 4988 pregnancies) using structural equation models with repeated measures, controlling for sociodemographics, prior depression, state economic and sociopolitical measures (unemployment rate, gender wage gap, Gini index, percentage of state legislatures who are women, Democratic governor).

resultsRestrictive abortion legislation was associated with unintended pregnancies (β = 0.127, p = 0.02). These were, in turn, associated with increased risks of stress and depression symptoms during pregnancy (total indirect effects β = 0.035, p = 0.03; β = 0.029, p = 0.03, respectively, corresponding <1% increase in probability), but not after pregnancy.

conclusionsAbortion restrictions are associated with higher proportions of unintended pregnancies, which are associated with increased risks of stress and depression during pregnancy.

Indexed as

Abortion, InducedAbortion, SpontaneousFemaleHumansMental HealthPostpartum PeriodPregnancyPregnancy, UnplannedAbortion policyMediationMental healthPerinatal healthWomen's health

Identifiers

PMID38432536
PMCPMC10983835

What OpenQuestion holds

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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.