Evidence map›Paper›PMID 39630244›Full record

ArticleBundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz2025

[Barriers to accessing abortion care: an analysis from the perspective of unintended pregnant women-findings from the ELSA study].

Daphne Hahn, Rona Torenz, Ines Thonke, Sarah Eckardt, Maria Schneider, Anke Wyrobisch-Krüger, Ulrike Busch, Cornelia Helfferich, Tilmann Knittel, Maika Böhm and 4 more

Abstract readEnglish Abstract
In one paragraph

Article in Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. [Pregnancy termination on YouTube, Instagram, and TikTok: a content and quality analysis].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. "Sexual and reproductive health matters · 2025
    Article
  10. 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

14 authors.

Daphne HahnFachbereich Gesundheitswissenschaften, Hochschule Fulda, Leipziger 123, 36037, Fulda, Deutschland. daphne.hahn@gw.hs-fulda.de.
Rona TorenzFachbereich Gesundheitswissenschaften, Hochschule Fulda, Leipziger 123, 36037, Fulda, Deutschland.
Ines ThonkeFachbereich Gesundheitswissenschaften, Hochschule Fulda, Leipziger 123, 36037, Fulda, Deutschland.
Sarah EckardtFachbereich Gesundheitswissenschaften, Hochschule Fulda, Leipziger 123, 36037, Fulda, Deutschland.
Maria SchneiderFachbereich Gesundheitswissenschaften, Hochschule Fulda, Leipziger 123, 36037, Fulda, Deutschland.
Anke Wyrobisch-KrügerFachbereich Gesundheitswissenschaften, Hochschule Fulda, Leipziger 123, 36037, Fulda, Deutschland.
Ulrike BuschFachbereich Gesundheitswissenschaften, Hochschule Fulda, Leipziger 123, 36037, Fulda, Deutschland.
Cornelia HelfferichSozialwissenschaftliches Forschungsinstitut zu Geschlechterfragen - SOFFI F., Forschungs- und Innovationsverbund an der Evangelischen Hochschule Freiburg (FIVE e. V.), Freiburg, Deutschland.
Tilmann KnittelSozialwissenschaftliches Forschungsinstitut zu Geschlechterfragen - SOFFI F., Forschungs- und Innovationsverbund an der Evangelischen Hochschule Freiburg (FIVE e. V.), Freiburg, Deutschland.
Maika BöhmFachbereich Soziale Arbeit.Medien.Kultur, Hochschule Merseburg, Merseburg, Deutschland.
Petra BrzankFachbereich Wirtschafts- und Sozialwissenschaften, Hochschule Nordhausen, Nordhausen, Deutschland.
Christine KnaevelsrudFachbereich Erziehungswissenschaft und Psychologie, Freie Universität Berlin, Berlin, Deutschland.
Silvia KrummKlinik für Psychiatrie und Psychotherapie II, Universitätsklinikum Ulm, Ulm, Deutschland.
Sarah SchumacherFachbereich Erziehungswissenschaft und Psychologie, Freie Universität Berlin, Berlin, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBarriers to accessing abortion care can delay access to services, which can lead to delayed abortion and health risks. Barriers include geographical accessibility, confidentiality, waiting times, stigmatization, poor or inaccessible information and the cost of abortion. This article examines barriers to accessing abortion care in Germany. This includes barriers in the availability and accessibility of care services, access to information, costs associated with abortion and organisational barriers.

methodsThe analyses are based on data from an online cross-sectional survey of 594 women in Germany who had an unwanted pregnancy terminated, which was conducted as part of the ELSA Study in 2021 and 2022.

resultsThe findings indicate that access to abortion care in Germany is associated with various barriers for many women. Of the respondents, 80.1% reported at least one barrier to accessing abortion, 65.5% reported more than two barriers and 40.5% reported three or more barriers. In particular, the non-disclosure of the procedure and the associated fear of stigmatisation represented hurdles for many participants. DISCUSSION AND

conclusionThe results of the study underline the need to improve access to safe abortions. Reducing access barriers therefore includes the decriminalisation of abortion, a comprehensive care structure, financial support services, improved information services and the reduction of stigmatisation and discrimination.

Indexed as

Abortion, InducedHealth Services AccessibilityPregnancy, UnplannedPregnancy, UnwantedAdolescentAdultCross-Sectional StudiesFemaleGermanyHumansMiddle AgedPregnancySocial StigmaYoung AdultAbortionAbortion careAccessibilityAvailabilityBarriersStigmatisation

Identifiers

PMID39630244
PMCPMC11732912

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.