Evidence map›Paper›PMID 39680890›Full record

ArticleJMIR infodemiology2024

Changes in Reproductive Health Information-Seeking Behaviors After the Dobbs Decision: Systematic Search of the Wikimedia Database.

Mackenzie Lemieux, Cyrus Zhou, Caroline Cary, Jeannie Kelly

Abstract read
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Article in JMIR infodemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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4 · The record

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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.

Mackenzie LemieuxDepartment of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St Louis, MO, United States.ORCID 0000-0001-6015-8668
Cyrus ZhouDepartment of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St Louis, MO, United States.ORCID 0000-0003-4335-6894
Caroline CaryDepartment of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St Louis, MO, United States.ORCID 0009-0001-7396-0446
Jeannie KellyDepartment of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St Louis, MO, United States.ORCID 0000-0002-4908-4693

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter the US Supreme Court overturned Roe v. Wade, confusion followed regarding the legality of abortion in different states across the country. Recent studies found increased Google searches for abortion-related terms in restricted states after the Dobbsv. Jackson Women's Health Organization decision was leaked. As patients and providers use Wikipedia (Wikimedia Foundation) as a predominant medical information source, we hypothesized that changes in reproductive health information-seeking behavior could be better understood by examining Wikipedia article traffic.

objectiveThis study aimed to examine trends in Wikipedia usage for abortion and contraception information before and after the Dobbs decision.

methodsPage views of abortion- and contraception-related Wikipedia pages were scraped. Temporal changes in page views before and after the Dobbs decision were then analyzed to explore changes in baseline views, differences in views for abortion-related information in states with restrictive abortion laws versus nonrestrictive states, and viewer trends on contraception-related pages.

resultsWikipedia articles related to abortion topics had significantly increased page views following the leaked and final Dobbs decision. There was a 103-fold increase in the page views for the Wikipedia article Roe v. Wade following the Dobbs decision leak (mean 372,654, SD 135,478 vs mean 3614, SD 248; P<.001) and a 67-fold increase in page views following the release of the final Dobbs decision (mean 8942, SD 402 vs mean 595,871, SD 178,649; P<.001). Articles about abortion in the most restrictive states had a greater increase in page views (mean 40.6, SD 12.7; 18/51, 35% states) than articles about abortion in states with some restrictions or protections (mean 26.8, SD 7.3; 24/51, 47% states; P<.001) and in the most protective states (mean 20.6, SD 5.7; 8/51, 16% states; P<.001). Finally, views to pages about common contraceptive methods significantly increased after the Dobbs decision. "Vasectomy" page views increased by 183% (P<.001), "IUD" (intrauterine device) page views increased by 80% (P<.001), "Combined oral contraceptive pill" page views increased by 24% (P<.001), "Emergency Contraception" page views increased by 224% (P<.001), and "Tubal ligation" page views increased by 92% (P<.001).

conclusionsPeople sought information on Wikipedia about abortion and contraception at increased rates after the Dobbs decision. Increased traffic to abortion-related Wikipedia articles correlated to the restrictiveness of state abortion policies. Increased interest in contraception-related pages reflects the increased demand for contraceptives observed after the Dobbs decision. Our work positions Wikipedia as an important source of reproductive health information and demands increased attention to maintain and improve Wikipedia as a reliable source of health information after the Dobbs decision.

Indexed as

Information Seeking BehaviorReproductive HealthAbortion, InducedConsumer Health InformationContraceptionDatabases, FactualFemaleHumansInternetPregnancySearch EngineSupreme Court DecisionsUnited StatesabortioncontraceptioncontraceptiveDobbsinformation seekinginternetpage viewreproductionreproductivetrendviewer trendsWikipediawomen’s health

Identifiers

PMID39680890
PMCPMC11686025

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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.