Evidence map›Paper›PMID 39789658›Full record

ArticlePerspectives on sexual and reproductive health2025

Imagining Coat-Hangers and Pills: A Qualitative Exploration of Abortion Beliefs and Attitudes in Hostile Policy Contexts in the United States.

Rosalyn Schroeder, Lori R Freedman, Andréa Becker, Chris Ahlbach, M Antonia Biggs

Abstract read
In one paragraph

Article in Perspectives on sexual and reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Rosalyn SchroederDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California, USA.
Lori R FreedmanDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California, USA.
Andréa BeckerDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California, USA.
Chris AhlbachDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California, USA.
M Antonia BiggsDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe explored awareness of and attitudes about the safety of various methods people use to attempt to end a pregnancy without medical assistance, which we refer to in this study collectively as self-managed abortion (SMA).

methodsIn 2020, we invited individuals living in eight United States (US) states considered "hostile" to abortion rights or with a history of criminalizing abortions performed outside the formal healthcare system to participate in semi-structured telephone interviews regarding their attitudes toward these practices. We analyzed coded transcripts for content and themes.

resultsWe interviewed 54 individuals. Participants perceived methods of ending a pregnancy on one's own to have a high potential for complications, often evoking "coat hanger" abortions. Participants also frequently referenced methods such as physical trauma, herbs, teas, alcohol, or other drugs. Very few participants reported awareness of medication abortion pills. When asked about the safety of SMA in the context of self-sourcing these medications, participants considered pills safer and more acceptable than other SMA methods, while still fearing incorrect use and complications. Others believed that SMA could offer greater reproductive autonomy, less stigma, and a safer physical and psychological experience than facility-based abortion care.

conclusionIn 2020, most participants perceived SMA as involving unsafe practices and did not include use of medication abortion pills. Future research should document how beliefs and attitudes have been influenced by the expansion in telemedicine provision of medication abortion, the implementation of new state abortion bans, and the promulgation of Shield Laws.

Indexed as

Abortion, InducedHealth Knowledge, Attitudes, PracticeAbortifacient AgentsAdultFemaleHumansInterviews as TopicMaleMiddle AgedPregnancyQualitative ResearchSelf-ManagementUnited StatesYoung AdultAbortifacient Agentsabortionabortion attitudesabortion knowledgemedication abortionself‐managed abortion

Identifiers

PMID39789658
PMCPMC11936864

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.