Evidence map›Paper›PMID 41194335›Full record

ArticleJournal of midwifery & women's health

Policy Knowledge and Abortion Access for US Active-Duty Servicewomen: A Mixed-Methods Study.

Caitlin Russell, Tiara Walz, Laura Manzo, Shelby Mueller, Sharon Messina, Sharon Arana, Keira Feng, Holly Harner

Abstract read
In one paragraph

Article in Journal of midwifery & women's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Caitlin RussellUniversity of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0009-0007-0156-7892
Tiara WalzUS Army Medical Center of Excellence, Ft. Sam Houston, Texas.
Laura ManzoYale University, Orange, Connecticut.ORCID 0000-0003-0415-4288
Shelby MuellerUniversity of Massachusetts - Boston, Boston, Massachusetts.
Sharon MessinaUS Air Force, Washington.
Sharon AranaUS Air Force, Washington.
Keira FengUniversity of Pennsylvania, Philadelphia, Pennsylvania.
Holly HarnerJefferson College of Nursing, Philadelphia, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMore than 80,000 US military servicewomen are stationed in states enforcing abortion bans. US Department of Defense (DOD) policies must adhere to the Hyde Amendment, which restricts abortion coverage. Little research exists regarding active-duty servicewomen's (ADSW) knowledge of these policies or their experiences accessing abortion care. This study examines the reproductive health policy knowledge and lived experiences of ADSW who have accessed abortion care.

methodsA 24-item questionnaire was designed to measure reproductive health policy knowledge and explore reproductive health experiences among ADSW. Via secondary analysis, a subset of 178 participants self-reported obtaining an abortion while on active duty. A convergent mixed-methods design (quantitative and qualitative) was used.

resultsMost participants (65%; n = 115) did not know TRICARE covered abortion costs in cases of rape or incest; 77% (n = 137) erroneously believed they required leadership permission to get an abortion; and 87% (n = 155) did not know they were entitled to convalescent leave to recover after an elective abortion. More than half (53%; n = 94) took personal leave to access abortion care; 46% (n = 82) traveled more than one hour; 48% experienced financial difficulties; 31% (n = 55) experienced negative professional repercussions; 16% (n = 29) received convalescent leave; 92% (n = 164) were not offered mental health counseling; and 77% (n = 137) felt they would have benefited from mental health counseling postabortion. Qualitative themes included a systemic lack of DOD abortion policy knowledge and lived experiences of accessing abortion care (eg, financial burdens, stigma). DISCUSSION: Given the systemic lack of policy knowledge reported among study participants, the DOD should develop and implement a standardized abortion policy and access training for military health care professionals, leadership, and service members. Policies ensuring access to abortion should be adopted, codified, and implemented uniformly across all branches of service.

Indexed as

Abortion, InducedHealth Knowledge, Attitudes, PracticeHealth PolicyHealth Services AccessibilityMilitary PersonnelAdultFemaleHumansMiddle AgedPregnancySurveys and QuestionnairesUnited StatesYoung Adultabortionhealth equityhealth policymilitary and veteransreproductive justice

Identifiers

PMID41194335
PMCPMC12914618

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.