Judge Colleen P, Wolgemuth Tierney E, Hamm Megan E, Borrero Sonya
University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA, 15261, USA; Center for Women's Health Research and Innovation, University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh, PA, 15213, USA.
University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA, 15261, USA; Center for Women's Health Research and Innovation, University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh, PA, 15213, USA.
Contraception. 2017 Nov;96(5):370-377. doi: 10.1016/j.contraception.2017.07.169. Epub 2017 Aug 8.
Following the 2016US presidential election, social media posts and news stories amplified concerns about the potential for reduced access to contraception under the incoming administration and urged women to seek long-acting reversible contraception. We aimed to describe women's concerns about future access to contraception, in their own words.
A social-media-based, anonymous online survey assessing thoughts and concerns about future access to contraception was distributed to reproductive-aged US women for 1 week in mid-January 2017. Participants who were concerned about future access to contraception could share their thoughts and feelings in an open-ended comments box. We qualitatively analyzed 449 written responses for content and themes, with the goal of characterizing key concerns.
Women who provided written comments had a mean age of 28years; 85% were white, 88% had at least a college degree, and 93% identified as Democratic or Democratic-leaning. Women were highly concerned about future affordability of contraceptive methods due to potential loss of insurance, reduced insurance coverage for contraceptive methods and reduced access to low-cost care at Planned Parenthood. Many also worried about increased restrictions on abortion. Participants' concerns regarding access to contraception and abortion centered around themes of reproductive and bodily autonomy, which women described as fundamental rights.
Women in this study expressed considerable fear and uncertainty regarding their future access to contraception and abortion following the 2016US presidential election. The potential for restricted access to affordable contraception and abortion was viewed as an unacceptable limitation on bodily autonomy.
As the future of US health care policy is debated, many women are concerned about the impact of policy changes on their ability to access affordable contraception and abortion, which many view as essential to the preservation of bodily and reproductive autonomy.
2016年美国总统大选后，社交媒体帖子和新闻报道加剧了人们对新政府执政下避孕措施获取可能性降低的担忧，并敦促女性寻求长效可逆避孕方法。我们旨在用女性自己的话来描述她们对未来避孕措施获取情况的担忧。
2017年1月中旬，一项基于社交媒体的匿名在线调查被分发给美国育龄女性，为期1周，该调查评估了对未来避孕措施获取情况的想法和担忧。担心未来避孕措施获取情况的参与者可以在一个开放式评论框中分享他们的想法和感受。我们对449条书面回复的内容和主题进行了定性分析，目的是确定主要担忧。
提供书面评论的女性平均年龄为28岁；85%为白人，88%至少拥有大学学位，93%认定为民主党人或倾向于民主党。由于可能失去保险、避孕方法的保险覆盖范围减少以及在计划生育组织获得低成本护理的机会减少，女性高度担心未来避孕方法的可负担性。许多人还担心堕胎限制增加。参与者对避孕措施和堕胎获取情况的担忧集中在生殖和身体自主权主题上，女性将其描述为基本权利。
本研究中的女性对2016年美国总统大选后未来避孕措施和堕胎获取情况表达了相当大的恐惧和不确定性。可负担的避孕措施和堕胎获取受限的可能性被视为对身体自主权不可接受的限制。
随着美国医疗保健政策的未来受到辩论，许多女性担心政策变化对她们获取可负担避孕措施和堕胎能力的影响，许多人认为这对维护身体和生殖自主权至关重要。
