Madera Melissa, Johnson Dana M, Broussard Kathleen, Tello-Pérez Luisa Alejandra, Ze-Noah Carol-Armelle, Baldwin Aleta, Gomperts Rebecca, Aiken Abigail R A
The University of Texas at Austin, Austin, TX, USA.
The University of California, Berkeley, Berkeley, CA, USA.
SSM Qual Res Health. 2022 Dec;2. doi: 10.1016/j.ssmqr.2022.100075. Epub 2022 Apr 14.
A growing number of people in the United States seek to self-manage their abortions by self-sourcing abortion medications online. Prior research focuses on people's motivations for seeking self-management of abortion and experiences trying to obtain medications. However, little is known about the experiences of people in the U.S. who actually complete a self-managed abortion using medications they self-sourced online. We conducted anonymous in-depth interviews with 80 individuals who sought abortion medications through Aid Access, the only online telemedicine service that provides abortion medications in all 50 U.S. states. Through grounded theory analysis we identified five key themes: 1) participants viewed Aid Access as a "godsend"; 2) Fears of scams, shipping delays, and surveillance made ordering pills online a "nerve-racking" experience; 3) a "personal touch" calmed fears and fostered trust in Aid Access; 4) participants were worried about the "what ifs" of the self-managed abortion experience; and 5) overall, participants felt that online telemedicine met their important needs. Our findings demonstrate that online telemedicine provided by Aid Access not only provided a critical service, but also offered care that participants deemed legitimate and trustworthy.
在美国，越来越多的人试图通过在网上自行获取堕胎药物来自我管理堕胎。先前的研究聚焦于人们寻求堕胎自我管理的动机以及获取药物的尝试经历。然而，对于美国那些实际使用自行在网上获取的药物完成自我管理堕胎的人的经历，我们却知之甚少。我们对80名通过“援助通道”（Aid Access）寻求堕胎药物的人进行了匿名深入访谈，“援助通道”是美国唯一一家在全美50个州都提供堕胎药物的在线远程医疗服务机构。通过扎根理论分析，我们确定了五个关键主题：1）参与者将“援助通道”视为“天赐之物”；2）对诈骗、运输延误和监控的担忧使在线订购药丸成为一种“令人紧张不安”的经历；3）“个性化关怀”缓解了恐惧并增强了对“援助通道”的信任；4）参与者担心自我管理堕胎经历中的“万一情况”；5）总体而言，参与者认为在线远程医疗满足了他们的重要需求。我们的研究结果表明，“援助通道”提供的在线远程医疗不仅提供了一项关键服务，还提供了参与者认为合法且值得信赖的护理。
