Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
Swedish Cherry Hill Family Medicine Residency Program, Seattle, WA, United States.
Contraception. 2024 Oct;138:110513. doi: 10.1016/j.contraception.2024.110513. Epub 2024 Jun 13.
OBJECTIVE(S): To capture the perspectives and knowledge of adolescents and young adults on abortion-related topics following the Dobbs decision.
Qualitative content analysis of an open-ended, five-question survey fielded on October 28, 2022 via the MyVoice project, a nationwide weekly text message poll of 14-24-year-olds.
We found the respondents (N = 565, response rate 71%) had a mean age of 20.0 years and resided in 47 states. Many described pro- or anti-abortion changes to abortion access in their state, though expressed mixed emotions about the changes (negative, positive, or mixed/neutral). Most often, they had conversations about abortion with peers (28%), followed by parents or family (20%); nearly 20% stated they have never had a conversation about abortion. The majority of respondents (55%) believed they and their peers should have access to abortion care without required parental consent/notification, frequently citing individual rights/autonomy (31%) followed by harms of parental involvement (12%). Most (79%) provided a technique for how to determine if online information about abortion was trustworthy.
CONCLUSION(S): Four months after the Dobbs decision, this national sample of adolescents and young adults were aware of changes to abortion access, had conversations about abortion, shared diverse opinions on parental consent or notification laws, and could determine trustworthiness of online abortion resources. Abortion-related policy and practice can be improved by understanding adolescents' and young adults' needs and preferences, trusting and supporting their autonomy, and reducing barriers to care.
This study highlights the timely perspectives and experiences of a diverse, nationwide sample of adolescents and young adults on abortion-related topics. Findings can support centering adolescents and young adults in practice and policy changes to improve their knowledge about abortion and streamline access to essential reproductive health services post-Dobbs.
在多布斯案裁决后，了解青少年和年轻人对与堕胎相关主题的看法和知识。
对 2022 年 10 月 28 日通过 MyVoice 项目进行的开放式、五个问题的调查进行定性内容分析，这是一项针对 14-24 岁人群的全国性每周短信民意调查。
我们发现受访者（N=565，回复率为 71%）的平均年龄为 20.0 岁，居住在 47 个州。许多人描述了他们所在州的堕胎准入方面的支持或反对堕胎的变化，但对这些变化的情绪喜忧参半（负面、正面或混合/中性）。他们最常与同龄人（28%）讨论堕胎，其次是父母或家人（20%）；近 20%的人表示他们从未就堕胎问题进行过交谈。大多数受访者（55%）认为他们和他们的同龄人应该在无需父母同意/通知的情况下获得堕胎护理，他们经常引用个人权利/自主权（31%），其次是父母参与的危害（12%）。大多数人（79%）提供了一种确定有关堕胎的在线信息可信度的方法。
在多布斯案裁决后的四个月，这个全国性的青少年和年轻人样本对堕胎准入的变化有了了解，就堕胎问题进行了交谈，对父母同意或通知法发表了不同意见，并能够确定有关堕胎资源的可信度。通过了解青少年和年轻人的需求和偏好，信任和支持他们的自主权，以及减少获得护理的障碍，可以改进与堕胎相关的政策和实践。
本研究强调了具有代表性的、全国性的青少年和年轻人对与堕胎相关主题的及时看法和经验。研究结果可以支持在实践和政策变革中以青少年和年轻人为中心，以改善他们对堕胎的了解并简化多布斯案后的基本生殖健康服务的获取。
