Strasser Julia, Schenk Ellen, Luckenbill Sara, Tsevat Danielle, King Lauryn, Luo Qian, Maslowsky Julie
Julia Strasser (
Ellen Schenk, George Washington University.
Health Aff (Millwood). 2025 Jan;44(1):99-107. doi: 10.1377/hlthaff.2024.00824.
Young adults' access to contraception is shifting after the June 2022 United States Supreme Court decision. This concurrent mixed-methods study measured young adults' use of and perceptions about tubal sterilization and vasectomy after the leaked opinion in May 2022. Using national-level medical claims data from IQVIA, we conducted difference-in-differences analyses of tubal sterilizations and vasectomies by age and state policy; using open-text survey responses from national MyVoice surveys in 2022 and 2023, we thematically analyzed young adults' perspectives. Tubal sterilization and vasectomy visits increased after May 2022 among participants ages 19-26. Difference-in-differences analyses found significant increases in tubal sterilization and vasectomy visits in states deemed likely to ban abortion. Survey responses highlight fear of loss of bodily autonomy and changes to pregnancy plans after . Young adults increasingly obtained permanent contraception post-, especially in states deemed likely to ban abortion, and they continue to face challenges to their bodily autonomy, whether they feel pressured to seek permanent contraception because of abortion policy restrictions or whether they desire permanent contraception but experience barriers obtaining it.
2022年6月美国最高法院做出裁决后，年轻成年人获取避孕措施的情况正在发生变化。这项同期混合方法研究在2022年5月泄露意见书后，对年轻成年人使用输卵管绝育术和输精管切除术的情况以及他们对这些手术的看法进行了测量。利用IQVIA的国家级医疗理赔数据，我们按年龄和州政策对输卵管绝育术和输精管切除术进行了双重差分分析；利用2022年和2023年全国性MyVoice调查的开放式文本调查回复，我们对年轻成年人的观点进行了主题分析。2022年5月之后，19至26岁参与者中输卵管绝育术和输精管切除术就诊量增加。双重差分分析发现，在被认为可能禁止堕胎的州，输卵管绝育术和输精管切除术就诊量显著增加。调查回复凸显了对身体自主权丧失的担忧以及之后怀孕计划的变化。年轻成年人在之后越来越多地采取永久性避孕措施，尤其是在被认为可能禁止堕胎的州，并且他们在身体自主权方面继续面临挑战，无论他们是因为堕胎政策限制而感到有压力去寻求永久性避孕措施，还是他们想要永久性避孕措施但在获取方面遇到障碍。
