Modrek Sepideh, Kulkarni Anagha, Holschuh Carrie, Kakar Venoo
Health Equity Institute, San Francisco State University, San Francisco, California, USA.
Department of Economics, San Francisco State University, San Francisco, California, USA.
Perspect Sex Reprod Health. 2025 Mar;57(1):114-123. doi: 10.1111/psrh.70003. Epub 2025 Mar 3.
The reversal of the federal right to abortion through the 2022 US Supreme Court ruling in Dobbs v. Jackson Women's Health Organization is changing the landscape for medication abortion access. Several states with supportive abortion laws are expanding access to medication abortion by mandating that university Student Health Centers (SHCs) provide this service. Meanwhile, other states are limiting even the information that medical providers can give to patients. In this environment, we document changing information on medication abortion on university SHC websites.
We conducted thematic content analysis for medication abortion-related information on 549 SHC websites at 4-year bachelor's degree granting public universities/colleges across the United States. We examined information on medication abortion at four timepoints: March 2022, August 2022, February 2023, and February 2024 using computer-assisted software.
Only 1% of the SHC websites detailed information on access to medication abortion in March 2022. By February 2024, 7.5% of SHC websites provided some information on how to access medication abortion. This increase was driven primarily by SHC websites of public colleges in California, New York, and Massachusetts, where legislation required SHC to provide medication abortion services on campuses. For universities that provided any information on medication abortion, the websites had varying details on access and responses to changing state-level legislation and federal regulations.
Overall, university SHC websites are increasingly mentioning medication abortion, though mostly in states with supportive abortion laws. We anticipate more SHCs will post such information on their websites in response to legal requirements set by state legislatures.
2022年美国最高法院对多布斯诉杰克逊妇女健康组织案的裁决推翻了联邦堕胎权，这正在改变药物流产服务的获取格局。几个拥有支持堕胎法律的州正在扩大药物流产服务的获取途径，规定大学学生健康中心（SHC）提供这项服务。与此同时，其他一些州甚至限制医疗服务提供者向患者提供的信息。在这种环境下，我们记录了大学学生健康中心网站上关于药物流产的信息变化。
我们对美国四年制公立大学/学院的549个学生健康中心网站上与药物流产相关的信息进行了主题内容分析。我们使用计算机辅助软件在四个时间点（2022年3月、2022年8月、2023年2月和2024年2月）检查了关于药物流产的信息。
2022年3月，只有1%的学生健康中心网站详细介绍了药物流产的获取信息。到2024年2月，7.5%的学生健康中心网站提供了一些关于如何获取药物流产的信息。这种增长主要是由加利福尼亚州、纽约州和马萨诸塞州公立大学的学生健康中心网站推动的，这些州的立法要求学生健康中心在校园内提供药物流产服务。对于提供了任何关于药物流产信息的大学，其网站在获取途径以及对州级立法和联邦法规变化的回应方面有不同的细节。
总体而言，大学学生健康中心网站越来越多地提及药物流产，不过大多是在拥有支持堕胎法律的州。我们预计，更多的学生健康中心将根据州立法机构设定的法律要求在其网站上发布此类信息。
