"Post-" Abortion Policy Context Heightens the Imperative for Multilevel, Comprehensive, Integrated Health Education

Overview

Journal Health Educ Behav

Publisher Sage Publications

Specialties Medical Education
Public Health
Social Sciences

Date 2022 Sep 29

PMID 36172995

Authors

Whitney S Rice

Subasri Narasimhan

Anna Newton-Levinson

Johanna Pringle

Sara K Redd

Dabney P Evans

Affiliations

Soon will be listed here.

Abstract

The exceptionalism of abortion in public health education, due to social stigma, politicization, and lack of training, contributes to misinformation, policies unjustified by rigorous science, lack of access to person-centered health care, and systemic pregnancy-related inequities. Now that abortion access has vanished for large portions of the United States, following the Supreme Court decision in (), health educators must work to eliminate abortion-related silos, destigmatize abortion education, and bring comprehensive sexual and reproductive health information and evidence to the many audiences that will require it. We discuss consequences of abortion exceptionalism in health education for the public, health care providers, pregnant people, and health professionals in training-and opportunities to better and more accessibly provide sexual and reproductive health education to these audiences.

Citing Articles

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Newton-Levinson A, Blake S, Swartzendruber A, Kramer M, Sales J Contraception. 2024; 138:110517.

PMID: 38885892 PMC: 11365768. DOI: 10.1016/j.contraception.2024.110517.

My Health in My Hands: Improving Medication Abortion Knowledge and Closing Disparities with a Community-Led Media Intervention.

McMahon H, Serrano L, Vyavahare T, Hairston I, Ayala S, Jah Z Health Equity. 2024; 8(1):138-142.

PMID: 38435024 PMC: 10908321. DOI: 10.1089/heq.2023.0210.

References

Redd S, Hall K, Aswani M, Sen B, Wingate M, Rice W . Variation in Restrictive Abortion Policies and Adverse Birth Outcomes in the United States from 2005 to 2015. Womens Health Issues. 2021; 32(2):103-113. DOI: 10.1016/j.whi.2021.10.006. View

Stevenson A . The Pregnancy-Related Mortality Impact of a Total Abortion Ban in the United States: A Research Note on Increased Deaths Due to Remaining Pregnant. Demography. 2021; 58(6):2019-2028. PMC: 10577877. DOI: 10.1215/00703370-9585908. View

Hardeman R, Karbeah J, Kozhimannil K . Applying a critical race lens to relationship-centered care in pregnancy and childbirth: An antidote to structural racism. Birth. 2019; 47(1):3-7. DOI: 10.1111/birt.12462. View

Mann E, Chen A, Johnson C . Doctor knows best? Provider bias in the context of contraceptive counseling in the United States. Contraception. 2021; 110:66-70. DOI: 10.1016/j.contraception.2021.11.009. View

Steinauer J, Turk J, Pomerantz T, Simonson K, Learman L, Landy U . Abortion training in US obstetrics and gynecology residency programs. Am J Obstet Gynecol. 2018; 219(1):86.e1-86.e6. DOI: 10.1016/j.ajog.2018.04.011. View

Smith B, Bartz D, Goldberg A, Janiak E . "Without any indication": stigma and a hidden curriculum within medical students' discussion of elective abortion. Soc Sci Med. 2018; 214:26-34. DOI: 10.1016/j.socscimed.2018.07.014. View

Higgins J, Kramer R, Ryder K . Provider Bias in Long-Acting Reversible Contraception (LARC) Promotion and Removal: Perceptions of Young Adult Women. Am J Public Health. 2016; 106(11):1932-1937. PMC: 5055778. DOI: 10.2105/AJPH.2016.303393. View

Chowdhary P, Newton-Levinson A, Rochat R . "No One Does This for the Money or Lifestyle": Abortion Providers' Perspectives on Factors Affecting Workforce Recruitment and Retention in the Southern United States. Matern Child Health J. 2022; 26(6):1350-1357. PMC: 9132807. DOI: 10.1007/s10995-021-03338-6. View

Gerdts C, Dobkin L, Foster D, Schwarz E . Side Effects, Physical Health Consequences, and Mortality Associated with Abortion and Birth after an Unwanted Pregnancy. Womens Health Issues. 2015; 26(1):55-9. DOI: 10.1016/j.whi.2015.10.001. View

10.

Lathrop E, Rochat R . The GEMMA Seminar: a graduate public health course on global elimination of maternal mortality from abortion. Contraception. 2012; 87(1):6-10. DOI: 10.1016/j.contraception.2012.08.023. View

11.

Kulczycki A . : Navigating the New Quagmire and Its Impacts on Abortion and Reproductive Health Care. Health Educ Behav. 2022; 49(6):924-928. DOI: 10.1177/10901981221125430. View

12.

Evans D, Luffy S, Parisi S, Del Rio C . The development of a massive open online course during the 2014-15 Ebola virus disease epidemic. Ann Epidemiol. 2017; 27(9):611-615. DOI: 10.1016/j.annepidem.2017.07.137. View

13.

Harris L, Martin L, Debbink M, Hassinger J . Physicians, abortion provision and the legitimacy paradox. Contraception. 2012; 87(1):11-6. DOI: 10.1016/j.contraception.2012.08.031. View

14.

Vinekar K, Karlapudi A, Nathan L, Turk J, Rible R, Steinauer J . Projected Implications of Overturning Roe v Wade on Abortion Training in U.S. Obstetrics and Gynecology Residency Programs. Obstet Gynecol. 2022; 140(2):146-149. DOI: 10.1097/AOG.0000000000004832. View

15.

Nobel K, Luke A, Rice W . Racial disparities in pregnancy options counseling and referral in the US South. Health Serv Res. 2022; 58(1):9-18. PMC: 9836946. DOI: 10.1111/1475-6773.14049. View

16.

Britton L, Mercier R, Buchbinder M, Bryant A . Abortion providers, professional identity, and restrictive laws: A qualitative study. Health Care Women Int. 2016; 38(3):222-237. DOI: 10.1080/07399332.2016.1254218. View

17.

Howell E . Reducing Disparities in Severe Maternal Morbidity and Mortality. Clin Obstet Gynecol. 2018; 61(2):387-399. PMC: 5915910. DOI: 10.1097/GRF.0000000000000349. View

18.

Atkins D, Bradford W . The Effect of State-Level Sex Education Policies on Youth Sexual Behaviors. Arch Sex Behav. 2021; 50(6):2321-2333. DOI: 10.1007/s10508-020-01867-9. View

19.

Turk J, Preskill F, Landy U, Rocca C, Steinauer J . Availability and characteristics of abortion training in US ob-gyn residency programs: a national survey. Contraception. 2014; 89(4):271-7. DOI: 10.1016/j.contraception.2013.12.002. View

20.

Lieberman L, Goldfarb E . Sex Ed in the Post- World: Implications for Public Health Education. Health Educ Behav. 2022; 49(6):919-923. DOI: 10.1177/10901981221125429. View