Reasons for Choosing Telehealth Abortion Based on Food Insecurity Status: United States, 2021–2022.

Objectives. To determine differences in reasons for choosing telehealth abortion based on food insecurity status. Methods. We analyzed data from the California Home Abortion by Telehealth (CHAT) Study, which included survey responses from patients who received medication abortion care between 2021 a...

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Publicado en:American Journal of Public Health Vol. 116; no. 5; pp. 674 - 683
Autores principales: Williams, Courtney E., Becker, Andréa, Koenig, Leah R., Peters, Lisa, Upadhyay, Ushma D.
Formato: Artículo
Publicado: American Public Health Association May2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
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        atl: Reasons for Choosing Telehealth Abortion Based on Food Insecurity Status: United States, 2021–2022.
      aug:
        au:
          Williams, Courtney E.
          Becker, Andréa
          Koenig, Leah R.
          Peters, Lisa
          Upadhyay, Ushma D.
        affil:
          Population Research Center, University of Texas at Austin.
          Department of Sociology, Hunter College, City University of New York, NY.
          Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco.
          Department of Epidemiology and Biostatistics, University of California, San Francisco at the time of this study.,
          Ushma D. Upadhyay are with ANSIRH, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco.
      su:
        United States
        Fear
        Food security
        Medical care
        Economic status
        Transportation
        Child care
        Judgment (Psychology)
        Discrimination (Sociology)
        Abortion
        Medical care costs
        Poverty
        Secondary analysis
        Research funding
        Multiple regression analysis
        Descriptive statistics
        Telemedicine
        Odds ratio
        Medical records
        Acquisition of data
        Confidence intervals
        Data analysis software
        Human comfort
      sug:
        subj:
          Fear
          Food security
          Medical care
          Economic status
          Transportation
          Child care
          Judgment (Psychology)
          Discrimination (Sociology)
          Abortion
          Medical care costs
          Poverty
          United States
          Other support activities for transportation
          All Other Support Activities for Transportation
          Secondary analysis
          Research funding
          Multiple regression analysis
          Descriptive statistics
          Telemedicine
          Odds ratio
          Medical records
          Acquisition of data
          Confidence intervals
          Data analysis software
          Human comfort
      ab: Objectives. To determine differences in reasons for choosing telehealth abortion based on food insecurity status. Methods. We analyzed data from the California Home Abortion by Telehealth (CHAT) Study, which included survey responses from patients who received medication abortion care between 2021 and 2022 from 1 of 3 virtual US clinics. Based on responses from 1726 survey participants, we used multivariable logistic regression to analyze differences in reported reasons for choosing telehealth abortion among individuals who experienced food insecurity versus those who did not. Results. Compared with individuals in food-secure households, individuals who experienced food insecurity were more likely to choose telehealth abortion because of cost, challenges in finding transportation, challenges in finding child or dependent care, and concerns related to fear, judgment, and discrimination regarding care at an in-person clinic. Conclusions. When seeking an abortion, individuals in food-insecure households consider many factors relevant to their abortion care preferences and reproductive health. Telehealth abortion, with its lower cost, may be particularly appealing to individuals who experience economic constraints.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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