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

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Title: Reasons for Choosing Telehealth Abortion Based on Food Insecurity Status: United States, 2021–2022.
Authors: Williams, Courtney E., Becker, Andréa, Koenig, Leah R., Peters, Lisa, Upadhyay, Ushma D.
Source: American Journal of Public Health. May2026, Vol. 116 Issue 5, p674-682. 9p.
Subjects: Fear, Secondary analysis, Research funding, Food security, Medical care, Multiple regression analysis, Economic status, Descriptive statistics, Telemedicine, Transportation, Odds ratio, Medical records, Acquisition of data, Child care, Judgment (Psychology), Discrimination (Sociology), Confidence intervals, Data analysis software, Human comfort, Abortion, Medical care costs, Poverty
Geographic Terms: United States
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Reasons for Choosing Telehealth Abortion Based on Food Insecurity Status: United States, 2021–2022.
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  Data: <searchLink fieldCode="AR" term="%22Williams%2C+Courtney+E%2E%22">Williams, Courtney E.</searchLink><br /><searchLink fieldCode="AR" term="%22Becker%2C+Andréa%22">Becker, Andréa</searchLink><br /><searchLink fieldCode="AR" term="%22Koenig%2C+Leah+R%2E%22">Koenig, Leah R.</searchLink><br /><searchLink fieldCode="AR" term="%22Peters%2C+Lisa%22">Peters, Lisa</searchLink><br /><searchLink fieldCode="AR" term="%22Upadhyay%2C+Ushma+D%2E%22">Upadhyay, Ushma D.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. May2026, Vol. 116 Issue 5, p674-682. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Fear%22">Fear</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Food+security%22">Food security</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Economic+status%22">Economic status</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Transportation%22">Transportation</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Child+care%22">Child care</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+%28Psychology%29%22">Judgment (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Discrimination+%28Sociology%29%22">Discrimination (Sociology)</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Human+comfort%22">Human comfort</searchLink><br /><searchLink fieldCode="DE" term="%22Abortion%22">Abortion</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty%22">Poverty</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2025.308372
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 674
    Subjects:
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Food security
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Economic status
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Transportation
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Child care
        Type: general
      – SubjectFull: Judgment (Psychology)
        Type: general
      – SubjectFull: Discrimination (Sociology)
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Human comfort
        Type: general
      – SubjectFull: Abortion
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Reasons for Choosing Telehealth Abortion Based on Food Insecurity Status: United States, 2021–2022.
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            NameFull: Williams, Courtney E.
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            NameFull: Becker, Andréa
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            NameFull: Koenig, Leah R.
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            NameFull: Peters, Lisa
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            NameFull: Upadhyay, Ushma D.
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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