Decision Rightness and Emotional Responses to Abortion in the United States: A Longitudinal Study
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{"title"=>"Decision rightness and emotional responses to abortion in the United States: A longitudinal study", "type"=>"journal", "authors"=>[{"first_name"=>"Corinne H.", "last_name"=>"Rocca", "scopus_author_id"=>"6701788672"}, {"first_name"=>"Katrina", "last_name"=>"Kimport", "scopus_author_id"=>"24472011500"}, {"first_name"=>"Sarah C.M.", "last_name"=>"Roberts", "scopus_author_id"=>"47261256200"}, {"first_name"=>"Heather", "last_name"=>"Gould", "scopus_author_id"=>"12244934500"}, {"first_name"=>"John", "last_name"=>"Neuhaus", "scopus_author_id"=>"7005256475"}, {"first_name"=>"Diana G.", "last_name"=>"Foster", "scopus_author_id"=>"7403218946"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84941351138", "pmid"=>"24406267", "pui"=>"605952393", "isbn"=>"0021-843X\\n1939-1846", "scopus"=>"2-s2.0-84941351138", "doi"=>"10.1371/journal.pone.0128832", "issn"=>"19326203"}, "id"=>"4d403c24-4532-3ae9-882b-8b5630710201", "abstract"=>"<sec id=\"sec001\"> <title>Background</title> <p>Arguments that abortion causes women emotional harm are used to regulate abortion, particularly later procedures, in the United States. However, existing research is inconclusive. We examined women’s emotions and reports of whether the abortion decision was the right one for them over the three years after having an induced abortion.</p> </sec> <sec id=\"sec002\"> <title>Methods</title> <p>We recruited a cohort of women seeking abortions between 2008-2010 at 30 facilities across the United States, selected based on having the latest gestational age limit within 150 miles. Two groups of women (n=667) were followed prospectively for three years: women having first-trimester procedures and women terminating pregnancies within two weeks under facilities’ gestational age limits at the same facilities. Participants completed semiannual phone surveys to assess whether they felt that having the abortion was the right decision for them; negative emotions (regret, anger, guilt, sadness) about the abortion; and positive emotions (relief, happiness). Multivariable mixed-effects models were used to examine changes in each outcome over time, to compare the two groups, and to identify associated factors.</p> </sec> <sec id=\"sec003\"> <title>Results</title> <p>The predicted probability of reporting that abortion was the right decision was over 99% at all time points over three years. Women with more planned pregnancies and who had more difficulty deciding to terminate the pregnancy had lower odds of reporting the abortion was the right decision (aOR=0.71 [0.60, 0.85] and 0.46 [0.36, 0.64], respectively). Both negative and positive emotions declined over time, with no differences between women having procedures near gestational age limits versus first-trimester abortions. Higher perceived community abortion stigma and lower social support were associated with more negative emotions (b=0.45 [0.31, 0.58] and b=-0.61 [-0.93, -0.29], respectively).</p> </sec> <sec id=\"sec004\"> <title>Conclusions</title> <p>Women experienced decreasing emotional intensity over time, and the overwhelming majority of women felt that termination was the right decision for them over three years. Emotional support may be beneficial for women having abortions who report intended pregnancies or difficulty deciding.</p> </sec>", "link"=>"http://www.mendeley.com/research/decision-rightness-emotional-responses-abortion-united-states-longitudinal-study", "reader_count"=>57, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>1, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>9, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>1, "Student > Master"=>11, "Other"=>4, "Student > Bachelor"=>6, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>1, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>9, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>1, "Student > Master"=>11, "Other"=>4, "Student > Bachelor"=>6, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Nursing and Health Professions"=>8, "Biochemistry, Genetics and Molecular Biology"=>2, "Agricultural and Biological Sciences"=>7, "Medicine and Dentistry"=>17, "Physics and Astronomy"=>1, "Psychology"=>9, "Social Sciences"=>8}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>17}, "Social Sciences"=>{"Social Sciences"=>8}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>9}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>7}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>8}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>5}}, "reader_count_by_country"=>{"United States"=>1, "Chile"=>1}, "group_count"=>6}

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  • {"files"=>["https://ndownloader.figshare.com/files/2167893"], "description"=>"<p>The line represents the trajectory of the average participant (average intercept and slope), based on a multivariable mixed-effects model of reporting that abortion was the right decision, with mean-centered covariables equal to zero.</p>", "links"=>[], "tags"=>["Longitudinal Study BackgroundArguments", "right decision", "United States", "emotion", "pregnancy", "community abortion stigma", "age limits", "abortion causes women"], "article_id"=>1477589, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Corinne H. Rocca", "Katrina Kimport", "Sarah C. M. Roberts", "Heather Gould", "John Neuhaus", "Diana G. Foster"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0128832.g001", "stats"=>{"downloads"=>0, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mean_predicted_probability_of_reporting_that_abortion_was_the_right_decision_over_three_years_after_an_abortion_/1477589", "title"=>"Mean predicted probability of reporting that abortion was the right decision over three years after an abortion.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-07-08 03:39:16"}
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  • {"files"=>["https://ndownloader.figshare.com/files/2167896"], "description"=>"<p><sup>a</sup> One participant aged 14 was recruited before the minimum age was changed to 15.</p><p>Participant characteristics, by study group: percentages and p-values, <i>Turnaway Study</i> (n = 667)</p>", "links"=>[], "tags"=>["Longitudinal Study BackgroundArguments", "right decision", "United States", "emotion", "pregnancy", "community abortion stigma", "age limits", "abortion causes women"], "article_id"=>1477592, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Corinne H. Rocca", "Katrina Kimport", "Sarah C. M. Roberts", "Heather Gould", "John Neuhaus", "Diana G. Foster"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0128832.t001", "stats"=>{"downloads"=>6, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Participant_characteristics_by_study_group_percentages_and_p_values_Turnaway_Study_n_667_/1477592", "title"=>"Participant characteristics, by study group: percentages and p-values, <i>Turnaway Study</i> (n = 667)", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-07-08 03:39:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/2167897"], "description"=>"<p>***p≤.001.</p><p>**p≤.01.</p><p>*p≤.05.</p><p>†Different from “Other” at p≤.01.</p><p>‡Different from “Not sure” and “Did not want” at p≤.05.</p><p>Note: Effect estimates are based on 3,758 observations of 650 women (mean 5.8 observations/woman).</p><p>Abortion decision rightness over 3 years post-abortion: adjusted odds ratios from a multivariable logistic mixed-effects regression model (n = 650).</p>", "links"=>[], "tags"=>["Longitudinal Study BackgroundArguments", "right decision", "United States", "emotion", "pregnancy", "community abortion stigma", "age limits", "abortion causes women"], "article_id"=>1477593, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Corinne H. Rocca", "Katrina Kimport", "Sarah C. M. Roberts", "Heather Gould", "John Neuhaus", "Diana G. Foster"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0128832.t002", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Abortion_decision_rightness_over_3_years_post_abortion_adjusted_odds_ratios_from_a_multivariable_logistic_mixed_effects_regression_model_n_650_/1477593", "title"=>"Abortion decision rightness over 3 years post-abortion: adjusted odds ratios from a multivariable logistic mixed-effects regression model (n = 650).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-07-08 03:39:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/2167898"], "description"=>"<p>***p≤.001.</p><p>**p≤.01.</p><p>*p≤.05.</p><p>Note: Effect estimates are based on 3,754 observations of 650 women (mean 5.8 observations/woman).</p><p>Negative emotions (regret, anger, sadness, guilt) over 3 years post-abortion: adjusted coefficients from a multivariable linear mixed-effects model (n = 650).</p>", "links"=>[], "tags"=>["Longitudinal Study BackgroundArguments", "right decision", "United States", "emotion", "pregnancy", "community abortion stigma", "age limits", "abortion causes women"], "article_id"=>1477594, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Corinne H. Rocca", "Katrina Kimport", "Sarah C. M. Roberts", "Heather Gould", "John Neuhaus", "Diana G. Foster"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0128832.t003", "stats"=>{"downloads"=>4, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Negative_emotions_regret_anger_sadness_guilt_over_3_years_post_abortion_adjusted_coefficients_from_a_multivariable_linear_mixed_effects_model_n_650_/1477594", "title"=>"Negative emotions (regret, anger, sadness, guilt) over 3 years post-abortion: adjusted coefficients from a multivariable linear mixed-effects model (n = 650).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-07-08 03:39:16"}

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{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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