Experiences seeking, sourcing, and using abortion pills at home in the United States through an online telemedicine service
Experiences seeking, sourcing, and using abortion pills at home in the United States through an online telemedicine service
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DOI：
10.1016/j.ssmqr.2022.100075
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发表时间：
2022-12-01
期刊：
影响因子：
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通讯作者：
Aiken, Abigail R. A.
中科院分区：
文献类型：
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作者：
Madera, Melissa;Johnson, Dana M.;Aiken, Abigail R. A.
在美国，越来越多的人寻求通过在线自行采购堕胎药物来自我管理堕胎。先前的研究侧重于人们寻求堕胎自我管理的动机和试图获得药物的经历。然而，人们对美国人的经历知之甚少，他们实际上使用他们在网上自行采购的药物完成了自我管理的堕胎。我们对80名通过Aid Access寻求堕胎药物的人进行了匿名深入采访，Aid Access是美国所有50个州唯一提供堕胎药物的在线远程医疗服务。通过扎根理论分析，我们确定了五个关键主题：1）参与者将Aid Access视为“天赐之物”; 2）对诈骗，运输延迟和监视的恐惧使在线订购药丸成为“伤脑筋”的体验; 3）“个人接触”平息了恐惧并培养了对Aid Access的信任; 4）参与者担心自我管理堕胎体验的“如果”; 5）总体而言，与会者认为在线远程医疗满足了他们的重要需求。我们的研究结果表明，Aid Access提供的在线远程医疗不仅提供了关键服务，而且还提供了参与者认为合法和值得信赖的护理。
A growing number of people in the United States seek to self-manage their abortions by self-sourcing abortion medications online. Prior research focuses on people's motivations for seeking self-management of abortion and experiences trying to obtain medications. However, little is known about the experiences of people in the U.S. who actually complete a self-managed abortion using medications they self-sourced online. We conducted anonymous in-depth interviews with 80 individuals who sought abortion medications through Aid Access, the only online telemedicine service that provides abortion medications in all 50 U.S. states. Through grounded theory analysis we identified five key themes: 1) participants viewed Aid Access as a "godsend"; 2) Fears of scams, shipping delays, and surveillance made ordering pills online a "nerve-racking" experience; 3) a "personal touch" calmed fears and fostered trust in Aid Access; 4) participants were worried about the "what ifs" of the selfmanaged abortion experience; and 5) overall, participants felt that online telemedicine met their important needs. Our findings demonstrate that online telemedicine provided by Aid Access not only provided a critical service, but also offered care that participants deemed legitimate and trustworthy.