Abortion experiences and preferences of transgender, nonbinary, and gender-expansive people in the United States

Transgender, nonbinary, and gender-expansive people who were assigned female or intersex at birth experience pregnancy and have abortions. Scarce data have been published on individual abortion experiences or preferences of this understudied population. This study aimed to fill existing evidence gap...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2021-04, Vol.224 (4), p.376.e1-376.e11
Main Authors: Moseson, Heidi, Fix, Laura, Ragosta, Sachiko, Forsberg, Hannah, Hastings, Jen, Stoeffler, Ari, Lunn, Mitchell R., Flentje, Annesa, Capriotti, Matthew R., Lubensky, Micah E., Obedin-Maliver, Juno
Format: Article
Language:English
Subjects:
Abortifacient Agents - administration & dosage
abortion
abortion method preference
Abortion, Induced - methods
Abortion, Induced - statistics & numerical data
Adolescent
Adult
Aged
Female
Humans
induced abortion
intersex
Male
medication abortion
Middle Aged
Original Research
Patient Preference - statistics & numerical data
Pregnancy
sexual and gender minorities
surgical abortion
Surveys and Questionnaires
transgender persons
Transgender Persons - statistics & numerical data
United States
Young Adult
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Summary:Transgender, nonbinary, and gender-expansive people who were assigned female or intersex at birth experience pregnancy and have abortions. Scarce data have been published on individual abortion experiences or preferences of this understudied population. This study aimed to fill existing evidence gaps on the abortion experiences and preferences of transgender, nonbinary, and gender-expansive people in the United States to inform policies and practices to improve access to and quality of abortion care for this population. In 2019, we recruited transgender, nonbinary, and gender-expansive people who were assigned female or intersex at birth at the age of ≥18 years from across the United States to participate in an online survey about sexual and reproductive health recruited through The Population Research in Identities and Disparities for Equality Study and online postings. We descriptively analyzed closed- and open-ended survey responses related to pregnancy history, abortion experiences, preferences for abortion method, recommendations to improve abortion care for transgender, nonbinary, and gender-expansive people, and respondent sociodemographic characteristics. Most of the 1694 respondents were
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2020.09.035