{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:29:44Z","timestamp":1792726184474,"version":"4.5.0"},"reference-count":39,"publisher":"American Medical Association (AMA)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"DOI":"10.1001\/jamanetworkopen.2021.11852","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T15:31:23Z","timestamp":1621611083000},"page":"e2111852","source":"Crossref","is-referenced-by-count":59,"title":["Factors Associated With Use of an Online Telemedicine Service to Access Self-managed Medical Abortion in the US"],"prefix":"10.1001","volume":"4","author":[{"given":"Abigail R. A.","family":"Aiken","sequence":"first","affiliation":[{"name":"LBJ School of Public Affairs, The University of Texas at Austin"},{"name":"Population Research Center, The University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer E.","family":"Starling","sequence":"additional","affiliation":[{"name":"Mathematica Policy Research Inc, Cambridge, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Gomperts","sequence":"additional","affiliation":[{"name":"Aid Access, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"zoi210355r2","first-page":"22","article-title":"Ensuring access to abortion at the state level: selected examples and lessons.","author":"Nash","year":"2019","journal-title":"Guttmacher Policy Review"},{"issue":"5","key":"zoi210355r3","doi-asserted-by":"publisher","first-page":"857","DOI":"10.2105\/AJPH.2016.303134","article-title":"Impact of clinic closures on women obtaining abortion services after implementation of a restrictive law in Texas.","volume":"106","author":"Gerdts","year":"2016","journal-title":"Am J Public Health"},{"issue":"2","key":"zoi210355r4","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1363\/psrh.12024","article-title":"Barriers to abortion care and their consequences for patients traveling for services: qualitative findings from two states.","volume":"49","author":"Jerman","year":"2017","journal-title":"Perspect Sex Reprod Health"},{"issue":"4","key":"zoi210355r5","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1363\/psrh.2018.50.issue-4","article-title":"Motivations and experiences of people seeking medication abortion online in the United States.","volume":"50","author":"Aiken","year":"2018","journal-title":"Perspect Sex Reprod Health"},{"issue":"4","key":"zoi210355r6","doi-asserted-by":"publisher","first-page":"1571","DOI":"10.1353\/hpu.2014.0151","article-title":"Does medicaid coverage matter? a qualitative multi-state study of abortion affordability for low-income women.","volume":"25","author":"Dennis","year":"2014","journal-title":"J Health Care Poor Underserved"},{"key":"zoi210355r7","doi-asserted-by":"publisher","first-page":"j2011","DOI":"10.1136\/bmj.j2011","article-title":"Self reported outcomes and adverse events after medical abortion through online telemedicine: population based study in the Republic of Ireland and Northern Ireland.","volume":"357","author":"Aiken","year":"2017","journal-title":"BMJ"},{"issue":"8","key":"zoi210355r9","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1056\/NEJMsb1612526","article-title":"Sixteen years of overregulation: time to unburden Mifeprex.","volume":"376","author":"Raymond","year":"2017","journal-title":"N Engl J Med"},{"issue":"1","key":"zoi210355r10","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/s12905-019-0877-0","article-title":"Texas women\u2019s decisions and experiences regarding self-managed abortion.","volume":"20","author":"Fuentes","year":"2020","journal-title":"BMC Womens Health"},{"issue":"36","key":"zoi210355r11","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1016\/S0968-8080(10)36534-7","article-title":"Self-induction of abortion among women in the United States.","volume":"18","author":"Grossman","year":"2010","journal-title":"Reprod Health Matters"},{"issue":"12","key":"zoi210355r12","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.29245","article-title":"Prevalence of self-managed abortion among women of reproductive age in the United States.","volume":"3","author":"Ralph","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"1","key":"zoi210355r13","doi-asserted-by":"publisher","first-page":"90","DOI":"10.2105\/AJPH.2019.305369","article-title":"Demand for self-managed medication abortion through an online telemedicine service in the United States.","volume":"110","author":"Aiken","year":"2020","journal-title":"Am J Public Health"},{"key":"zoi210355r14","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.bpobgyn.2019.08.002","article-title":"Self-managed abortion: a systematic scoping review.","volume":"63","author":"Moseson","year":"2020","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"issue":"4","key":"zoi210355r15","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.contraception.2017.09.016","article-title":"Exploring the feasibility of obtaining mifepristone and misoprostol from the internet.","volume":"97","author":"Murtagh","year":"2018","journal-title":"Contraception"},{"key":"zoi210355r16","doi-asserted-by":"publisher","first-page":"l4444","DOI":"10.1136\/bmj.l4444","article-title":"Erosion of women\u2019s reproductive rights in the United States.","volume":"366","author":"Aiken","year":"2019","journal-title":"BMJ"},{"issue":"2","key":"zoi210355r18","doi-asserted-by":"publisher","first-page":"238.e1","DOI":"10.1016\/j.ajog.2020.02.026","article-title":"Knowledge, interest, and motivations surrounding self-managed medication abortion among patients at three Texas clinics.","volume":"223","author":"Aiken","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"12","key":"zoi210355r27","doi-asserted-by":"publisher","first-page":"1860","DOI":"10.2105\/AJPH.2017.304152","article-title":"Dramatic decreases in US abortion rates: public health achievement or failure?","volume":"107","author":"Foster","year":"2017","journal-title":"Am J Public Health"},{"issue":"11","key":"zoi210355r29","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.24610","article-title":"Association of highly restrictive state abortion policies with abortion rates, 2000-2014.","volume":"3","author":"Brown","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"4","key":"zoi210355r31","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1363\/psrh.12164","article-title":"Distance to an abortion provider and its association with the abortion rate: a multistate longitudinal analysis.","volume":"52","author":"Brown","year":"2020","journal-title":"Perspect Sex Reprod Health"},{"key":"zoi210355r35","doi-asserted-by":"crossref","DOI":"10.1016\/j.conx.2020.100049","article-title":"Adoption of no-test and telehealth medication abortion care among independent abortion providers in response to COVID-19.","volume":"2","author":"Upadhyay","year":"2020","journal-title":"Contracept X"},{"issue":"7","key":"zoi210355r36","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1001\/jama.2020.24096","article-title":"Changes in abortion in Texas following an executive order ban during the coronavirus Pandemic.","volume":"325","author":"White","year":"2021","journal-title":"JAMA"},{"issue":"4","key":"zoi210355r37","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1097\/AOG.0000000000004081","article-title":"Demand for self-managed online telemedicine abortion in the United States during the coronavirus disease 2019 (COVID-19) pandemic.","volume":"136","author":"Aiken","year":"2020","journal-title":"Obstet Gynecol"},{"key":"zoi210355r8","author":"Aiken","year":"2021"},{"key":"zoi210355r22","year":"2019"},{"key":"zoi210355r28","author":"Guttmacher Institute News in Context","year":"2016"},{"key":"zoi210355r1","unstructured":"World Health Organization Guidelines. WHO recommendations on self-care interventions: self-management of medical abortion. 25 June 2020. Accessed January 12, 2021. https:\/\/www.who.int\/publications\/i\/item\/WHO-SRH-20-11?"},{"key":"zoi210355r17","unstructured":"World Health Organization (WHO). Medical management of abortion. 2018. Accessed March 24, 2021. https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/278968\/9789241550406-eng.pdf?ua=1"},{"key":"zoi210355r19","unstructured":"US Census Bureau, Population Division. Annual County resident population estimates by age, sex, race, and Hispanic origin: April 1, 2010 to July 1, 2019. Accessed January 12, 2021. https:\/\/www2.census.gov\/programs-surveys\/popest\/datasets\/2010-2019\/counties\/asrh\/cc-est2019-alldata.csv"},{"key":"zoi210355r20","unstructured":"Wallace? JR. gdist: Geodesic distance (great circle distance) between points. Accessed January 12, 2021. https:\/\/rdrr.io\/cran\/Imap\/man\/gdist.html"},{"key":"zoi210355r21","unstructured":"ineedana.com. Accessed January 12, 2021. https:\/\/ineedana.com"},{"key":"zoi210355r23","unstructured":"Federal Communications Commission. Mapping broadband health in America. Accessed January 12, 2021. https:\/\/www.fcc.gov\/health\/maps\/methodology"},{"key":"zoi210355r24","unstructured":"US Census Bureau. Small Area Income and Poverty Estimates (SAIPE). Accessed January 12, 2021. https:\/\/www.census.gov\/data-tools\/demo\/saipe\/#\/?map_geoSelector=aa_c"},{"key":"zoi210355r25","unstructured":"Nash? E. Guttmacher Institute Policy Analysis. State abortion policy landscape: from hostile to supportive. August 2019. Accessed March 24, 2021. https:\/\/www.guttmacher.org\/article\/2019\/08\/state-abortion-policy-landscape-hostile-supportive#"},{"key":"zoi210355r26","unstructured":"Wang? Z. Package \u2018mpath\u2019. December 13, 2020. Accessed January 12, 2021. https:\/\/cran.r-project.org\/web\/packages\/mpath\/mpath.pdf"},{"key":"zoi210355r30","doi-asserted-by":"crossref","unstructured":"Jones? RK, Witwer? E, Jerman? J. Abortion incidence and service availability in the United States, 2017. Guttmacher Institute Report. September 2019. Accessed January 12, 2021. https:\/\/www.guttmacher.org\/report\/abortion-incidence-service-availability-us-2017","DOI":"10.1363\/2019.30760"},{"key":"zoi210355r32","unstructured":"Donovan? MK. In real life: federal restrictions on abortion coverage and the women they impact. Guttmacher Policy Review. January 5, 2017. Accessed May 4, 2021. https:\/\/www.guttmacher.org\/gpr\/2017\/01\/real-life-federal-restrictions-abortion-coverage-and-women-they-impact"},{"key":"zoi210355r33","unstructured":"Salganicoff? A, Sobel? L, Ramaswamy? A. The Hyde Amendment and coverage for abortion services. Kaiser Family Foundation Issue Brief. March 5, 2021. Accessed March 24, 2021. https:\/\/www.kff.org\/womens-health-policy\/issue-brief\/the-hyde-amendment-and-coverage-for-abortion-services\/"},{"key":"zoi210355r34","unstructured":"Kaiser Family Foundation Issue Brief. Interactive: how state policies shape access to abortion coverage. Feb 10, 2020. Accessed March 24, 2021. https:\/\/www.kff.org\/womens-health-policy\/issue-brief\/interactive-how-state-policies-shape-access-to-abortion-coverage\/"},{"key":"zoi210355r38","unstructured":"American College of Obstetricians and Gynecologists. Position statement on decriminalization of self-induced abortion. Published 2017. Accessed January 12, 2020. https:\/\/www.acog.org\/clinical-information\/policy-and-position-statements\/position-statements\/2017\/decriminalization-of-self-induced-abortion?"},{"key":"zoi210355r39","unstructured":"Self-managed abortion, the law, and COVID-19 factsheet. Accessed January 12, 2021. https:\/\/www.ifwhenhow.org\/wp-content\/uploads\/2020\/04\/20_04_Final_SMA_TheLaw_COVID-19_FactSheet_PDF.pdf"}],"container-title":["JAMA Network Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/articlepdf\/2780272\/aiken_2021_oi_210355_1620949759.73314.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T06:36:44Z","timestamp":1672209404000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2780272"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,21]]},"references-count":39,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5,3]]}},"URL":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2021.11852","relation":{},"ISSN":["2574-3805"],"issn-type":[{"value":"2574-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,21]]}}}