{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:06:04Z","timestamp":1782975964974,"version":"3.54.5"},"reference-count":36,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Abortion bans and restrictions may have ripple effects on other forms of sexual and reproductive health care such as contraception provision. While only a small proportion of publicly supported sexual and reproductive health clinics offer abortion care, many are likely experiencing direct and indirect impacts of the June 2022\n                      <jats:italic toggle=\"yes\">Dobbs versus Jackson Women\u2019s Health Organization<\/jats:italic>\n                      Supreme Court decision.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We analyzed data from a national survey of 446 clinics conducted between November 2022 and December 2023 to understand provision of pregnancy options counseling, miscarriage management, and abortion, as well as perceived changes in patient demand for contraception, abortion referrals, and pregnancy options counseling. We examined these measures comparing clinics by abortion legal restrictiveness (more restrictive\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 178; less restrictive\/protective\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 268).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Almost one-quarter of clinics reported an increase in patients requesting intrauterine devices or implants, and one-fifth reported an increase in the proportion of patients seeking contraceptive services. Clinics in more restrictive states reported lower proportions of pregnancy options counseling and miscarriage management provision than sites in less restrictive\/protective states. Higher proportions of clinics in more restrictive states reported decreases in time spent counseling patients seeking abortion and the number of referrals made for abortion compared to less restrictive\/protective states. Open-ended data mirror the survey findings, with respondents describing changing pregnancy options counseling practices and serving more out-of-state patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      State restrictions on abortion care in the wake of\n                      <jats:italic toggle=\"yes\">Dobbs<\/jats:italic>\n                      have had spillover effects on a range of reproductive health services reported by publicly supported sexual and reproductive health clinics.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.0520","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T15:55:27Z","timestamp":1749657327000},"page":"795-803","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Effects of the\n                    <i>Dobbs<\/i>\n                    Decision on Publicly Supported Sexual and Reproductive Health Clinics: Results from a National Study"],"prefix":"10.1177","volume":"34","author":[{"given":"Alicia","family":"VandeVusse","sequence":"first","affiliation":[{"name":"Guttmacher Institute, New York, NY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Mueller","sequence":"additional","affiliation":[{"name":"Guttmacher Institute, New York, NY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marielle","family":"Kirstein","sequence":"additional","affiliation":[{"name":"Guttmacher Institute, New York, NY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Publicly Supported Family Planning Services in the United States","author":"Guttmacher Institute","year":"2019","unstructured":"Guttmacher Institute. Publicly Supported Family Planning Services in the United States. Guttmacher Institute; 2019."},{"key":"e_1_3_5_3_2","volume-title":"Trends and Differentials in Receipt of Sexual and Reproductive Health Services in the United States: Services Received and Sources of Care, 2006\u20132019","author":"Frost JJ","year":"2021","unstructured":"Frost JJ, , Mueller J, , Pleasure ZH. Trends and Differentials in Receipt of Sexual and Reproductive Health Services in the United States: Services Received and Sources of Care, 2006\u20132019. Guttmacher Institute; 2021."},{"key":"e_1_3_5_4_2","volume-title":"Family Planning Annual Report: 2022 National Summary","author":"Clochard A","year":"2023","unstructured":"Clochard A, , Killewald P, , Larson A, et al. Family Planning Annual Report: 2022 National Summary. Office of Population Affairs, Office of the Assistant Secretary for Health, Department of Health and Human Services: Washington, DC; 2023."},{"key":"e_1_3_5_5_2","unstructured":"Anonymous. What Is a Federally Qualified Health Center (FQHC)? n.d. Available from: https:\/\/www.fqhc.org\/what-is-an-fqhc [Last accessed: September17 2024]."},{"key":"e_1_3_5_6_2","volume-title":"Publicly Funded Contraceptive Services At U.S. Clinics, 2015","author":"Frost JJ","year":"2017","unstructured":"Frost JJ, , Frohwirth LF, , Blades N, et al. Publicly Funded Contraceptive Services At U.S. Clinics, 2015. Guttmacher Institute; 2017."},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1363\/2023.300323"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.conx.2023.100096"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2022.2089322"},{"key":"e_1_3_5_10_2","volume-title":"Rebuilding Title X: New Regulations for the Federal Family Planning Program","author":"Frederiksen B","year":"2021","unstructured":"Frederiksen B, , Gomez I, , Salganicoff A. Rebuilding Title X: New Regulations for the Federal Family Planning Program. Women\u2019s Health Policy. KFF; 2021."},{"key":"e_1_3_5_11_2","volume-title":"Family Planning Annual Report 2020 National Summary","author":"Fowler CI","year":"2021","unstructured":"Fowler CI, , Gable J, , Lasater B. Family Planning Annual Report 2020 National Summary. Office of Population Affairs, Office of the Assistant Secretary for Health, Department of Health and Human Services: Washington D.C.; 2021."},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12211"},{"key":"e_1_3_5_13_2","volume-title":"Title X Advocates Worry That Birth Control May Go the Same Way as Abortion","author":"Paviour B","year":"2022","unstructured":"Paviour B. Title X Advocates Worry That Birth Control May Go the Same Way as Abortion. NPR. 2022."},{"key":"e_1_3_5_14_2","volume-title":"Publicly Funded Family Planning Clinics in 2015: Patterns and Trends in Service Delivery Practices and Protocols","author":"Zolna MR","year":"2016","unstructured":"Zolna MR, , Frost JJ. Publicly Funded Family Planning Clinics in 2015: Patterns and Trends in Service Delivery Practices and Protocols. New York; 2016."},{"key":"e_1_3_5_15_2","unstructured":"Guttmacher Institute. Interactive Map: US Abortion Policies and Access After Roe. 2023. Available from: https:\/\/states.guttmacher.org\/policies\/ [Last accessed: September29 2022]."},{"key":"e_1_3_5_16_2","volume-title":"Abortion Rights across the US: We Track Where Laws Stand in Every State","author":"Sherman C","year":"2024","unstructured":"Sherman C, , Witherspoon A. Abortion Rights across the US: We Track Where Laws Stand in Every State. The Guardian; 2024."},{"key":"e_1_3_5_17_2","volume-title":"Planned Parenthood in Wisconsin to Resume Abortion Care after Judge\u2019s Ruling","author":"Sherman C","year":"2023","unstructured":"Sherman C. Planned Parenthood in Wisconsin to Resume Abortion Care after Judge\u2019s Ruling. The Guardian; 2023."},{"key":"e_1_3_5_18_2","unstructured":"Langmaid V. Contraception Demand up after Roe Reversal Doctors Say. 2022. Available from: https:\/\/www.cnn.com\/2022\/07\/06\/health\/contraceptives-demand-after-roe\/index.html [Last accessed: September29 2022]."},{"key":"e_1_3_5_19_2","volume-title":"Guide to Impact of Dobbs on Voters","author":"PerryUndem","year":"2022","unstructured":"PerryUndem. Guide to Impact of Dobbs on Voters. PerryUndem; 2022."},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288947"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1274154"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-023-00672-x"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2023.04.002"},{"key":"e_1_3_5_24_2","unstructured":"Kirstein M Dreweke J Jones R et al. 100 Days Post-Roe: At Least 66 Clinics Across 15 US States Have Stopped Offering Abortion Care. 2022. Available from: https:\/\/www.guttmacher.org\/2022\/10\/100-days-post-roe-least-66-clinics-across-15-us-states-have-stopped-offering-abortion-care [Last accessed: April3 2023]."},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1126\/sciadv.ade5327"},{"key":"e_1_3_5_26_2","unstructured":"Frederiksen B Ranji U Gomez I et al. A National Survey of OBGYNs\u2019 Experiences After Dobbs. 2023. Available from: https:\/\/www.kff.org\/womens-health-policy\/report\/a-national-survey-of-obgyns-experiences-after-dobbs\/ [Last accessed: February20 2024]."},{"key":"e_1_3_5_27_2","volume-title":"Dobbs\u2019 Erosion of the Health Care Workforce: Harms to Providers and Patients","author":"Davies M","year":"2024","unstructured":"Davies M, , Rajput M. Dobbs\u2019 Erosion of the Health Care Workforce: Harms to Providers and Patients. National Partnership for Women and Families; 2024."},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2024.05.004"},{"key":"e_1_3_5_29_2","volume-title":"Abortion Providers Discuss State of Abortion Access One Month Post Fall of Roe v. Wade","author":"Planned Parenthood","year":"2022","unstructured":"Planned Parenthood. Abortion Providers Discuss State of Abortion Access One Month Post Fall of Roe v. Wade. Planned Parenthood; 2022."},{"key":"e_1_3_5_30_2","volume-title":"Medication Abortions Accounted for 63% of All US Abortions in 2023, an Increase from 53% in 2020","author":"Jones R","year":"2024","unstructured":"Jones R, , Friedrich-Karnik A. Medication Abortions Accounted for 63% of All US Abortions in 2023, an Increase from 53% in 2020. 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