{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:53:01Z","timestamp":1790175181759,"version":"4.1.0"},"reference-count":29,"publisher":"Guttmacher Institute","issue":"3","license":[{"start":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T00:00:00Z","timestamp":1567555200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012297","name":"Society of Family Planning","doi-asserted-by":"publisher","award":["SFPRF9\u201311"],"award-info":[{"award-number":["SFPRF9\u201311"]}],"id":[{"id":"10.13039\/100012297","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001146","name":"Greenwall Foundation","doi-asserted-by":"publisher","award":["0062905 2014\u20132017"],"award-info":[{"award-number":["0062905 2014\u20132017"]}],"id":[{"id":"10.13039\/100001146","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>Catholic hospitals operate under directives that prohibit the provision of contraceptives, sterilization and abortion. Little research has examined women's awareness of these institutions\u2019 policies, which affects their ability to make informed decisions about where to seek care.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>In 2016, some 1,430 women aged 18\u201345 were recruited from a U.S. probability\u2010based research panel for a survey about hospital care. Respondents were randomized to a hypothetical Catholic or nonreligious hospital group and asked about their expectations for receiving nine specific reproductive services. Multivariable logistic regression analyses were used to evaluate associations between participants\u2019 characteristics and their correctly identifying a hospital as Catholic, as well as between characteristics and expecting that birth control pills, tubal ligation or abortion for serious fetal indications would be provided there.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Women randomized to the Catholic hospital group were less likely than those randomized to the nonreligious group to expect provision of birth control pills (77% vs. 86%), tubal ligation (70% vs. 78%) or abortion for serious fetal indications (42% vs. 54%). Income level was associated with correctly identifying the Catholic hospital: Compared with individuals with the lowest income, those in three of the four other income groups were more likely to identify the hospital as Catholic (odds ratios, 1.9\u20132.2). In comparison with women who misidentified the Catholic hospital, those who identified it as Catholic had lower expectations that the hospital would provide birth control pills (0.3), tubal ligation (0.5) or abortion (0.2).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Many women do not realize the breadth of restrictions on reproductive health care at Catholic hospitals. Without institutional transparency, patient autonomy and health outcomes may be compromised.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12118","type":"journal-article","created":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T16:00:49Z","timestamp":1567612849000},"page":"135-142","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Women's Expectation of Receiving Reproductive Health Care at Catholic and Non\u2010Catholic Hospitals"],"prefix":"10.1363","volume":"51","author":[{"given":"Debra B.","family":"Stulberg","sequence":"first","affiliation":[{"name":"Department of Family Medicine University of Chicago  Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Guiahi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Colorado School of Medicine  Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana E.","family":"Hebert","sequence":"additional","affiliation":[{"name":"Initiative for Research and Education to Advance Community Health, Department of Medical Education and Clinical Sciences Washington State University  Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori R.","family":"Freedman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences University of California  San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"259","published-online":{"date-parts":[[2019,9,4]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Health care denied: patients and physicians speak out about Catholic hospitals and the threat to women's health and lives","author":"Kaye J","year":"2016"},{"key":"e_1_2_7_3_1","unstructured":"Catholic Health Association of the United States Catholic health care in the United States 2019 https:\/\/www.chausa.org\/about\/about\/facts\u2010statistics."},{"key":"e_1_2_7_4_1","volume-title":"Growth of Catholic Hospitals and Health Systems: 2016 Update of the Miscarriage of Medicine Report","author":"Uttley L","year":"2016"},{"key":"e_1_2_7_5_1","unstructured":"United States Conference of Catholic Bishops Ethical and Religious Directives for Catholic Health Care Services sixth ed. 2018 http:\/\/www.usccb.org\/about\/doctrine\/ethical\u2010and\u2010religious\u2010directives\/upload\/ethical\u2010religious\u2010directives\u2010catholic\u2010health\u2010service\u2010sixth\u2010edition\u20102016\u201006.pdf."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003029"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002477"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12040"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/21507716.2012.751464"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.126730"},{"key":"e_1_2_7_11_1","article-title":"New HHS civil rights division to shield health workers with moral or religious objections","author":"Eilperin J","year":"2018","journal-title":"Washington Post"},{"key":"e_1_2_7_12_1","unstructured":"American Medical Association Physician exercise of conscience no date https:\/\/www.ama\u2010assn.org\/delivering\u2010care\/physician\u2010exercise\u2010conscience."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000291561.48203.27"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.04.023"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.04.015"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1363\/48e10216"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.06.035"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.11.595"},{"key":"e_1_2_7_19_1","article-title":"When conscience calls for treatment: the challenge of reproductive care in religious hospitals, NAM Perspectives, Washington, DC: National","author":"Freedman LR","year":"2018","journal-title":"Academy of Medicine"},{"key":"e_1_2_7_20_1","volume-title":"Technical Overview of the AmeriSpeak\u00ae Panel: NORC's Probability\u2010Based Household Panel","author":"Dennis JM","year":"2018"},{"key":"e_1_2_7_21_1","unstructured":"U.S. Census Bureau Current Population Survey no date https:\/\/www.census.gov\/programs\u2010surveys\/cps.html."},{"key":"e_1_2_7_22_1","volume-title":"Religion, Reproductive Health and Access to Services: A National Survey of Women","author":"Belden Russonello & Stewart Research and Communications","year":"2000"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.0133"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.05.017"},{"key":"e_1_2_7_25_1","volume-title":"Bearing Faith: The Limits of Catholic Health Care for Women of Color","author":"Shepherd K","year":"2018"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)01205-0"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-16-00496.1"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.12.003"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.5630"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.12.216"}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1363\/psrh.12118","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1363\/psrh.12118","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1363\/psrh.12118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T00:06:23Z","timestamp":1694217983000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1363\/psrh.12118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1363\/psrh.12118"],"URL":"https:\/\/doi.org\/10.1363\/psrh.12118","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9]]},"assertion":[{"value":"2018-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-06-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}