{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:35:41Z","timestamp":1792618541041,"version":"4.5.0"},"reference-count":32,"publisher":"Guttmacher Institute","issue":"3","license":[{"start":{"date-parts":[[2023,7,2]],"date-time":"2023-07-02T00:00:00Z","timestamp":1688256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To understand how the punitive, rights\u2010limiting, and racially stratified environment of incarceration in the United States (US) shapes the abortion desires, access, and pregnancy experiences of pregnant women, transgender men, and gender non\u2010binary individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From May 2018\u2013November 2020, we conducted semi\u2010structured, qualitative interviews with pregnant women in prisons and jails in an abortion supportive and an abortion restrictive state. Interviews explored whether participants considered abortion for this pregnancy; attempted to obtain an abortion in custody; whether and how incarceration affected their thoughts about pregnancy, birth, parenting, and abortion; and options counseling and prenatal care experiences, or lack thereof, in custody.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The conditions of incarceration deeply shaped our 39 participants' abortion and pregnancy decisions, with some experiencing pregnancy continuation as punishment. Four themes emerged: (1) medical providers' overt obstruction of desired abortions; (2) participants assuming that incarcerated women had no right to abortion; (3) carceral bureaucracy constraining abortion access; and (4) carceral conditions made women wish they had aborted. Themes were similar in supportive and restrictive states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incarceration shaped participants' thoughts about pregnancy and their abilities to access abortion, consider whether abortion was an attainable option, and make pregnancy\u2010related decisions. These subtle carceral control aspects presented more frequent barriers to abortion than overt logistical ones. The carceral environment played a more significant role than the state's overall abortion climate in shaping abortion experiences. Incarceration constrains and devalues reproductive wellbeing in punitive ways that are a microcosm of broader forces of reproductive control in US society.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12235","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T03:16:07Z","timestamp":1688354167000},"page":"165-177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["\u201cI mean, I didn't really have a choice of anything:\u201d How incarceration influences abortion decision\u2010making and precludes access in the United States"],"prefix":"10.1363","volume":"55","author":[{"given":"Carolyn B.","family":"Sufrin","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Johns Hopkins School of Medicine  Baltimore Maryland USA"},{"name":"Department of Health, Behavior and Society Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Devon\u2010Williamston","sequence":"additional","affiliation":[{"name":"Topos Partnership  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Beal","sequence":"additional","affiliation":[{"name":"Wild West Access Fund  Reno Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal M.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health Center of Excellence, Gillings School of Global Public Health The University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Kramer","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Johns Hopkins School of Medicine  Baltimore Maryland 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