{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:58:56Z","timestamp":1790816336901,"version":"4.1.0"},"reference-count":39,"publisher":"American Academy of Pediatrics (AAP)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n To evaluate changes in adolescent sexual and reproductive health (SRH)\u2013related hospital encounters post-Dobbs and compare by state abortion policies.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n We conducted a retrospective cohort study of adolescent pediatric hospital encounters from June 2021 to December 2024 and used an interrupted time series analysis to measure the impact of Dobbs on SRH outcomes. Encounters included any hospital encounter of patients aged 11 to 18 years from 42 children\u2019s hospitals nationwide. SRH outcomes included pregnancy diagnosis, sexually transmitted infection (STI) testing and diagnosis, emergency contraception (EC) provision, or abortion, based on billing codes.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Of 3\u2009448\u2009158 pediatric hospital encounters, 1\u2009584\u2009397 (45.9%) occurred in abortion-restricted states. In abortion-restricted states, there was an increase in pregnancy diagnosis during encounters at the time of Dobbs (June 2022) (odds ratio [OR], 1.26; 95% CI, 1.02\u20131.55; P\u2009=\u2009.029). Encounters with STI testing (OR, 0.99; 95% CI, 0.99\u20131.00; P\u2009=\u20090.027), STI diagnoses (OR, 0.98; 95% CI, 0.97\u20131.00; P\u2009=\u2009.017), and EC (OR, 0.98; 95% CI, 0.96\u20131.00; P\u2009=\u2009.028) decreased post-Dobbs compared with pre-Dobbs in restricted states. Of 1\u2009863\u2009761 (54.1%) pediatric hospital encounters in permissive states, pregnancy encounters decreased pre-Dobbs (OR, 0.98; 95% CI, 0.96\u20131.00; P\u2009=\u2009.021) and then slightly increased post-Dobbs (OR, 1.03; 95% CI, 1.01\u20131.05; P\u2009=\u2009.006), whereas STI trends in testing and diagnosis remained stable across all 3 time periods.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n In abortion-restricted states post-Dobbs, we found a 26% increase in the odds of pregnancy-related encounters, as well as a decrease in STI testing, diagnosis, and EC administration. Further efforts are needed to offset the disparate risk for outcomes for youth living in abortion-restricted states.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/hpeds.2025-009017","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:02:48Z","timestamp":1784246568000},"page":"831-838","source":"Crossref","is-referenced-by-count":0,"title":["Adolescent Hospital Visits for Sexual and Reproductive Health Outcomes After the\n Dobbs<\/i>\n Decision"],"prefix":"10.1542","volume":"16","author":[{"given":"Christina","family":"Bonaparte","sequence":"first","affiliation":[{"name":"1University of Southern California Keck School of Medicine, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Hall","sequence":"additional","affiliation":[{"name":"2Children\u2019s Hospital Association, Lenexa, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl L.","family":"Errichetti","sequence":"additional","affiliation":[{"name":"3Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika K.","family":"Goyal","sequence":"additional","affiliation":[{"name":"4Children\u2019s National Hospital, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren S.","family":"Chernick","sequence":"additional","affiliation":[{"name":"5Columbia University Irving Medical Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Hovel","sequence":"additional","affiliation":[{"name":"6Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"McFadden","sequence":"additional","affiliation":[{"name":"7University of Missouri-Kansas City and University of Kansas Schools of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa K.","family":"Miller","sequence":"additional","affiliation":[{"name":"7University of Missouri-Kansas City and University of Kansas Schools of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephani","family":"Stancil","sequence":"additional","affiliation":[{"name":"7University of Missouri-Kansas City and University of Kansas Schools of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbey R.","family":"Masonbrink","sequence":"additional","affiliation":[{"name":"1University of Southern California Keck School of Medicine, Los Angeles, California"},{"name":"3Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"issue":"2","key":"2026093020010077300_r1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.jadohealth.2014.09.007","article-title":"Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends","volume":"56","author":"Sedgh","year":"2015","journal-title":"J Adolesc Health."},{"issue":"346","key":"2026093020010077300_r2","first-page":"1","article-title":"Births in the United States, 2018","author":"Martin","year":"2019","journal-title":"NCHS Data Brief."},{"key":"2026093020010077300_r3","volume-title":"Sexually Transmitted Disease Surveillance 2016","author":"Centers for Disease Control and Prevention","year":"2017"},{"issue":"6","key":"2026093020010077300_r4","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.jadohealth.2019.03.014","article-title":"Caring for hospitalized adolescents: opportunities to identify and address unmet reproductive health needs","volume":"64","author":"Masonbrink","year":"2019","journal-title":"J Adolesc Health."},{"key":"2026093020010077300_r5","article-title":"Pregnancies, Births and Abortions Among Adolescents and Young Women in the United States, 2013: National and State Trends by Age, Race and Ethnicity","author":"Kost","year":"2017"},{"issue":"209","key":"2026093020010077300_r6","first-page":"1","article-title":"Sexual activity, contraceptive use, and childbearing of teenagers aged 15\u201319 in the United States","author":"Martinez","year":"2015","journal-title":"NCHS Data Brief."},{"issue":"10","key":"2026093020010077300_r7","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1111\/j.1746-1561.2011.00635.x","article-title":"Teen pregnancy and the achievement gap among urban minority youth","volume":"81","author":"Basch","year":"2011","journal-title":"J Sch Health."},{"issue":"6","key":"2026093020010077300_r8","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1542\/peds.2009-0674","article-title":"Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States","volume":"124","author":"Forhan","year":"2009","journal-title":"Pediatrics."},{"key":"2026093020010077300_r9","volume-title":"Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents.","author":"American Academy of Pediatrics","year":"2025","edition":"4th edition"},{"issue":"5","key":"2026093020010077300_r10","doi-asserted-by":"crossref","first-page":"e142","DOI":"10.1097\/AOG.0000000000002045","article-title":"Committee Opinion No 699: adolescent pregnancy, contraception, and sexual activity","volume":"129","author":"Committee on Adolescent Health Care","year":"2017","journal-title":"Obstet Gynecol."},{"key":"2026093020010077300_r11","volume-title":"State Policy Trends 2023: In the First Full Year Since Roe Fell, a Tumultuous Year for Abortion and Other Reproductive Health Care","author":"Forouzan","year":"2023"},{"key":"2026093020010077300_r12","volume-title":"State Bans on Abortion Throughout Pregnancy","author":"Curhan","year":"2024"},{"issue":"2","key":"2026093020010077300_r13","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1363\/psrh.12224","article-title":"Characteristics of abortion patients in protected and restricted states accessing clinic-based care 12\u2009months prior to the elimination of the federal constitutional right to abortion in the United States","volume":"55","author":"Jones","year":"2023","journal-title":"Perspect Sex Reprod Health."},{"key":"2026093020010077300_r14","volume-title":"Clear and Growing Evidence That Dobbs Is Harming Reproductive Health and Freedom","author":"Baden","year":"2024"},{"key":"2026093020010077300_r15","volume-title":"The Number of Brick-and-Mortar Abortion Clinics Drops, as US Abortion Rate Rises: New Data Underscore the Need for Policies that Support Providers","author":"Jones","year":"2024"},{"key":"2026093020010077300_r16","volume-title":"The Right to Contraception: State and Federal Actions, Misinformation, and the Courts.","author":"Felix","year":"2024"},{"issue":"6","key":"2026093020010077300_r17","doi-asserted-by":"crossref","first-page":"e2418620","DOI":"10.1001\/jamanetworkopen.2024.18620","article-title":"Use of oral and emergency contraceptives after the US Supreme Court\u2019s Dobbs decision","volume":"7","author":"Qato","year":"2024","journal-title":"JAMA Netw Open."},{"issue":"3","key":"2026093020010077300_r18","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1001\/jama.2023.12034","article-title":"Texas\u2019 2021 ban on abortion in early pregnancy and changes in live births","volume":"330","author":"Bell","year":"2023","journal-title":"JAMA."},{"issue":"15","key":"2026093020010077300_r19","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1001\/jama.2024.28527","article-title":"US abortion bans and fertility","volume":"333","author":"Bell","year":"2025","journal-title":"JAMA."},{"issue":"1","key":"2026093020010077300_r20","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1940-0640-7-13","article-title":"Screening for adolescent alcohol and drug use in pediatric health-care settings: predictors and implications for practice and policy","volume":"7","author":"Sterling","year":"2012","journal-title":"Addict Sci Clin Pract."},{"issue":"4","key":"2026093020010077300_r21","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1097\/MOP.0000000000000371","article-title":"The future of screening, brief intervention and referral to treatment in adolescent primary care: research directions and dissemination challenges","volume":"28","author":"D\u2019Souza-Li","year":"2016","journal-title":"Curr Opin Pediatr."},{"issue":"6","key":"2026093020010077300_r22","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1542\/peds.101.6.987","article-title":"Emergency department utilization by adolescents in the United States","volume":"101","author":"Ziv","year":"1998","journal-title":"Pediatrics."},{"issue":"2","key":"2026093020010077300_r23","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1542\/peds.2012-1496","article-title":"Physician advice to adolescents about drinking and other health behaviors","volume":"131","author":"Hingson","year":"2013","journal-title":"Pediatrics."},{"issue":"2","key":"2026093020010077300_r24","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.jadohealth.2013.03.017","article-title":"Receipt of sexual health information from parents, teachers, and healthcare providers by sexually experienced U.S. adolescents","volume":"53","author":"Donaldson","year":"2013","journal-title":"J Adolesc Health."},{"issue":"8","key":"2026093020010077300_r25","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1177\/000992280003900806","article-title":"Urban emergency department utilization by adolescents","volume":"39","author":"Grove","year":"2000","journal-title":"Clin Pediatr (Phila)."},{"issue":"6","key":"2026093020010077300_r26","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1016\/1054-139X(94)90496-P","article-title":"Emergency department utilization by adolescents","volume":"15","author":"Lehmann","year":"1994","journal-title":"J Adolesc Health."},{"issue":"4","key":"2026093020010077300_r27","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1111\/acem.13867","article-title":"Sex without contraceptives in a multicenter study of adolescent emergency department patients","volume":"27","author":"Chernick","year":"2020","journal-title":"Acad Emerg Med."},{"key":"2026093020010077300_r28","volume-title":"Healthcare Cost and Utilization Project (HCUP) Statistical Briefs","author":"Sun","year":"2006."},{"key":"2026093020010077300_r29","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.childyouth.2015.03.005","article-title":"Risky sexual behavior and substance use among adolescents: a meta-analysis","volume":"52","author":"Ritchwood","year":"2015","journal-title":"Child Youth Serv Rev."},{"issue":"4","key":"2026093020010077300_r30","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1037\/a0019632","article-title":"Psychiatric disorders and sexual risk among adolescents in mental health treatment","volume":"78","author":"Brown","year":"2010","journal-title":"J Consult Clin Psychol."},{"issue":"6","key":"2026093020010077300_r31","doi-asserted-by":"crossref","first-page":"e2021053458","DOI":"10.1542\/peds.2021-053458","article-title":"State-by-state variability in adolescent privacy laws","volume":"149","author":"Sharko","year":"2022","journal-title":"Pediatrics."},{"key":"2026093020010077300_r32","author":"After Roe Fell: U.S. Abortion Laws by State. Center for Reproductive Rights","year":"2025"},{"key":"2026093020010077300_r33","author":"Child Opportunity Index (COI)","year":"2025"},{"issue":"6","key":"2026093020010077300_r34","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/j.jadohealth.2019.01.005","article-title":"Addressing reproductive health in hospitalized adolescents-a missed opportunity","volume":"64","author":"McFadden","year":"2019","journal-title":"J Adolesc Health."},{"issue":"6","key":"2026093020010077300_r35","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1097\/GCO.0000000000000980","article-title":"Adolescent reproductive health in a post- Dobbs landscape: a review","volume":"36","author":"Doyle","year":"2024","journal-title":"Curr Opin Obstet Gynecol."},{"issue":"1","key":"2026093020010077300_r36","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.jadohealth.2017.10.011","article-title":"Adolescents\u2019 and young adults\u2019 reports of barriers to confidential health care and receipt of contraceptive services","volume":"62","author":"Fuentes","year":"2018","journal-title":"J Adolesc Health."},{"issue":"1","key":"2026093020010077300_r37","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.jpag.2024.10.007","article-title":"Clinician perspectives on adolescent contraceptive counseling following Dobbs v. Jackson: implications for young people\u2019s contraceptive autonomy","volume":"38","author":"Bullington","year":"2025","journal-title":"J Pediatr Adolesc Gynecol."},{"key":"2026093020010077300_r38","article-title":"Major health system stops, then resumes Plan B amid Missouri\u2019s abortion ban ambiguity","author":"Hawley","year":"2022"},{"key":"2026093020010077300_r39","author":"Emergency Contraception","year":"2025"}],"container-title":["Hospital Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article-pdf\/16\/10\/831\/1944754\/hosppeds.2025009017.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article-pdf\/16\/10\/831\/1944754\/hosppeds.2025009017.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:01:10Z","timestamp":1790812870000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article\/16\/10\/831\/208248\/Adolescent-Hospital-Visits-for-Sexual-and"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,17]]},"references-count":39,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,7,17]]},"published-print":{"date-parts":[[2026,10,1]]}},"URL":"https:\/\/doi.org\/10.1542\/hpeds.2025-009017","relation":{},"ISSN":["2154-1663","2154-1671"],"issn-type":[{"value":"2154-1663","type":"print"},{"value":"2154-1671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,17]]}}}