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Racial diversity in abortion education and intention to provide abortion in postresidency practice: data from the
Katherine S Brown1, Jody E Steinauer2, Jema Turk2
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA.
American Journal of Obstetrics and Gynecology
|September 19, 2019
Summary
Racial differences in abortion provision intention are linked to religiosity and attitudes toward abortion. Understanding these factors can help train a more diverse abortion provider workforce.
Area of Science:
- Medical Education
- Public Health
- Sociology
Background:
- 38% of US reproductive-aged women reside in counties lacking abortion providers.
- Physicians from minority backgrounds often serve underserved populations.
- Abortion patients are racially diverse, yet provider demographics are understudied.
Purpose of the Study:
- To investigate racial disparities in abortion training participation.
- To examine racial differences in the intention to provide abortion services post-residency.
Main Methods:
- Cross-sectional study of 777 residents from the Ryan Program (2015-2018).
- Surveys assessed race/ethnicity, abortion training participation, and intention to provide abortions.
- Modified mediation analysis explored the role of religiosity and abortion attitudes.
Main Results:
- No significant racial differences in abortion training participation were found.
- Asian residents showed higher intention to provide abortions for all indications compared to white residents.
- Religiosity and abortion attitudes mediated the relationship between race and intention to provide abortions.
Conclusions:
- Racial disparities in abortion provision intention are influenced by religiosity and attitudes.
- Improving abortion training requires understanding the interplay of race, religiosity, and practice intention.
- Addressing these factors can support a more diverse future abortion provider workforce.
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