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Medication Abortion: Current State and Changing Information on University Student Health Center Websites
Sepideh Modrek1,2, Anagha Kulkarni3, Carrie Holschuh4
1Health Equity Institute, San Francisco State University, San Francisco, California, USA.
University student health websites are increasingly providing medication abortion information, especially in states with supportive laws. This trend follows legal changes impacting reproductive healthcare access nationwide.
Area of Science:
- Reproductive Health
- Public Health Policy
- Higher Education
Background:
- The 2022 Dobbs v. Jackson Women's Health Organization ruling altered abortion access nationwide.
- States are responding differently, with some expanding medication abortion access via university Student Health Centers (SHCs) and others restricting information.
- This study examines the impact of these changes on information availability on university SHC websites.
Purpose of the Study:
- To document changes in medication abortion information provided on university Student Health Center (SHC) websites.
- To analyze how university SHCs are adapting their online information in response to evolving state and federal abortion regulations.
Main Methods:
- A thematic content analysis was performed on 549 university SHC websites across the US.
- Information on medication abortion was assessed at four distinct time points: March 2022, August 2022, February 2023, and February 2024.
- Computer-assisted software was utilized for data analysis.
Main Results:
- Medication abortion information was present on only 1% of SHC websites in March 2022, increasing to 7.5% by February 2024.
- The rise in information was concentrated in states like California, New York, and Massachusetts, driven by legislative mandates for SHCs to offer services.
- Details on access and responses to legal changes varied significantly among universities providing information.
Conclusions:
- University SHC websites are showing a growing trend of including medication abortion information.
- This increase is most prominent in states with legislation supporting abortion access.
- Future increases are expected as more SHCs comply with state-level legal requirements.
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