Reasons for past abortions among women in treatment for opioid use disorder.

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  • Additional Information
    • Source:
      Publisher: American Psychological Association Country of Publication: United States NLM ID: 8802734 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-1501 (Electronic) Linking ISSN: 0893164X NLM ISO Abbreviation: Psychol Addict Behav Subsets: MEDLINE
    • Publication Information:
      Publication: Washington, DC : American Psychological Association
      Original Publication: Indianapolis, Ind. : The Society, [1987-
    • Subject Terms:
      Abortion, Induced* ; Opioid-Related Disorders*/therapy; Female ; Humans ; Pregnancy ; Decision Making ; Surveys and Questionnaires ; Adolescent ; Young Adult ; Adult ; Middle Aged
    • Abstract:
      Objective: The main reasons women in the general population seek abortion are financial, timing, and partner-related reasons. While women with opioid use disorder (OUD) appear to use abortion services more than women in the general population, reasons for abortion in this group have not been examined to our knowledge.
      Method: Female patients aged 18-50 years in OUD treatment at 22 randomly selected facilities in Michigan were surveyed. The survey included items assessing reproductive health history. Women who reported having one or more abortions were asked to think back to that time and their reasons for choosing abortion. Twenty potential reasons and a write-in option were offered; women could endorse as many as applied.
      Results: Of 260 women surveyed, 84 reported having an abortion. Of these, most (77.4%) reported multiple reasons for having an abortion. The most common reasons for having an abortion were not having money to take care of a baby (54.8%), feeling too young to have a child and not feeling ready to be a mother (both 42.9%), not loving the father and other partner-related concerns (25.0%-32.1%), and having concerns about the effects of their drug use (28.6%). No combination of reasons for abortion emerged as more prevalent than any other.
      Conclusions: Like women in the general population, women in treatment for OUD had not only abortions because of financial, timing, and partner-related reasons but also concerns about the effects of their drug use. These results underscore the multiple and often interrelated reasons that lead women to seek abortion. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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    • Grant Information:
      R01 DA047867 United States DA NIDA NIH HHS; T32 HD007014 United States HD NICHD NIH HHS
    • Publication Date:
      Date Created: 20230914 Date Completed: 20240308 Latest Revision: 20240320
    • Publication Date:
      20240320
    • Accession Number:
      PMC10932847
    • Accession Number:
      10.1037/adb0000959
    • Accession Number:
      37707466