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P054Medication abortion via telemedicine: Interest among young people in texas and california

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      Objectives

      With growing abortion restrictions in the US, medication abortion via telemedicine may become an important way to access services. However, 19 states ban telemedicine for abortion. Little is known about interest among young people who comprise the largest share of abortion patients.

      Methods

      We used supplementary data, collected November 2021–May 2022, in a randomized trial of community college students at 29 sites, aged 18–28, who were assigned female at birth, and were sexually active with a male partner (n=1,210). Online surveys contained a brief explanation of medication abortion via telemedicine and assessed interest level. We used mixed effects logistic regression with random effects for site to estimate interest in medication abortion via telemedicine.

      Results

      Almost two-thirds of participants (64%) reported that they would be interested in medication abortion through telemedicine if they wanted an abortion. Multivariable results showed that interest levels in Texas were significantly higher than in California (adjusted OR (aOR), 1.5; 95% CI, 1.0–2.1), as well as among young people identifying as queer (aOR, 1.6; 95% CI, 1.4–1.7). Interest in telemedicine for medication abortion did not vary by measures of socio-economic adversity, including food or housing insecurity, lack of insurance, or by race/ethnicity or language barriers.

      Conclusions

      Results showed that in the wake of Texas Senate Bill 8, interest in telemedicine for medication abortion was widespread among students, and particularly high in Texas, as well as among queer students, who may face greater barriers to care. These findings highlight the importance of continued advocacy for access to telemedicine for medication abortion in all states including where restrictions exist.
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