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Article ; Online: Evaluating the Impact of Policies, Disasters, and Racism on Abortion Access: A Call for Mandated and Standardized Public Health Abortion Surveillance.

Coleman-Minahan, Kate

2021 Volume 111, Issue 8, Page(s) 1379–1381

MeSH term(s)	Abortion, Induced ; Disasters ; Female ; Humans ; Policy ; Pregnancy ; Public Health ; Racism
Language	English
Publishing date	2021-08-31
Publishing country	United States
Document type	Editorial ; Research Support, N.I.H., Extramural ; Comment
ZDB-ID	121100-6
ISSN	1541-0048 ; 0090-0036 ; 0002-9572
ISSN (online)	1541-0048
ISSN	0090-0036 ; 0002-9572
DOI	10.2105/AJPH.2021.306363
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Article ; Online: Pregnancy Options Counseling and Abortion Referral Practices Among Colorado Nurse Practitioners, Nurse-Midwives, and Physician Assistants.

Coleman-Minahan, Kate

Journal of midwifery & women's health

2021 Volume 66, Issue 4, Page(s) 470–477

Abstract: Introduction: Access to abortion is a public health priority. Yet little is known about pregnancy options counseling and abortion referral practices, both essential to timely abortion care, among advanced practice clinicians (APCs; nurse practitioners, ... ...

Abstract	Introduction: Access to abortion is a public health priority. Yet little is known about pregnancy options counseling and abortion referral practices, both essential to timely abortion care, among advanced practice clinicians (APCs; nurse practitioners, nurse-midwives, physician assistants). Methods: Data were drawn from a stratified random sample of Colorado APCs, oversampling certified nurse-midwives (CNMs), women's health nurse practitioners (WHNPs), and rural clinicians. Pregnancy options counseling and abortion referral practices were described. Weighted multivariate logistic regression models were used to examine associations between participant characteristics and providing options counseling, referring for abortion, and referring to crisis pregnancy centers. Results: Of 513 participants (response rate 21%), 419 provided pregnancy testing. Only 201(48%) reported they were willing and able to counsel on all 3 options. Religious or personal objection was the primary rationale for unwillingness to present abortion as an option (63%). However, lack of knowledge was the main rationale for unwillingness (64%) and inability to counsel (79%), whereas institutional barriers fueled inability to refer (59%). Although 53% referred for abortion care, 31% referred to crisis pregnancy centers. Characteristics positively associated with providing options counseling included being a CNM or WHNP (odds ratio [OR], 2.73; 95% CI, 1.32-5.66), having received options counseling training (OR, 2.84; 95% CI, 1.48-5.43), and feeling adequately trained on abortion counseling (OR, 6.61; 95% CI, 3.62-12.08). Characteristics positively associated with referring for abortion included being a CNM or WHNP (OR, 2.27; 95% CI, 1.18-4.36), having received options counseling training (OR, 2.39; 95% CI, 1.36-4.22), and feeling adequately trained on abortion counseling (OR, 3.5; 95% CI, 2.00-6.11). Only provider type was associated with referring to crisis pregnancy centers; CNMs and WHNPs had the lowest odds (OR, 0.29; 95% CI, 0.15-0.54). Discussion: Pregnant patients in Colorado may not receive evidence-based pregnancy options counseling or abortion referrals. Clinician training on options counseling and abortion referrals is needed.
MeSH term(s)	Abortion, Induced ; Colorado ; Counseling ; Female ; Humans ; Midwifery ; Nurse Midwives ; Nurse Practitioners ; Physician Assistants ; Pregnancy ; Referral and Consultation
Language	English
Publishing date	2021-03-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2008180-7
ISSN	1542-2011 ; 1526-9523
ISSN (online)	1542-2011
ISSN	1526-9523
DOI	10.1111/jmwh.13214
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Article ; Online: Abortion Knowledge Among Advanced Practice Clinicians in Colorado.

Coleman-Minahan, Kate / Alspaugh, Amy

Women's health issues : official publication of the Jacobs Institute of Women's Health

2022 Volume 32, Issue 5, Page(s) 461–469

Abstract: Introduction: Our objective was to quantify abortion law and care knowledge among Colorado advanced practice clinicians.: Methods: We conducted a stratified random survey of advanced practice clinicians, oversampling women's health and rural ... ...

Abstract	Introduction: Our objective was to quantify abortion law and care knowledge among Colorado advanced practice clinicians. Methods: We conducted a stratified random survey of advanced practice clinicians, oversampling women's health and rural clinicians. We assessed sample characteristics, positions on abortion legality, and knowledge of abortion law and care. Mean knowledge scores were compared by sample characteristics. Survey responses were compared by provision of pregnancy options counseling and positions on abortion legality. Linear regression models were used to examine knowledge scores. Results: A total of 513 participants completed the survey; the response rate was 21%. Abortion law knowledge questions (mean score, 1.7/7.0) ranged from 12% (physician-only law) to 45% (parental consent law) correct. For five of seven questions, "I don't know" was the most frequently chosen response. Abortion care knowledge questions (mean score, 2.8/8.0) ranged from 19% (abortion prevalence) to 60% (no elevated risk of breast cancer) correct. For four of eight questions, "I don't know" was the most frequently chosen response. Practicing in all other areas (e.g., family practice) was associated with lower abortion law and care knowledge than practicing in women's health. Providing options counseling was positively associated with abortion knowledge (law, β = 0.44; 95% confidence interval [CI], 0.10-0.78; care, β = 0.52; 95% CI, 0.08-0.95). Compared with participants who believe abortion should be legal in all circumstances, those who believe abortion should be illegal in all circumstances had similar abortion law knowledge (β = -0.03; 95% CI, -0.65 to 0.59), but lower abortion care knowledge (β = -1.85; 95% CI, -2.34 to -1.36). Conclusions: Abortion knowledge is low among Colorado advanced practice clinicians and education is needed.
MeSH term(s)	Abortion, Induced/psychology ; Abortion, Legal ; Colorado/epidemiology ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Pregnancy ; Surveys and Questionnaires
Language	English
Publishing date	2022-06-21
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	1085396-0
ISSN	1878-4321 ; 1049-3867
ISSN (online)	1878-4321
ISSN	1049-3867
DOI	10.1016/j.whi.2022.04.006
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Article ; Online: Perspectives from the pandemic epicenter: Sexual and reproductive health of immigrant women in New York City.

Samari, Goleen / Wurtz, Heather M / Desai, Sheila / Coleman-Minahan, Kate

Perspectives on sexual and reproductive health

2024

Abstract: Context: The United States' response to COVID-19 created a policy, economic, and healthcare provision environment that had implications for the sexual and reproductive health (SRH) of racialized and minoritized communities. Perspectives from ... ...

Abstract	Context: The United States' response to COVID-19 created a policy, economic, and healthcare provision environment that had implications for the sexual and reproductive health (SRH) of racialized and minoritized communities. Perspectives from heterogenous immigrant communities in New York City, the pandemic epicenter in the United States (US), provides a glimpse into how restrictive social policy environments shape contraception, abortion, pregnancy preferences, and other aspects of SRH for marginalized immigrant communities. Methods: We conducted in-depth interviews in 2020 and 2021 with 44 cisgender immigrant women from different national origins and 19 direct service providers for immigrant communities in New York City to explore how immigrants were forced to adapt their SRH preferences and behaviors to the structural barriers of the COVID-19 pandemic. We coded and analyzed the interviews using a constant comparative approach. Results: Pandemic-related fears and structural barriers to healthcare access shaped shifts in contraceptive use and preferences among our participants. Immigrant women weighed their concerns for health and safety and the potential of facing discrimination as part of their contraceptive preferences. Immigrants also described shifts in their pregnancy preferences as rooted in concerns for their health and safety and economic constraints unique to immigrant communities. Conclusion: Understanding how immigrant women's SRH shifted in response to the structural and policy constraints of the COVID-19 pandemic can reveal how historically marginalized communities will be impacted by an increasingly restrictive reproductive health and immigration policy landscape.
Language	English
Publishing date	2024-04-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2075205-2
ISSN	1931-2393 ; 1538-6341
ISSN (online)	1931-2393
ISSN	1538-6341
DOI	10.1111/psrh.12260
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Article ; Online: The role of legal status and uncertainty in the reproductive aspirations of 1.5 and second generation Mexican-origin immigrant young women: An exploratory study.

Coleman-Minahan, Kate / Villarreal, Melissa / Samari, Goleen

Journal of migration and health

2023 Volume 7, Page(s) 100156

Abstract: Background: The 1.5 generation, brought to the U.S. prior to age 16, faces barriers that the second generation, U.S.-born to immigrant parents, does not, including only temporary legal protection through the Deferred Action for Childhood Arrivals (DACA) ...

Abstract	Background: The 1.5 generation, brought to the U.S. prior to age 16, faces barriers that the second generation, U.S.-born to immigrant parents, does not, including only temporary legal protection through the Deferred Action for Childhood Arrivals (DACA) Program. Little is known about how legal status and uncertainty shape cisgender immigrant young women's reproductive aspirations. Methods: Drawing on the Theory of Conjunctural Action with attention to the immigrant optimism and bargain hypotheses, we conducted an exploratory qualitative study using semi-structured interviews with seven 1.5 generation DACA recipients and eleven second generation Mexican-origin women, 21-33 years old in 2018. Interviews focused on reproductive and life aspirations, migration experiences, and childhood and current economic disadvantage. We conducted a thematic analysis using a deductive and inductive approach. Results: Data resulted in a conceptual model on the pathways through which uncertainty and legal status shape reproductive aspirations. Participants aspired to complete higher education and have a fulfilling career, financial stability, a stable partnership, and parents' support prior to considering childbearing. For the 1.5 generation, uncertainty of their legal status makes the thought of parenting feel scary, while for the second generation, the legal status of their parents makes parenting feel scary. Achieving desired stability before childbearing is more challenging and uncertain for the 1.5 generation. Conclusions: Temporary legal status constrains young women's reproductive aspirations by limiting their ability to achieve desired forms of stability prior to parenting and making the thought of parenting frightening. More research is needed to further develop this novel conceptual model.
Language	English
Publishing date	2023-01-24
Publishing country	England
Document type	Journal Article
ISSN	2666-6235
ISSN (online)	2666-6235
DOI	10.1016/j.jmh.2023.100156
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Article ; Online: Use of Judicial Bypass of Mandatory Parental Consent to Access Abortion and Judicial Bypass Denials, Florida and Texas, 2018-2021.

Stevenson, Amanda Jean / Coleman-Minahan, Kate

American journal of public health

2023 Volume 113, Issue 3, Page(s) 316–319

Abstract: Objectives. ...

Abstract	Objectives.
MeSH term(s)	Pregnancy ; Female ; Humans ; United States ; Parental Consent ; Minors ; Judicial Role ; Texas ; Florida ; Abortion, Induced ; Abortion, Legal
Language	English
Publishing date	2023-01-12
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	121100-6
ISSN	1541-0048 ; 0090-0036 ; 0002-9572
ISSN (online)	1541-0048
ISSN	0090-0036 ; 0002-9572
DOI	10.2105/AJPH.2022.307173
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Article ; Online: Increases in Obstetric Interventions and Changes in Gestational Age Distributions of U.S. Births.

Masters, Ryan K / Tilstra, Andrea M / Coleman-Minahan, Kate

Journal of women's health (2002)

2023 Volume 32, Issue 6, Page(s) 641–651

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Pregnancy ; Female ; United States/epidemiology ; Humans ; Young Adult ; Adult ; Gestational Age ; Age Distribution ; Delivery, Obstetric ; Maternal Age ; Cesarean Section
Language	English
Publishing date	2023-03-10
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1139774-3
ISSN	1931-843X ; 1059-7115 ; 1540-9996
ISSN (online)	1931-843X
ISSN	1059-7115 ; 1540-9996
DOI	10.1089/jwh.2022.0167
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Article ; Online: Disruptions in Sexual and Reproductive Health Care Service Delivery for Immigrants During COVID-19.

Samari, Goleen / Wurtz, Heather M / Karunaratne, Mihiri / Coleman-Minahan, Kate

Women's health reports (New Rochelle, N.Y.)

2023 Volume 4, Issue 1, Page(s) 319–327

Abstract: Purpose: To provide perspectives from heterogenous cisgender immigrant women and service providers for immigrants in New York City (NYC) on how restrictive sexual and reproductive health (SRH) care delivery environments during COVID-19 shape immigrant's ...

Abstract	Purpose: To provide perspectives from heterogenous cisgender immigrant women and service providers for immigrants in New York City (NYC) on how restrictive sexual and reproductive health (SRH) care delivery environments during COVID-19 shape immigrant's access to health care and health outcomes to generate insights for clinical practices and policies for immigrant women's health care needs. Methods: A qualitative study was conducted in 2020 and 2021, including in-depth interviews with 44 immigrant women from different national origins and 19 direct service providers for immigrant communities in NYC to explore how immigrants adapted to and were impacted by pandemic-related SRH care service delivery barriers. Interviews were coded and analyzed using a constant comparative approach. Results: Pandemic-related delays and interrupted health care, restrictive accompaniment policies, and the transition from in-person to virtual care compounded barriers to care for immigrant communities. Care delays and interruptions forced some participants to live with untreated health conditions, resulting in physical pain and emotional distress. Participants also experienced challenges within the health care system because of changes to visitor policies that restricted the accompaniment of family members or support persons. Some participants experienced difficulties accessing telehealth and technology, while others welcomed the flexibility given the demands of frontline work and childcare. Conclusions: To mitigate the health and social implications of increasingly restrictive immigration, reproductive, and social policies, clinical practices like expanding access to care for all immigrants, engaging immigrant communities in health care institutions policies and practices, and integrating immigrant's support networks into care play an important role.
Language	English
Publishing date	2023-07-05
Publishing country	United States
Document type	Journal Article
ISSN	2688-4844
ISSN (online)	2688-4844
DOI	10.1089/whr.2023.0004
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Article ; Online: Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates.

Masters, Ryan K / Tilstra, Andrea M / Simon, Daniel H / Coleman-Minahan, Kate

Journal of health and social behavior

2023 Volume 64, Issue 2, Page(s) 174–191

Abstract: Induction of labor (IOL) rates in the United States have nearly tripled since 1990. We examine official U.S. birth records to document increases in states' IOL rates among pregnancies to Black, Latina, and White women. We test if the increases are ... ...

Abstract	Induction of labor (IOL) rates in the United States have nearly tripled since 1990. We examine official U.S. birth records to document increases in states' IOL rates among pregnancies to Black, Latina, and White women. We test if the increases are associated with changes in demographic characteristics and risk factors among states' racial-ethnic childbearing populations. Among pregnancies to White women, increases in state IOL rates are strongly associated with changes in risk factors among White childbearing populations. However, the rising IOL rates among pregnancies to Black and Latina women are not due to changing factors in their own populations but are instead driven by changing factors among states'
MeSH term(s)	Female ; Humans ; Pregnancy ; Hispanic or Latino ; Labor, Induced ; Risk Factors ; United States ; Black or African American ; White ; Racism ; Healthcare Disparities
Language	English
Publishing date	2023-04-26
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	218206-3
ISSN	2150-6000 ; 0022-1465
ISSN (online)	2150-6000
ISSN	0022-1465
DOI	10.1177/00221465231165284
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Article ; Online: Contraceptive Method Switching and Long-Acting Reversible Contraception Removal in U.S. Safety Net Clinics, 2016-2021.

Darney, Blair G / Biel, Frances M / Oakley, Jee / Coleman-Minahan, Kate / Cottrell, Erika K

Obstetrics and gynecology

2023 Volume 142, Issue 3, Page(s) 669–678

Abstract: Objective: To describe patterns of contraceptive method switching and long-acting reversible contraception (LARC) removal in a large network of community health centers.: Methods: We conducted a retrospective cohort study using individual-level ... ...

Abstract	Objective: To describe patterns of contraceptive method switching and long-acting reversible contraception (LARC) removal in a large network of community health centers. Methods: We conducted a retrospective cohort study using individual-level electronic health record data from 489 clinics in 20 states from 2016 to 2021. We used logistic regression models, including individual-, clinic-, and state-level covariates, to calculate adjusted odds ratios and predicted probabilities of any observed contraceptive method switching and LARC removal among those with baseline incident LARC, both over 4-year time periods. Results: Among 151,786 patients with 513,753 contraceptive encounters, 22.1% switched to another method at least once over the 4-year observation period, and switching patterns were varied. In patients with baseline LARC, the adjusted predicted probability of switching was 19.0% (95% CI 18.0-20.0%) compared with patients with baseline moderately effective methods (16.2%, 95% CI 15.1-17.3%). The adjusted predicted probability of switching was highest among the youngest group (28.6%, 95% CI 25.8-31.6% in patients aged 12-14 years) and decreased in a dose-response relationship by age to 8.4% (95% CI 7.4-9.4%) among patients aged 45-49 years. Latina and Black race and ethnicity, public or no insurance, and baseline Title X clinic status were all associated with higher odds of switching at least once. Among baseline LARC users, 19.4% had a removal (to switch or discontinue) within 1 year and 30.1% within 4 years; 97.6% of clinics that provided LARC also had evidence of a removal. Conclusion: Community health centers provide access to method switching and LARC removal. Contraceptive switching and LARC removal are common, and clinicians should normalize switching and LARC removal among patients.
MeSH term(s)	Humans ; Long-Acting Reversible Contraception/methods ; Retrospective Studies ; Contraception Behavior ; Safety-net Providers ; Contraception/methods ; Contraceptive Agents
Chemical Substances	Contraceptive Agents
Language	English
Publishing date	2023-08-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	207330-4
ISSN	1873-233X ; 0029-7844
ISSN (online)	1873-233X
ISSN	0029-7844
DOI	10.1097/AOG.0000000000005277
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