{
  "abstract": "Introduction Contraceptive provision at the time of abortion lowers rates of subsequent unplanned pregnancy but cost, method availability and other considerations impact decision-making. We examined factors associated with contraceptive preferences at the time of abortion in a US safety net hospital.Methods This is a retrospective cohort study. We abstracted medical records for patients seen in the gynaecology clinic between April 2019 and June 2021 who received a medication or procedural abortion for an undesired pregnancy. We collected demographic and clinical data from the electronic medical record. We generated descriptive statistics using Stata V.18 and used R to perform a latent class analysis to identify patterns of association with selected demographic variables and chosen contraceptive methods.Results 638 met inclusion criteria. Latent group 1, which was largely Hispanic, on Medicaid, and/or undergoing medication abortion, most often chose the subdermal implant or pills. Latent group 2, which was largely non-Hispanic and undergoing procedural abortion, most often chose a levonorgestrel intrauterine device (LNG IUD) or declined birth control. Nearly 80% initiated any contraceptive method, with over 20% choosing an LNG-IUD and over 40% choosing any IUD or the subdermal implant. Contraceptive uptake was highest among Spanish-speaking individuals (115/131, 87.8%). Non-initiation occurred most frequently among individuals who did not have insurance/self-paid (24/72, 33.3%), spoke a language other than English or Spanish (8/27, 29.6%), or had a procedural abortion <14 weeks (38/171, 22.2%).Conclusions Contraceptive uptake was high among abortion-seeking individuals. Further research can clarify how other factors impact decision-making and uptake among vulnerable populations.",
  "authors": [
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, New York, New York, USA"
      ],
      "name": "Elisa Fang"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, New York University Grossman School of Medicine, New York, New York, USA"
      ],
      "name": "Bailey Knight"
    },
    {
      "affiliations": [
        "Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA"
      ],
      "name": "Steven Friedman"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, New York University Grossman School of Medicine, New York, New York, USA"
      ],
      "name": "Antoinette Oot"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, New York University Grossman School of Medicine, New York, New York, USA"
      ],
      "name": "Siripanth Nippita"
    }
  ],
  "title": "Postabortion contraceptive uptake among vulnerable individuals in a New York City public hospital",
  "uid": "d5ea0146-1767-5dbb-9147-5f18a5a10148"
}