Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.

<h4>Introduction</h4>On June 24, 2022, the U.S. Supreme Court's decision in Dobbs v. Jackson reversed the precedent set forth by Roe v. Wade, empowering individual states to regulate abortion care. This aftermath of this ruling has given rise to widespread bans, limiting the accessi...

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Main Authors: David T Zhu, Lucy Zhao, Tala Alzoubi, Novera Shenin, Teerkasha Baskaran, Julia Tikhonov, Catherine Wang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288947&type=printable
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author David T Zhu
Lucy Zhao
Tala Alzoubi
Novera Shenin
Teerkasha Baskaran
Julia Tikhonov
Catherine Wang
author_facet David T Zhu
Lucy Zhao
Tala Alzoubi
Novera Shenin
Teerkasha Baskaran
Julia Tikhonov
Catherine Wang
author_sort David T Zhu
collection DOAJ
description <h4>Introduction</h4>On June 24, 2022, the U.S. Supreme Court's decision in Dobbs v. Jackson reversed the precedent set forth by Roe v. Wade, empowering individual states to regulate abortion care. This aftermath of this ruling has given rise to widespread bans, limiting the accessibility of abortion services for patients and impeding providers' ability to deliver a comprehensive spectrum of reproductive health services. Of particular concern is the disproportionate impact on medically underserved groups, further heightening existing social and structural disparities in reproductive health.<h4>Methods</h4>We conducted a scoping review to broadly evaluate the clinical and public health impact of Dobbs on patients' access to abortion care and related reproductive health services, in addition to the training and clinical practice of healthcare providers. We searched eight bibliographic databases (PubMed, Scopus, Embase, PsycINFO, Google Scholar, Science Direct, JSTOR, and Web of Science) and three preprint servers (medRxiv, bioRxiv, and Europe PMC) using various combinations of keywords related to 'abortion', 'Dobbs', and 'Roe' on March 22, 2023. Four reviewers independently screened the studies based on pre-specified eligibility criteria and one reviewer performed data extraction for pre-identified themes. The search was conducted based on PRISMA Extension for Scoping Reviews (PRSIMA-ScR) guidelines.<h4>Results</h4>Eighteen studies, comprising 12 peer-reviewed articles and 6 study abstracts, met the inclusion criteria. The studies demonstrated that Dobbs increased demand for contraception, magnified existing travel- and cost-related barriers to access, further polarized views on abortion and complex family planning on social media (e.g., Twitter), and evoked substantial concerns among medical trainees regarding their scope of practice and potential legal repercussions for providing abortion care.<h4>Conclusion</h4>In the wake of Dobbs v. Jackson, further public health and clinical interventions are urgently needed to bridge disparities in abortion care and reproductive health, mitigating the deleterious consequences of this emerging public health crisis.
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spelling doaj-art-04e3179d1a8d40db82870321718f4c3a2025-02-05T05:32:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01193e028894710.1371/journal.pone.0288947Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.David T ZhuLucy ZhaoTala AlzoubiNovera SheninTeerkasha BaskaranJulia TikhonovCatherine Wang<h4>Introduction</h4>On June 24, 2022, the U.S. Supreme Court's decision in Dobbs v. Jackson reversed the precedent set forth by Roe v. Wade, empowering individual states to regulate abortion care. This aftermath of this ruling has given rise to widespread bans, limiting the accessibility of abortion services for patients and impeding providers' ability to deliver a comprehensive spectrum of reproductive health services. Of particular concern is the disproportionate impact on medically underserved groups, further heightening existing social and structural disparities in reproductive health.<h4>Methods</h4>We conducted a scoping review to broadly evaluate the clinical and public health impact of Dobbs on patients' access to abortion care and related reproductive health services, in addition to the training and clinical practice of healthcare providers. We searched eight bibliographic databases (PubMed, Scopus, Embase, PsycINFO, Google Scholar, Science Direct, JSTOR, and Web of Science) and three preprint servers (medRxiv, bioRxiv, and Europe PMC) using various combinations of keywords related to 'abortion', 'Dobbs', and 'Roe' on March 22, 2023. Four reviewers independently screened the studies based on pre-specified eligibility criteria and one reviewer performed data extraction for pre-identified themes. The search was conducted based on PRISMA Extension for Scoping Reviews (PRSIMA-ScR) guidelines.<h4>Results</h4>Eighteen studies, comprising 12 peer-reviewed articles and 6 study abstracts, met the inclusion criteria. The studies demonstrated that Dobbs increased demand for contraception, magnified existing travel- and cost-related barriers to access, further polarized views on abortion and complex family planning on social media (e.g., Twitter), and evoked substantial concerns among medical trainees regarding their scope of practice and potential legal repercussions for providing abortion care.<h4>Conclusion</h4>In the wake of Dobbs v. Jackson, further public health and clinical interventions are urgently needed to bridge disparities in abortion care and reproductive health, mitigating the deleterious consequences of this emerging public health crisis.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288947&type=printable
spellingShingle David T Zhu
Lucy Zhao
Tala Alzoubi
Novera Shenin
Teerkasha Baskaran
Julia Tikhonov
Catherine Wang
Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.
PLoS ONE
title Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.
title_full Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.
title_fullStr Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.
title_full_unstemmed Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.
title_short Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.
title_sort public health and clinical implications of dobbs v jackson for patients and healthcare providers a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288947&type=printable
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