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Trajectories of women's abortion-related care: a conceptual framework

Coast, Ernestina ORCID: 0000-0002-8703-307X, Norris, Alison H., Moore, Ann M. and Freeman, Emily ORCID: 0000-0001-9396-1350 (2018) Trajectories of women's abortion-related care: a conceptual framework. Social Science & Medicine, 200. pp. 199-210. ISSN 0277-9536

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Identification Number: 10.1016/j.socscimed.2018.01.035


We present a new conceptual framework for studying trajectories to obtaining abortion-related care. It assembles for the first time all of the known factors influencing a trajectory and encourages readers to consider the ways these macro- and micro-level factors operate in multiple and sometimes conflicting ways. Based on presentation to and feedback from abortion experts (researchers, providers, funders, policymakers and advisors, advocates) (n = 325) between 03/06/2014 and 22/08/2015, and a systematic mapping of peer-reviewed literature (n = 424) published between 01/01/2011 and 30/10/2017, our framework synthesises the factors shaping abortion trajectories, grouped into three domains: abortion-specific experiences, individual contexts, and (inter)national and sub-national contexts. Our framework includes time-dependent processes involved in an individual trajectory, starting with timing of pregnancy awareness. This framework can be used to guide testable hypotheses about enabling and inhibiting influences on care-seeking behaviour and consideration about how abortion trajectories might be influenced by policy or practice. Research based on understanding of trajectories has the potential to improve women's experiences and outcomes of abortion-related care.

Item Type: Article
Official URL:
Additional Information: © 2018 The Authors
Divisions: International Development
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RG Gynecology and obstetrics
Date Deposited: 08 Mar 2018 12:13
Last Modified: 17 May 2024 16:24
Projects: ES/I032967/1, ES/L007827/1
Funders: Economic and Social Research Council, Department for International Development

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