Katrina Kimport

Katrina Kimport
University of California, San Francisco | UCSF · Department of Obstetrics, Gynecology and Reproductive Sciences

PhD

About

102
Publications
21,028
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
2,791
Citations

Publications

Publications (102)
Article
Objectives Research on abortion referral practices has focused on referral to first-trimester abortion care. Research has not examined whether and how these recommendations apply to referrals for abortion later in pregnancy. Methods We conducted a secondary analysis of semi-structured interviews with thirty third-trimester abortion patients of the...
Article
Full-text available
Context: In the United States, third-trimester abortions are substantially more expensive, difficult to obtain, and stigmatized than first-trimester abortions. However, the circumstances that lead to someone needing a third-trimester abortion may have overlaps with the pathways to abortion at other gestations. Methods: I interviewed 28 cisgender...
Article
This is a commentary on Adair and Lozano’s (2022) article, “Adaptive Choice: Psychological Perspectives on Abortion and Reproductive Freedom.” We offer a critique of its underlying premise that abortion must be justified and identify three substantive concerns. Then, we outline a better way to study abortion, one that draws on feminist and reproduc...
Article
Full-text available
In Argentina, Chile and Ecuador, abortion at later durations of pregnancy is legally restricted. Feminist collectives in these contexts support people through self-managed medical abortion outside the healthcare system. The model of in-person abortion accompaniment represents an opportunity to examine a self-care practice that challenges and reimag...
Article
In the United States, travel is a fact of the abortion care provision landscape. This is largely due to the uneven geographical distribution of providers and state-level gestational duration bans that constrain what abortion care is available locally. When abortion travel is compelled by legal restriction, it is forced travel. Research has comprehe...
Article
Objectives: In the United States, restrictive abortion policies are concentrated in a subset of states. Little research has examined how people who consider abortion make sense of abortion obtainability and the extent of regulation of abortion care in their state. Study design: We conducted in-depth interviews with 30 pregnant women in Maryland,...
Article
Full-text available
Abortion has been alternately legalized and criminalized, tacitly approved of, and stigmatized, in various settings over time. The contours of its treatment are dependent on social and political contexts, including concern over women’s sexuality, but it is not clear that existing conceptual frameworks enable expansive examination of the relationshi...
Article
Study objective: To understand the diverse reasons why some young women choose contraceptive methods that are less effective at preventing pregnancy, including condoms, withdrawal and emergency contraception (EC) pills, even when more effective contraceptive methods are made available to them. Design: In-depth interviews with young women at fami...
Article
Background The Turnaway Study was the first to follow women denied abortions because of state law or facility policy over five years. The study has found negative effects on women’s socioeconomic status, physical health, and on their children’s wellbeing. However, women did not suffer lasting mental health consequences, prompting questions about th...
Article
Full-text available
Objectives The few studies examining pregnancy testing in emergency departments (EDs) address pregnancy-related physical risks. Here, we examine experiences of people who discover pregnancies in EDs. Methods Between 2015 and 2017, as part of a larger study, we conducted interviews with 29 women in Southern Louisiana (n = 13) and Baltimore, Marylan...
Article
Context: The primary mission of pregnancy resource centers is to dissuade women from choosing abortion. Reproductive health and rights advocates have asserted that these centers interfere in abortion decision making. However, the reasons pregnant women go to such centers and what they experience while there have not been examined. Methods: Betwe...
Article
Full-text available
We examine characteristics and experiences of women who considered, but did not have, an abortion for this pregnancy. Participants were recruited at prenatal care clinics in Louisiana and Maryland for a mixed-methods study (N = 589). On self-administered surveys and structured interviews, participants were asked if they had considered abortion for...
Article
Full-text available
Background: Despite weak theoretical grounding and ample research indicating women feel high levels of decision rightness and relief post-abortion, claims that abortion is inherently stressful and causes emergent negative emotions and regret undergirds state-level laws regulating abortion in the United States. Nonetheless, scholarship does identif...
Article
Full-text available
Most research about experiences considering and seeking abortion comes from women presenting at abortion clinics. This study examines experiences among women presenting at prenatal care. Five hundred eighty-nine women were recruited at their first prenatal visit in Southern Louisiana and Baltimore, Maryland. Participants completed self-administered...
Article
Objective: To compare differences in patient-provider communication among patients who, prior to contraceptive counseling, used or did not use a decision support tool ("My Birth Control") which has educational and interactive modules and produces a provider printout with the patient's preferences. Methods: As part of a cluster-randomized trial o...
Article
Purpose: States have enacted an increasing number of policies restricting access to abortion. As a result, some women are unable to obtain an abortion and instead continue their pregnancies. These women may have particular needs that would bring them to the attention of public health programs. Methods: Pregnant women entering prenatal care compl...
Article
Objectives: Barriers to the provision of patient-centered contraceptive counseling include time limitations, frequent misconceptions and misinformation about methods among patients, and the availability of numerous contraceptive options, which increases the complexity of contraceptive decision making. Decision support tools are interventions desig...
Article
Full-text available
Middle- and high school-based programs that affirm diverse sexual orientations and gender identities are related to lower rates of bullying and better mental health for LGBTQ students, yet little is known about how to implement affirming programs for elementary-aged children. This study is among the first to examine how an arts-based curriculum for...
Article
There is broad consensus that abortion is stigmatized, but the role of interpersonal interaction in this process is underspecified. I examine interviews with 25 women in the United States who visited crisis pregnancy centers (CPCs)—antiabortion organizations that offer one‐on‐one “prolife counseling”—for how and when interactions matter for abortio...
Article
Introduction In July 2015, the antiabortion Center for Medical Progress released a covertly filmed video of a Planned Parenthood official discussing the dispensation of postabortion remains for research, a practice the general public was not familiar with. Research shows that people use preexisting frameworks (such as support for or opposition to a...
Article
Objective(s): Shared decision making (SDM) has emerged as a useful tool to promote patient-centered communication and is highly applicable to contraceptive decision making. Little is known about how SDM is operationalized in contraceptive counseling. This study aimed to explore and describe how SDM is used in the contraceptive counseling context....
Article
Objectives: Research aimed at understanding women's experiences accessing emergency contraception (EC) services and the extent to which providers support women's autonomous contraceptive decision making is limited. This study explores young women's experiences with contraceptive counseling when accessing EC at family planning specialty clinics that...
Article
Importance Evidence indicates that there are potential health, development, and maternal bonding consequences for children born from unwanted pregnancies. Objective To examine the association of women receiving or being denied a wanted abortion with their children’s health and well-being. Design, Setting, and Participants A 5-year longitudinal ob...
Article
Objectives: Investigations into Crisis Pregnancy Centers (CPCs) have documented the provision of deceptive information about abortion, but it is unclear how many pregnant women actually visit CPCs and what impact visits have on their pregnancy decision-making. Study design: We conducted a mixed methods study. We surveyed patients at one of two l...
Article
In developed countries, women bear the primary, and sometimes exclusive, responsibility for preventing pregnancy in heterosexual sexual relations. This unequal burden is not an intrinsic fact; it is the consequence of broad social narratives and interpersonal negotiations. The contraceptive counseling visit is increasingly recognized as a site of t...
Article
Objectives: We know little about women's interest in and experiences with a printout of their pre-abortion ultrasound image. Methods: We conducted a mixed methods study at a large volume abortion-providing facility where patients are offered the opportunity to receive their ultrasound printout, using two years of abstracted medical chart data on...
Article
Full-text available
Most women of reproductive age have access to highly effective contraception, and all available methods are associated with side effects. Whether a woman will experience side effects is uncertain, however, which can pose challenges for clinicians who discuss the methods with patients. In this study, we analyze 102 contraceptive counseling visits to...
Article
Objectives: Unintended pregnancy is common in the United States, yet scant research has evaluated women's preferences on pregnancy options counseling. This study explores pregnant women's preferences for pregnancy options counseling from health care providers. Methods: We conducted semistructured interviews with pregnant women at a prenatal clin...
Chapter
Most women seeking abortion pay out-of-pocket for care, partly due to legal restrictions on insurance coverage. These costs can constitute a hardship for many women. Advocates have sought to ensure insurance coverage for abortion, but we do not know whether the intermediaries between policy and patient abortion-providing facilities are able and wil...
Article
Full-text available
Background Since mid-2013, Wisconsin abortion providers have been legally required to display and describe pre-abortion ultrasound images. We aimed to understand the impact of this law. Methods We used a mixed-methods study design at an abortion facility in Wisconsin. We abstracted data from medical charts one year before the law to one year after...
Data
Supplemental information on methods. (DOCX)
Data
Monthly aggregate data. https://doi.org/10.7272/Q65H7D63. (XLS)
Data
Deidentified individual-level chart data. https://doi.org/10.7272/Q65H7D63. (XLS)
Article
In the United States, responsibility for preventing pregnancy in heterosexual relationships disproportionately falls on women. While the biotechnological landscape of available methods may explain the assignment of the physical burden for contraception to women, this does not mean the concomitant time, attention, and stress that preventing pregnanc...
Article
Full-text available
Despite an increasing number of restrictions on accessing abortion care in the United States, most Americans remain unaware of challenges to obtaining abortion. Theorists of abortion stigma have posited that entertainment media contribute to ongoing lack of knowledge about abortion care. Analyzing all plotlines that aired on American television bet...
Article
Roe v. Wade was heralded as an end to unequal access to abortion care in the United States. However, today, despite being common and safe, abortion is performed only selectively in hospitals and private practices. Drawing on 61 interviews with obstetrician-gynecologists in these settings, we examine how they determine which abortions to perform. We...
Article
Objectives: Although female sterilization is the second most commonly used contraceptive method in the US, research suggests that providers may serve as barriers to desired sterilization. Study design: We conducted a modified grounded theory analysis of audio-recorded contraceptive counseling visits with 52 women who specified on a previsit surv...
Article
Objective: Evaluating decisional certainty is an important component of medical care, including preabortion care. However, minimal research has examined how to measure certainty with reliability and validity among women seeking abortion. We examine whether the Decisional Conflict Scale (DCS), a measure widely used in other health specialties and c...
Article
Full-text available
Context: Popular entertainment may reflect and produce-as well as potentially contest-stigma regarding abortion provision. Knowledge of how providers are portrayed on-screen is needed to improve understanding of how depictions may contribute to the stigmatization of real providers. Methods: All abortion provision plotlines on American television...
Article
Objectives: Twenty-nine states enable taxpayer funding to go to pregnancy resource centers (PRCs, often called crisis pregnancy centers), which are usually antiabortion organizations that aim to dissuade women from abortion. Some abortion rights advocates have called for the elimination of PRCs. However, we know little about why women visit PRCs....
Book
Research on communication and information technologies is of growing importance to sociology and the interdisciplinary examination of communication and (new) media. This volume includes eight chapters examining recent developments in the field, illustrating the maturation, vibrancy, and diversity of this field of study as well as pointing to rich n...
Article
Rights and rhetoric clash in abortion politics, with Susan Markens, Katrina Kimport, Drew Halfmann, Kimala Price, and Deana A. Rohlinger.
Article
Full-text available
Onscreen pseudo-experiences have been shown to influence public perceptions of contested social issues. However, research has not considered whether such experiences have limits in their influence and/or vary in their impact. Using the case of third-trimester abortion, an issue subject to high amounts of misinformation, low public support and low o...
Article
Full-text available
In a recent Editor's Choice column in the American Journal of Public Health, Northridge and Coupey(1) advocate the increased use of long-acting reversible contraception (LARC), specifically the intrauterine device and the implant, as a means to achieve reproductive health equity. They reference the American Academy of Pediatrics recommendation, whi...
Article
Full-text available
Arguments that abortion causes women emotional harm are used to regulate abortion, particularly later procedures, in the United States. However, existing research is inconclusive. We examined women's emotions and reports of whether the abortion decision was the right one for them over the three years after having an induced abortion. We recruited a...
Article
Full-text available
Abortion is a relatively frequent experience, yet public discourse about abortion is contentious and stigmatizing. Little literature is available on private conversations about abortion, which may be distinct from public discourse. We explored private discourse by documenting the nature of women's discussions about abortion with peers in a book clu...
Article
As ultrasound scanning becomes increasingly routine in abortion care, scholars and activists have forwarded claims about how viewing the ultrasound image will affect pregnant women seeking abortion, speculating that it will dissuade them from abortion. These accounts, however, fail to appreciate how viewing is a social process. Little research has...
Article
CONTEXTIn the United States, abortion opponents have supported legislation requiring that abortion patients be offered the opportunity to view their preprocedure ultrasound. Little research has examined women's interest in and emotional response to such viewing.METHODS Data from 702 women who received abortions at 30 facilities throughout the Unite...
Article
CONTEXTUnderuse and inconsistent use of contraceptives contribute to the continued high rate of unintended pregnancy in the United States. High-quality interaction between patient and provider about contraception is associated with improved contraceptive use, yet little is known about how providers support patients in the decision-making process.ME...
Article
Since 1976, federal Medicaid has excluded abortion care except in a small number of circumstances; 17 states provide this coverage using state Medicaid dollars. Since 2010, federal and state restrictions on insurance coverage for abortion have increased. This paper describes payment for abortion care before new restrictions among a sample of women...
Article
Ultrasound scanning is a routine part of preprocedure abortion care, and many health care providers offer patients the opportunity to view their ultrasound images. It has been speculated that ultrasound viewing will dissuade women from having an abortion. We examine whether viewing the image is associated with choosing to continue the pregnancy. Da...
Article
Recent years have seen the introduction of state bills seeking to ban abortions after 20 weeks, but little empirical data exist on who is affected when such bans become law. As part of a larger study, 272 women who received an abortion at or after 20 weeks' gestation and 169 who received first-trimester abortions at 16 facilities across the country...
Article
Full-text available
The notion that abortion causes poor mental health has gained traction, even though it is not supported by research. Few studies have comprehensively investigated women's postabortion emotions. Baseline data from a longitudinal study of women seeking abortion at 30 U.S. facilities between 2008 and 2010 were used to examine emotions among 843 women...
Article
Little research has investigated women's interest in and factors associated with viewing their ultrasound image in abortion care. Using medical records for all abortion care visits in 2011 (n=15,575) at an urban abortion provider, we determined the proportion of women who chose to view by sociodemographic and pregnancy-related characteristics. We u...
Book
Purpose – Historically, the gay and lesbian community has been divided over same-sex marriage along gender lines, with gay men its most frequent supporters and lesbians its most frequent critics. In recent years, however, in localities where same-sex marriage has been available, the gender polarity around same-sex marriage has reversed, with lesbia...
Article
Recent scholarship has identified the modern wedding as a principal site for the construction of heteronormativity. This article examines whether and how the participation of same-sex couples in the wedding ritual can challenge this construction. Photographs from the 2004 San Francisco same-sex weddings were quantitatively content-coded for subject...
Conference Paper
Anecdotal reports that many women experience lasting psychological and emotional sequelae from abortion form the basis for abortion regulation in the US. Using data from a prospective study of 956 women seeking abortion, we compare the emotional responses of women obtaining an abortion close to clinics' gestational age limit (Abortion, n=452) to wo...
Article
Background: Little is known about women's experiences with and reactions to protesters and how protesters affect women's emotional responses to abortion. Study design: We interviewed 956 women seeking abortion between 2008 and 2010 at 30 U.S. abortion care facilities and informants from 27 of these facilities. Results: Most facilities reported...
Article
Purpose: In recent years, states have passed a range of regulations regarding ultrasound procedures in abortion care. Abortion rights opponents have promoted ultrasound viewing, believing that women who view their own ultrasound images are likely to be dissuaded from abortion. Abortion rights advocates, in contrast, routinely oppose these regulati...
Article
The debate about abortion regret rests on competing assumptions about women’s attachment to pregnancy. Antiabortion claimants argue women always attach to pregnancy (inevitably regretting abortion), while abortion rights supporters counter that women do not attach to pregnancies they choose to terminate (feeling relief instead). Neither assumption...
Article
Abortion is a frequent topic in political discourse, but few opportunities are available for women to discuss their complex emotions and experiences concerning abortion. Popular belief holds that many women need "counseling" about their decision to have an abortion, but little systematic after-abortion emotional care is available. The authors of th...
Article
Purpose – Scholars of social movements have tended to focus on the social movement organization (SMO) as the primary unit of analysis, documenting a trend toward its professionalization. This trend, typified in the abortion rights movement, has facilitated the survival of movements, but is associated with a reduction in tactical and strategic innov...
Article
There has been some study of women's emotional and psychological well-being after an abortion but no research into women's expectations, at the time of seeking an abortion, of how they will cope after the abortion. We abstracted counseling needs assessment forms of 5109 women who sought an abortion at a clinic in 2008. The most common emotions that...
Article
Women who have more than one abortion are often the "targets" for social and clinical interventions geared at preventing "repeat abortions." Such an approach ignores the unique circumstances that may surround each abortion. We qualitatively analyzed the history of 10 women who have had more than one abortion who were participating in a larger study...
Article
In the United States, the social myth that abortion clinics are unsafe, lonely places is pervasive. Little research has investigated the extent to which women's negative experiences of clinic interactions and processes confirm or contest this myth. Semistructured interviews with 41 women who received an abortion at a clinic were conducted and analy...
Article
The experiences of women who have negative emotional outcomes, including regret, following an abortion have received little research attention. Qualitative research can elucidate these women's experiences and ways their needs can be met and emotional distress reduced. Twenty-one women who had emotional difficulties related to an abortion participat...
Book
Attention has been paid to the emergence of “Internet activism,” but scholars and pundits disagree about whether online political activity is different in kind from more traditional forms of activism. Does the global reach and blazing speed of the Internet affect the essential character or dynamics of online political protest? This book examines ke...
Article
Researchers studying Internet activism have disagreed over the extent to which Internet usage alters the processes driving collective action, and therefore also over the utility of existing social movement theory. We argue that some of this disagreement owes to scholars studying different kinds of Internet activism. Therefore, we introduce a typolo...
Article
There has been substantial interest in Internet activism among academics from a wide spectrum of fields over the past decade. Whether studying unlikely Internet phenoms such as the Zapatistas (e.g., Garrido and Halavais 2003), theorizing about the relationship between information technology and social movements (e.g., Tarrow 1998b; Tilly 2004), or...