# Health and economic consequences of changing federal and state policies on reproductive health.

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2024 · $538,719

## Abstract

PROJECT SUMMARY
In June 2022, a decision by the U.S. Supreme Court ended the federally protected right to abortion established
by Roe v Wade almost 50 years ago. In response to this decision, 26 states are poised to limit abortion access,
affecting approximately 36 million women of reproductive age and an unknown number of trans men and non-
binary people capable of pregnancy. The consequences of this dramatic shift in access to legal abortion in the
U.S. are unknown, and comparisons to circumstances before Roe are insufficient for understanding the potential
implications of the momentous policy change. Today, residents of states that do not offer legal abortion services
are faced with the following options: travel to an out-of-state abortion clinic, potentially experiencing considerable
logistic and financial burdens; order medication abortion pills online to safely self-manage their abortions; attempt
less safe abortion methods; or carry their pregnancies to term.
This study is uniquely positioned to document these pregnancy outcomes and the immediate and long-term
effects of this shift in policy. Using rapid-response funds from private sources, we have launched a longitudinal
observational study to examine the health and economic consequences faced by individuals who sought
abortions immediately following the implementation of a statewide abortion ban compared with those who were
legally served just prior to ban implementation. Within days of the Supreme Court decision, we began collecting
data from both groups through self-administered online surveys and invited participants to complete follow-up
surveys every 2 months for 2 years. This proposal seeks support for an expanded mixed-methods study design
that will include longitudinal survey data analysis, expanded recruitment to from clinics and abortion-access
helplines that provide information and resources to people in states with abortion bans, and the integration of
qualitative in-depth interviews seeking to understand the nuances of people’s experiences and decisions in this
new legal landscape. We will address three aims. In Aim 1, we will examine the long-term consequences of state
abortion bans, using multilevel multivariable regression models to compare health and economic outcomes
among individuals who received an abortion prior to ban implementation, sought an abortion at an out-of-state
clinic, sought an abortion outside of the legal medical system, or carried a pregnancy to term. In Aim 2, we will
assess the effectiveness of abortion-access helplines for mitigating negative outcomes by examining
associations between participants’ reported helpline experiences and their decisions to continue seeking an
abortion, their success in obtaining an abortion elsewhere, and the timing of successful abortion attempts. In
Aim 3, we will deepen our understanding of people’s abortion ban experiences by conducting in-depth interviews
and integrating findings with survey responses, focusing on po...

## Key facts

- **NIH application ID:** 10883457
- **Project number:** 1R01HD112464-01A1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** Nancy Berglas
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $538,719
- **Award type:** 1
- **Project period:** 2024-09-21 → 2029-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10883457

## Citation

> US National Institutes of Health, RePORTER application 10883457, Health and economic consequences of changing federal and state policies on reproductive health. (1R01HD112464-01A1). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10883457. Licensed CC0.

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