Diana Greene Foster
Biographic Data
| ID | 3582441 |
|---|---|
| NAME | Diana Greene Foster |
| GIVEN NAMES | Diana Greene |
| FAMILY NAME | Foster |
| SIGNATURE | FOSTER D G |
| AFFILIATIONS | University of California, San Francisco |
| ORCID | 0000-0002-2741-0283 |
| VERIFIED | Yes |
| TOTAL WORKS | 56 |
| TOTAL CITATIONS | 175 |
| AUTHOR COUNT | 56 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 7 |
Changes in Abortion Access, Travel, and Costs Since the Implementation of State Abortion Bans, 2022–2024
Objectives. To compare the experiences of people who obtained abortions before the implementation of a state abortion ban with those seeking abortion after a ban. Methods. Using self-administered surveys (n = 855), we examined the abortion-seeking experiences of individuals recruited from clinics and call centers in 14 US states that implemented bans on abortion at all gestations, June 2022 to June 2024. We used bivariate analyses to compare diff…
Predictors and experiences of seeking abortion services from pharmacies in Nepal
Abortion was legalized in Nepal in 2002; however, despite evidence of safety and quality provision of medical abortion (MA) pills by pharmacies in Nepal and elsewhere, it is still not legal for pharmacists to provide medication abortion in Nepal. However, pharmacies often do provide MA, but little is known about who seeks abortions from pharmacies and their experiences and outcomes. The purpose of this study is to understand the experiences of wo…
Intimate relationships after receiving versus being denied an abortion
Carrying an unwanted pregnancy to term does not increase the chance of being in an intimate relationship with the man involved in the pregnancy but may have negative implications for the quality of future relationships up to 5 years post-abortion seeking
New Abortion Bans Will Increase Existing Health and Economic Disparities
Socioeconomic Outcomes of Women Who Receive and Women Who Are Denied Wanted Abortions in the United States
Socioeconomic Outcomes of Women Who Receive and Women Who Are Denied Wanted Abortions in the United States D. G. FosterPhD, M. A. BiggsPhD, L. RalphPhD, MPH, C. GerdtsPhD, MHS, S. RobertsDrPH, and M. M. GlymourScD, MS CopyRight https://doi.org/10.2105/AJPH.2017.304247r Published Online: August 15, 2022
Denial of Abortion Because of Provider Gestational Age Limits in the United States
OBJECTIVES: We examined the factors influencing delay in seeking abortion and the outcomes for women denied abortion care because of gestational age limits at abortion facilities. METHODS: We compared women who presented for abortion care who were under the facilities' gestational age limits and received an abortion (n = 452) with those who were just over the gestational age limits and were denied an abortion (n = 231) at 30 US facilities. We des…
Emotions over five years after denial of abortion in the United States
Comparing Prospective and Retrospective Reports of Pregnancy Intention in a Longitudinal Cohort of U.S. Women
Retrospective measurement of pregnancy intentions may underestimate the frequency of unintended pregnancy, with such underestimation being greater among certain subgroups. Estimates based on retrospective reports thus may produce inaccurate impressions of intentionality. Further efforts to refine the measurement of pregnancy preferences are needed
Emotions and decision rightness over five years following an abortion
These results add to the scientific evidence that emotions about an abortion are associated with personal and social context, and are not a product of the abortion procedure itself. Findings challenge the rationale for policies regulating access to abortion that are premised on emotional harm claims
Stability of Retrospective Pregnancy Intention Reporting Among Women with Unwanted Pregnancies in the United States
A Prospective Cohort Study of the Effect of Receiving versus Being Denied an Abortion on Educational Attainment
Psychometric Evaluation of an Instrument to Measure Prospective Pregnancy Preferences
BACKGROUND: Existing approaches to measuring women's pregnancy intentions suffer important limitations, including retrospective assessment, overly simple categories, and a presumption that all women plan pregnancies. No psychometrically valid scales exist to prospectively measure the ranges of women's pregnancy preferences. MATERIALS AND METHODS: Using a rigorous construct modeling approach, we developed a scale to measure desire to avoid pregnan…
Attitudes Toward Abortion After Receiving vs. Being Denied an Abortion in the USA
Contraceptive Use over Five Years After Receipt Or Denial of Abortion Services
Women's elevated risk of unintended pregnancy after abortion is likely due at least partly to reliance on methods with relatively low effectiveness. Factors affecting contraceptive access postabortion, as well as individual characteristics such as fecundability, require research attention
Dualities between Tunisian provider beliefs and actions in abortion care
Despite Tunisia's historically progressive reproductive health policies, Tunisian women now face significant challenges accessing legal abortion. Through in-depth interviews with providers at six facilities, we explored factors influencing provider attitudes about abortion and provider perspectives about abortion morality, safety, and legality. We found that gatekeepers (counsellors and front office staff) generally believed abortion was immoral,…
Women’s Mental Health and Well-being 5 Years After Receiving or Being Denied an Abortion
In this study, compared with having an abortion, being denied an abortion may be associated with greater risk of initially experiencing adverse psychological outcomes. Psychological well-being improved over time so that both groups of women eventually converged. These findings do not support policies that restrict women's access to abortion on the basis that abortion harms women's mental health.
Adoption Decision Making among Women Seeking Abortion
Effect of Knowledge of Self-removability of Intrauterine Contraceptives on Uptake, Continuation, and Satisfaction
Dramatic Decreases in US Abortion Rates
Side Effects, Physical Health Consequences, and Mortality Associated with Abortion and Birth after an Unwanted Pregnancy
These results reinforce the existing data on the safety of induced abortion when compared with childbirth, and highlight the risk of serious morbidity and mortality associated with childbirth after unwanted pregnancy
Mental Health Diagnoses 3 Years After Receiving or Being Denied an Abortion in the United States
Objectives. We set out to assess the occurrence of new depression and anxiety diagnoses in women 3 years after they sought an abortion. Methods. We conducted semiannual telephone interviews of 956 women who sought abortions from 30 US facilities. Adjusted multivariable discrete-time logistic survival models examined whether the study group (women who obtained abortions just under a facility’s gestational age limit, who were denied abortions and c…
Receiving Versus Being Denied an Abortion and Subsequent Tobacco Use
Out-of-Pocket Costs and Insurance Coverage for Abortion in the United States
The Role of Intimate Partners in Women's Reasons for Seeking Abortion
Implementing a Prospective Study of Women Seeking Abortion in the United States
Emotions and decision rightness over five years following an abortion
These results add to the scientific evidence that emotions about an abortion are associated with personal and social context, and are not a product of the abortion procedure itself. Findings challenge the rationale for policies regulating access to abortion that are premised on emotional harm claims
Development and Validation of a Reproductive Autonomy Scale
No validated measures are currently available to assess women's ability to achieve their reproductive intentions, also referred to as “reproductive autonomy.” We developed and validated a multidimensional instrument that can measure reproductive autonomy. We generated a pool of 26 items and included them in a survey that was conducted among 1,892 women at 13 family planning and 6 abortion facilities in the United States. Fourteen items were selec…
The Stigma of Having an Abortion
This valid and reliable scale can be used in research examining abortion stigma and related outcomes (e.g., women's health, relationships and behavior). The scale can also be used to evaluate programs and interventions that aim to reduce the stigma experienced by women who have abortions
Contraceptive Features Preferred by Women At High Risk of Unintended Pregnancy
The contraceptive features women want are largely absent from currently available methods. Developing and promoting methods that are more aligned with women's preferences presumably could help increase satisfaction and thereby encourage consistent and effective use
Attitudes and Decision Making Among Women Seeking Abortions at One U.S. Clinic
Regulations requiring state-approved information or waiting periods may not meet the complex needs of all women. Instead, women may benefit more from interactions with trained staff who can assess and respond to their individual needs
Denial of Abortion Because of Provider Gestational Age Limits in the United States
OBJECTIVES: We examined the factors influencing delay in seeking abortion and the outcomes for women denied abortion care because of gestational age limits at abortion facilities. METHODS: We compared women who presented for abortion care who were under the facilities' gestational age limits and received an abortion (n = 452) with those who were just over the gestational age limits and were denied an abortion (n = 231) at 30 US facilities. We des…
Who Seeks Abortions at or After 20 Weeks
Bans on abortion after 20 weeks will disproportionately affect young women and women with limited financial resources
Race, Ethnicity and Differences in Contraception Among Low‐Income Women
Although Family PACT eliminates financial barriers to method choice, the methods women received differed substantially by race and ethnicity in this low-income population. The reduction in racial and ethnic disparities following introduction of the patch suggests that methods with novel characteristics may increase acceptability of contraceptives among minority women
Willingness to Have Unprotected Sex
Little is known about people's willingness to engage in sex without protection from unwanted pregnancy. This study surveyed 1,497 women and men at 75 clinics and physician offices across California after their reproductive health care visits in late 2007 and early 2008. When asked if they would have sex without contraception, 30% said definitively that yes, they would have unprotected sex, and 20% indicated they would "sometimes" or "maybe" engag…
Women's Emotions One Week After Receiving or Being Denied an Abortion in the United States
Difficulty with the abortion decision and the degree to which the pregnancy had been planned were most important for women's postabortion emotional state. Experiencing negative emotions postabortion is different from believing that abortion was not the right decision
Comparing Prospective and Retrospective Reports of Pregnancy Intention in a Longitudinal Cohort of U.S. Women
Retrospective measurement of pregnancy intentions may underestimate the frequency of unintended pregnancy, with such underestimation being greater among certain subgroups. Estimates based on retrospective reports thus may produce inaccurate impressions of intentionality. Further efforts to refine the measurement of pregnancy preferences are needed
Attitudes Toward Abortion After Receiving vs. Being Denied an Abortion in the USA
Mental Health Diagnoses 3 Years After Receiving or Being Denied an Abortion in the United States
Objectives. We set out to assess the occurrence of new depression and anxiety diagnoses in women 3 years after they sought an abortion. Methods. We conducted semiannual telephone interviews of 956 women who sought abortions from 30 US facilities. Adjusted multivariable discrete-time logistic survival models examined whether the study group (women who obtained abortions just under a facility’s gestational age limit, who were denied abortions and c…
Effect of Abortion vs. Carrying to Term on a Woman's Relationship with the Man Involved in the Pregnancy
Giving birth temporarily prolonged romantic relationships of women in this study; most romantic relationships ended soon, whether or not the woman had an abortion. However, giving birth increased the odds of nonromantic contact between women and the men involved throughout the ensuing two years
Expanded State-Funded Family Planning Services
Objectives. The California Family Planning, Access, Care, and Treatment Program was implemented in 1997 to provide family planning services for uninsured, low-income women and men. We estimated the impact on fertility of providing 500 000 women with contraceptives. Methods. Paid claims and medical record review data were used to estimate pregnancies averted. Pregnancies women experienced while enrolled in the program and pregnancies they would ha…
Socioeconomic Outcomes of Women Who Receive and Women Who Are Denied Wanted Abortions in the United States
Socioeconomic Outcomes of Women Who Receive and Women Who Are Denied Wanted Abortions in the United States D. G. FosterPhD, M. A. BiggsPhD, L. RalphPhD, MPH, C. GerdtsPhD, MHS, S. RobertsDrPH, and M. M. GlymourScD, MS CopyRight https://doi.org/10.2105/AJPH.2017.304247r Published Online: August 15, 2022
Estimates of Pregnancies Averted Through California's Family Planning Waiver Program in 2002
CONTEXT: During its first year of operation (1997‐1998), California's family planning program, Family PACT, helped more than 750,000 clients to avert an estimated 108,000 pregnancies. Given subsequent increases in the numbers of clients served and contraceptive methods offered by the program, updated estimates of its impact on fertility are needed. METHODS: Claims data on contraceptives dispensed were used to estimate the number of pregnancies ex…
Beyond Political Claims
Ultrasound viewing appears not to have a singular emotional effect. The presence of state regulation and facility policies matters for women's interest in and responses to viewing
Cost Savings From the Provision of Specific Methods of Contraception in a Publicly Funded Program
Objectives. We examined the cost-effectiveness of contraceptive methods dispensed in 2003 to 955 000 women in Family PACT (Planning, Access, Care and Treatment), California's publicly funded family planning program. Methods. We estimated the number of pregnancies averted by each contraceptive method and compared the cost of providing each method with the savings from averted pregnancies. Results. More than half of the 178 000 averted pregnancies …
New Abortion Bans Will Increase Existing Health and Economic Disparities
Emotions over five years after denial of abortion in the United States
Contraceptive Use over Five Years After Receipt Or Denial of Abortion Services
Women's elevated risk of unintended pregnancy after abortion is likely due at least partly to reliance on methods with relatively low effectiveness. Factors affecting contraceptive access postabortion, as well as individual characteristics such as fecundability, require research attention
Dramatic Decreases in US Abortion Rates
Pharmacy Access to Emergency Contraception in California
Expanded State-Funded Family Planning Services
Objectives. The California Family Planning, Access, Care, and Treatment Program was implemented in 1997 to provide family planning services for uninsured, low-income women and men. We estimated the impact on fertility of providing 500 000 women with contraceptives. Methods. Paid claims and medical record review data were used to estimate pregnancies averted. Pregnancies women experienced while enrolled in the program and pregnancies they would ha…
Willing and able? Provision of medication for abortion by future internists
Pharmacy Access to Emergency Contraception in California
Estimates of Pregnancies Averted Through California's Family Planning Waiver Program in 2002
CONTEXT: During its first year of operation (1997-1998), California's family planning program, Family PACT, helped more than 750,000 clients to avert an estimated 108,000 pregnancies. Given subsequent increases in the numbers of clients served and contraceptive methods offered by the program, updated estimates of its impact on fertility are needed. METHODS: Claims data on contraceptives dispensed were used to estimate the number of pregnancies ex…
Estimates of Pregnancies Averted Through California's Family Planning Waiver Program in 2002
CONTEXT: During its first year of operation (1997‐1998), California's family planning program, Family PACT, helped more than 750,000 clients to avert an estimated 108,000 pregnancies. Given subsequent increases in the numbers of clients served and contraceptive methods offered by the program, updated estimates of its impact on fertility are needed. METHODS: Claims data on contraceptives dispensed were used to estimate the number of pregnancies ex…
Pharmacy Access to Emergency Contraception in Rural and Frontier Communities
Context: Timely access to emergency contraception (EC) has emerged as a major public health effort in the prevention of unintended pregnancies. The recent FDA decision to allow over‐the‐counter availability of emergency contraception for adult women presents important rural health implications. American women, especially those living in rural and frontier areas, have one of the highest rates of unintended and teen pregnancy among developed countr…
Trends in knowledge of emergency contraception among women in California, 1999–2004
Family Planning and Life Planning
Cost Savings From the Provision of Specific Methods of Contraception in a Publicly Funded Program
Objectives. We examined the cost-effectiveness of contraceptive methods dispensed in 2003 to 955 000 women in Family PACT (Planning, Access, Care and Treatment), California's publicly funded family planning program. Methods. We estimated the number of pregnancies averted by each contraceptive method and compared the cost of providing each method with the savings from averted pregnancies. Results. More than half of the 178 000 averted pregnancies …
Should Providers Give Women Advance Provision of Emergency Contraceptive Pills? A Cost-Effectiveness Analysis
Increased Use of Intrauterine Contraception in California, 1997 to 2007
Estimating the Fertility Effect of Expansions of Publicly Funded Family Planning Services in California
Attitudes Toward Unprotected Intercourse and Risk of Pregnancy among Women Seeking Abortion
Race, Ethnicity and Differences in Contraception Among Low‐Income Women
Although Family PACT eliminates financial barriers to method choice, the methods women received differed substantially by race and ethnicity in this low-income population. The reduction in racial and ethnic disparities following introduction of the patch suggests that methods with novel characteristics may increase acceptability of contraceptives among minority women
Willingness to Have Unprotected Sex
Little is known about people's willingness to engage in sex without protection from unwanted pregnancy. This study surveyed 1,497 women and men at 75 clinics and physician offices across California after their reproductive health care visits in late 2007 and early 2008. When asked if they would have sex without contraception, 30% said definitively that yes, they would have unprotected sex, and 20% indicated they would "sometimes" or "maybe" engag…
Misunderstanding the Risk of Conception from Unprotected and Protected Sex
Patient Education and Emotional Support Practices in Abortion Care Facilities in the United States
Unprotected Intercourse among Women Wanting to Avoid Pregnancy
Contraceptive Features Preferred by Women At High Risk of Unintended Pregnancy
The contraceptive features women want are largely absent from currently available methods. Developing and promoting methods that are more aligned with women's preferences presumably could help increase satisfaction and thereby encourage consistent and effective use
Attitudes and Decision Making Among Women Seeking Abortions at One U.S. Clinic
Regulations requiring state-approved information or waiting periods may not meet the complex needs of all women. Instead, women may benefit more from interactions with trained staff who can assess and respond to their individual needs
Understanding why women seek abortions in the US
BACKGROUND: The current political climate with regards to abortion in the US, along with the economic recession may be affecting women's reasons for seeking abortion, warranting a new investigation into the reasons why women seek abortion. METHODS: Data for this study were drawn from baseline quantitative and qualitative data from the Turnaway Study, an ongoing, five-year, longitudinal study evaluating the health and socioeconomic consequences of…
Cost-Savings from the Provision of Specific Contraceptive Methods in 2009
Predictors of Abortion Counseling Receipt and Helpfulness in the United States
Women's Emotions One Week After Receiving or Being Denied an Abortion in the United States
Difficulty with the abortion decision and the degree to which the pregnancy had been planned were most important for women's postabortion emotional state. Experiencing negative emotions postabortion is different from believing that abortion was not the right decision
Who Seeks Abortions at or After 20 Weeks
Bans on abortion after 20 weeks will disproportionately affect young women and women with limited financial resources
Reproductive Health and Contraception (54 works) · Medicine (51 works) · Pregnancy (43 works) · Abortion (37 works) · Population (31 works) · Demography (30 works) · Family medicine (30 works) · Environmental health (29 works) · Family planning (26 works) · Demography (25 works)