Mosley EA, Monaco Z, Zite N, Rosenfeld E, Schablik J, Rangnekar N, Hamm M, Borrero S. US physicians' perspectives on the complexities and challenges of permanent contraception provision. Contraception, 2023.

This study explored physician perspectives (n=15 in-depth interviews) on tubal permanent contraception, specifically patients' informational and decision-support needs, the complexities and challenges of counseling and access, and how these factors may differ for people with public insurance. Physicians discussed a tension between respecting individual reproductive autonomy and concern for future regret, and they described barriers to counseling (lack of time, lack of care continuity, and baseline misinformation) and providing permanent contraception once the decision had been made, especially for postpartum patients and those with Medicaid insurance.

Mosley EA (co-First Author), Ayala S (co-First Author), Jah Z, Hailstorks T, Hairston I, Rice WS, Hernandez N, Jackson K, Scales M, Gutierrez M, Goode B, Filippa S, Strader S, Umbria M, Watson A, Faruque J, Raji A, Dunkley J, Rogers P, Ellison C, Suarez K, Dixon Diallo D, Hall KS. "I don't regret it at all. It's just I wish the process had a bit more humanity to it...a bit more holistic": A community-led medication abortion study with Black and Latinx women in Georgia. Sexual and Reproductive Health Matters, 2022, 30(1):2129686.

This reproductive justice study of medication abortion (MAB) - with a Community Advisory Board, 20 key informants, and 34 in-depth interviews and 6 focus groups with Black and Latinx women in Georgia - identified intersectional barriers to MAB across the social-ecological spectrum including sociocultural context (intersectional stigma, immigration violence), national and state policies (including Georgia's 6-week gestational age limit), clinic-level factors (multiple visit requirements, costs), and individual determinants (lack of knowledge, fear of stigma, poverty). At the same time, participants shared innovative solutions for improving equitable access to MAB including story-sharing through social media and word of mouth, diversifying clinic staff, abortion doulas, expanding telemedicine, RJ policy advocacy, and integrating MAB education and services into community settings.

Mosley EA, Redd SK, Hartwig SA, Narasimhan S, Lemon E, Berry E, Lathrop E, Haddad L, Rochat R, Cwiak C, Stidham Hall K. Racial and Ethnic Abortion Disparities Following Georgia's 22-Week Gestational Age Limit. Womens Health Issues. 2022;32(1):9-19.

 Using induced termination of pregnancy (ITOPs) data from Georgia Department of Health from 2007-2017, we estimated changed in abortion incidence and abortion rates before and after Georgia’s 22-week gestational age limit. We found abortions after 22 weeks declined for all groups, but most severely for Black patients.

Mosley EA, Pratt M, Besera G, Clarke LS, Miller H, Noland T, Whaley B, Cochran J, Mack A, Higgins M. Evaluating birth outcomes from a community-based pregnancy support program for refugee women in Georgia. Frontiers in Global Women’s Health. 2021;2(37). 

Using hospital medical records for this community-engaged study, we evaluated a refugee birth support program comparing pregnancy outcomes for program participants compared to other patients at the hospital controlling for race/ethnicity, age, zip code, parity, health conditions, and other confounding factors. We found the refugee birth support program significantly reduced labor induction odds (by 48%) and significantly increased exclusive breastfeeding intentions (by 65%).

Click here for a more complete bibliography of Dr. Mosley's work.