Reddit After Roe: A Computational Analysis of Abortion Narratives and Barriers in the Wake of Dobbs
Organizations: Information Science Department, Drexel University, United States
Abstract
The 2022 U.S. Supreme Court decision in Dobbs v. Jackson Women's Health Organization reshaped the reproductive rights landscape, introducing new uncertainty and barriers to abortion access. We present a large-scale computational analysis of abortion discourse on Reddit, examining how barriers to access are articulated across information-seeking and information-sharing behaviors, different stages of abortion (before, during, after), and three phases of the Dobbs decision in 2022. Drawing on more than 17,000 posts from four abortion-related subreddits, we employed a multi-step pipeline to classify posts by information type, abortion stage, barrier category, and expressed emotions. Using a codebook of eight barrier types, including legal, financial, emotional, and social obstacles, we analyzed their associations with emotions and information behaviors. Topic modeling of model-generated barrier rationales further revealed how discourse evolved in response to shifting legal and cultural contexts. Our findings show that emotional and psychological barriers consistently dominate abortion narratives online, with emotions such as nervousness, confusion, fear, and sadness prevalent across discourse. By linking information behaviors, barriers, emotions, and temporal dynamics, this study provides a multi-dimensional account of how abortion is navigated in online communities.
Figures & tables
| Barrier Category | AC1 | |
|---|---|---|
| Legal & Policy | 0.89 | 0.99 |
| Financial & Insurance | 0.89 | 0.99 |
| Logistical & Geographical | 0.69 | 0.98 |
| Provider & Infrastructure | 0.28 | 0.99 |
| Medical & Physical | 0.57 | 0.96 |
| Informational & Navigation | 0.30 | 0.84 |
| Model | Precision | Recall | F1-Score |
|---|---|---|---|
| BERT | 0.86 | 0.86 | 0.86 |
| RoBERTa | 0.93 | 0.93 | 0.93 |
| DistilBERT | 0.83 | 0.83 | 0.83 |
| DeBERTa | 0.88 | 0.87 | 0.87 |
| Llama | 0.78 | 0.75 | 0.76 |
| GPT-4 | 0.86 | 0.85 | 0.85 |
| Model | LP | FI | LG | PI | MP | IS | EP | SI | Average F1 |
|---|---|---|---|---|---|---|---|---|---|
| GPT 4 | 0.88 | 0.61 | 0.81 | 0.67 | 0.56 | 0.62 | 0.85 | 0.84 | 0.73 |
| GPT 4.1 | 0.79 | 0.72 | 0.79 | 0.38 | 0.58 | 0.57 | 0.75 | 0.73 | 0.66 |
| GPT 4.1-mini | 0.81 | 0.69 | 0.81 | 0.55 | 0.57 | 0.64 | 0.8 | 0.86 | 0.72 |
| GPT 4.1-nano | 0.76 | 0.76 | 0.77 | 0.36 | 0.57 | 0.43 | 0.85 | 0.84 | 0.67 |
| GPT 4o | 0.92 | 0.8 | 0.82 | 0.67 | 0.58 | 0.7 | 0.8 | 0.72 | 0.75 |
| GPT 4o-mini | 0.79 | 0.59 | 0.77 | 0.44 | 0.55 | 0.72 | 0.8 | 0.82 | 0.68 |
Appendix figures & tables9 assets
Supplementary material from the paper’s appendix.
Appendix
| Pair | Normalized No. |
|---|---|
| EP & SI | 0.25 |
| EP & MP | 0.11 |
| EP & IS | 0.07 |
| EP & LG | 0.07 |
| EP & FI | 0.06 |
| MP & IS | 0.05 |
| Model | F1 Score |
|---|---|
| GPT-4.1 | 0.91 |
| GPT-4.1-mini | 0.87 |
| GPT-5-mini | 0.87 |
| GPT-5-nano | 0.81 |
| Group | Barrier | Statistic | p-value | Cramér’s V | Significant |
|---|---|---|---|---|---|
| Information Type | Legal & Policy | 0.82 | 0.010 | No | |
| Information Type | Financial & Insurance | 14.33 | 0.041 | Yes | |
| Information Type | Logistical & Geographical | 10.62 | 0.036 | Yes | |
| Information Type | Provider & Infrastructure | 64.65 | 0.088 | Yes | |
| Information Type | Medical & Physical | 92.81 | 0.105 | Yes | |
| Information Type | Informational & System Navigation | 525.06 | 0.251 | Yes |
| Group | Emotion | Statistic | p-value | Cramér’s V | Significant |
|---|---|---|---|---|---|
| Information Type | nervousness | 1136.68 | 0.368648 | Yes | |
| Information Type | confusion | 958.01 | 0.338437 | Yes | |
| Information Type | fear | 141.04 | 0.129854 | Yes | |
| Information Type | sadness | 509.40 | 0.246787 | Yes | |
| Information Type | curiosity | 873.89 | 0.323237 | Yes | |
| Information Type | relief | 1075.57 | 0.358602 | Yes |
| Barrier Type | Phase | Topics |
| Phase 1 | Early Pregnancy uncertainty- Informal/Underground Pill access- MA Timing and Appointment Constraints | |
| Phase 2 | Pregnancy Discovery- State Restrictions- Navigating Aid resources | |
| Legal & Policy | Phase 3 | Legal Risk Anxiety- Cross-Region Pill Access- Legality and Weeks Limits |
| Phase 1 | Cost Anxiety- Ordering Pills Online: Payment + Legitimacy- Financial barriers | |
| Phase 2 | Financial Help-Online Ordering- Financial hardship decisions | |
| Financial & Insurance | Phase 3 | General Financial Stress- Access Inequality- Financial support |
| Barrier Type | Info Type | Topics |
|---|---|---|
| Seeking | Abortion legality concerns- Abortion legal restrictions- Abortion access restrictions- Accessing abortion pills- Parental consent abortion- Abortion timing laws- Customs and legal anxiety | |
| Legal & Policy | Sharing | Abortion access barriers- Roe v. Wade |
| Seeking | Abortion access barriers- Financial hardship abortion- Abortion cost barriers | |
| Financial & Insurance | Sharing | Abortion access barriers |
| Seeking | Abortion access challenges- Delays accessing medication- Package customs delays- Abortion pill access- Abortion appointment delays | |
| Logistical & Geographical | Sharing | Abortion access challenges- Shipping delays concerns- Abortion pill access |
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Healthcare AI develops and evaluates models and systems for clinical care, medical research, public health, and healthcare operations.
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