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Diana Foster

TitleProfessor
SchoolUCSF School of Medicine
DepartmentOb/Gyn, Reproductive Sciences
Address1330 Broadway St
Oakland CA 94612
Phone510-986-8940
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    Diana Greene Foster is a Demographer and Professor at the University of California, San Francisco, and Director of Research at UCSF's Advancing New Standards in Reproductive Health (ANSIRH).

    Dr. Foster uses quantitative models and analyses to evaluate the effectiveness of family planning policies and the effect of unintended pregnancy on women’s lives. She leads the Turnaway Study, a longitudinal prospective study of almost 1,000 women who received or were denied wanted abortions from 30 facilities across the United States. She also leads a Global Turnaway Study, documenting the experience of women denied abortions in five other countries where it is legal: Bangladesh, Colombia, Nepal, South Africa and Tunisia.

    In addition, Dr. Foster studies women's preferences for specific contraceptive features, including IUD self-removability and over-the counter-access to oral contraceptives. Her work evaluating Family PACT, the California State family planning program, demonstrated the effectiveness of the program in reducing the incidence of unintended pregnancy, as well as the financial and health benefits of dispensing a one-year supply of contraception. Dr. Foster also created a new methodology for estimating pregnancies averted, based on a Markov model and a microsimulation to identify the cost-effectiveness of advance provision of emergency contraception.

    Dr. Foster received her undergraduate degree in Political Economy of Natural Resources from UC Berkeley, her MA in Public and International Affairs from Princeton University, and her PhD in Demography and Public Policy from Princeton University.


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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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    1. Biggs MA, Upadhyay UD, Foster D. Mental Health Outcomes After Having or Being Denied an Abortion-Reply. JAMA Psychiatry. 2017 Jun 01; 74(6):654. PMID: 28492913.
      View in: PubMed
    2. Johns NE, Foster DG, Upadhyay UD. Distance traveled for Medicaid-covered abortion care in California. BMC Health Serv Res. 2017 Apr 19; 17(1):287. PMID: 28420438.
      View in: PubMed
    3. Biggs MA, Upadhyay UD, McCulloch CE, Foster D. Women's Mental Health and Well-being 5 Years After Receiving or Being Denied an Abortion: A Prospective, Longitudinal Cohort Study. JAMA Psychiatry. 2017 Feb 01; 74(2):169-178. PMID: 27973641.
      View in: PubMed
    4. Sisson G, Ralph L, Gould H, Foster DG. Adoption Decision Making among Women Seeking Abortion. Womens Health Issues. 2017 Mar - Apr; 27(2):136-144. PMID: 28153742.
      View in: PubMed
    5. Ralph LJ, Foster D, Kimport K, Turok D, Roberts SC. Measuring decisional certainty among women seeking abortion. Contraception. 2017 Mar; 95(3):269-278. PMID: 27745910.
      View in: PubMed
    6. Hossain A, Moseson H, Raifman S, Gerdts C, Biswas KK, Foster DG. 'How shall we survive': a qualitative study of women's experiences following denial of menstrual regulation (MR) services in Bangladesh. Reprod Health. 2016 Jul 22; 13(1):86. PMID: 27449219; PMCID: PMC4957356.
    7. Upadhyay UD, Zlidar VM, Foster DG. Interest in self-administration of subcutaneous depot medroxyprogesterone acetate in the United States. Contraception. 2016 Oct; 94(4):303-13. PMID: 27326938.
      View in: PubMed
    8. Foster DG. Unmet need for abortion and woman-centered contraceptive care. Lancet. 2016 Jul 16; 388(10041):216-7. PMID: 27179753.
      View in: PubMed
    9. Biggs MA, Rowland B, McCulloch CE, Foster DG. Does abortion increase women's risk for post-traumatic stress? Findings from a prospective longitudinal cohort study. BMJ Open. 2016 Feb 01; 6(2):e009698. PMID: 26832431; PMCID: PMC4746441.
    10. Roberts S, Ralph LJ, Wilsnack SC, Foster DG. Which women are missed by primary health-care based interventions for alcohol and drug use? Addict Behav. 2016 Apr; 55:32-7. PMID: 26774493; PMCID: PMC4721246 [Available on 04/01/17].
    11. Jackson AV, Karasek D, Dehlendorf C, Foster D. Racial and ethnic differences in women's preferences for features of contraceptive methods. Contraception. 2016 May; 93(5):406-11. PMID: 26738619.
      View in: PubMed
    12. Hajri S, Raifman S, Gerdts C, Baum S, Foster DG. 'This Is Real Misery': Experiences of Women Denied Legal Abortion in Tunisia. PLoS One. 2015; 10(12):e0145338. PMID: 26684189; PMCID: PMC4686168.
    13. Roberts SC, Subbaraman MS, Delucchi KL, Wilsnack SC, Foster DG. Moderators and mediators of the relationship between receiving versus being denied a pregnancy termination and subsequent binge drinking. Drug Alcohol Depend. 2016 Feb 01; 159:117-24. PMID: 26747416; PMCID: PMC4724544 [Available on 02/01/17].
    14. Gerdts C, Dobkin L, Foster DG, Schwarz EB. Side Effects, Physical Health Consequences, and Mortality Associated with Abortion and Birth after an Unwanted Pregnancy. Womens Health Issues. 2016 Jan-Feb; 26(1):55-9. PMID: 26576470.
      View in: PubMed
    15. Upadhyay UD, Biggs MA, Foster DG. The effect of abortion on having and achieving aspirational one-year plans. BMC Womens Health. 2015 Nov 11; 15:102. PMID: 26559911; PMCID: PMC4642756.
    16. Foster DG, Barar R, Gould H, Gomez I, Nguyen D, Biggs MA. Projections and opinions from 100 experts in long-acting reversible contraception. Contraception. 2015 Dec; 92(6):543-52. PMID: 26515195.
      View in: PubMed
    17. Biggs MA, Neuhaus JM, Foster DG. Mental Health Diagnoses 3 Years After Receiving or Being Denied an Abortion in the United States. Am J Public Health. 2015 Dec; 105(12):2557-63. PMID: 26469674; PMCID: PMC4638270.
    18. Puri M, Vohra D, Gerdts C, Foster DG. "I need to terminate this pregnancy even if it will take my life": a qualitative study of the effect of being denied legal abortion on women's lives in Nepal. BMC Womens Health. 2015 Oct 14; 15:85. PMID: 26466784; PMCID: PMC4606998.
    19. Rocca CH, Kimport K, Roberts SC, Gould H, Neuhaus J, Foster DG. Decision Rightness and Emotional Responses to Abortion in the United States: A Longitudinal Study. PLoS One. 2015; 10(7):e0128832. PMID: 26154386; PMCID: PMC4496083.
    20. Roberts SC, Delucchi K, Wilsnack SC, Foster DG. Receiving Versus Being Denied a Pregnancy Termination and Subsequent Alcohol Use: A Longitudinal Study. Alcohol Alcohol. 2015 Jul; 50(4):477-84. PMID: 25787011; PMCID: PMC4474001.
    21. Roberts SC, Foster DG. Receiving versus being denied an abortion and subsequent tobacco use. Matern Child Health J. 2015 Mar; 19(3):438-46. PMID: 24880251.
      View in: PubMed
    22. Foster DG, Biggs MA, Phillips KA, Grindlay K, Grossman D. Potential public sector cost-savings from over-the-counter access to oral contraceptives. Contraception. 2015 May; 91(5):373-9. PMID: 25732570.
      View in: PubMed
    23. Foster D, Steinberg JR, Roberts SC, Neuhaus J, Biggs MA. A comparison of depression and anxiety symptom trajectories between women who had an abortion and women denied one. Psychol Med. 2015 Jul; 45(10):2073-82. PMID: 25628123; PMCID: PMC5004731.
    24. Gerdts C, DePiñeres T, Hajri S, Harries J, Hossain A, Puri M, Vohra D, Foster DG. Denial of abortion in legal settings. J Fam Plann Reprod Health Care. 2015 Jul; 41(3):161-3. PMID: 25511805; PMCID: PMC4501171.
    25. Roberts SC, Wilsnack SC, Foster DG, Delucchi KL. Alcohol use before and during unwanted pregnancy. Alcohol Clin Exp Res. 2014 Nov; 38(11):2844-52. PMID: 25336245; PMCID: PMC4245368.
    26. Roberts SC, Biggs MA, Chibber KS, Gould H, Rocca CH, Foster DG. Risk of violence from the man involved in the pregnancy after receiving or being denied an abortion. BMC Med. 2014 Sep 29; 12:144. PMID: 25262880; PMCID: PMC4182793.
    27. Kimport K, Weitz TA, Foster DG. Beyond political claims: women's interest in and emotional response to viewing their ultrasound image in abortion care. Perspect Sex Reprod Health. 2014 Dec; 46(4):185-91. PMID: 25209369.
      View in: PubMed
    28. Mauldon J, Foster DG, Roberts SC. Effect of abortion vs. carrying to term on a woman's relationship with the man involved in the pregnancy. Perspect Sex Reprod Health. 2015 Mar; 47(1):11-8. PMID: 25199435.
      View in: PubMed
    29. Harris LF, Roberts SC, Biggs MA, Rocca CH, Foster DG. Perceived stress and emotional social support among women who are denied or receive abortions in the United States: a prospective cohort study. BMC Womens Health. 2014 Jun 19; 14:76. PMID: 24946971; PMCID: PMC4080695.
    30. Biggs MA, Upadhyay UD, Steinberg JR, Foster DG. Does abortion reduce self-esteem and life satisfaction? Qual Life Res. 2014 Nov; 23(9):2505-13. PMID: 24740325; PMCID: PMC4186981.
    31. Grindlay K, Foster DG, Grossman D. Attitudes toward over-the-counter access to oral contraceptives among a sample of abortion clients in the United States. Perspect Sex Reprod Health. 2014 Jun; 46(2):83-9. PMID: 24602230.
      View in: PubMed
    32. Upadhyay UD, Dworkin SL, Weitz TA, Foster DG. Development and validation of a reproductive autonomy scale. Stud Fam Plann. 2014 Mar; 45(1):19-41. PMID: 24615573.
      View in: PubMed
    33. Roberts SC, Gould H, Kimport K, Weitz TA, Foster DG. Out-of-pocket costs and insurance coverage for abortion in the United States. Womens Health Issues. 2014 Mar-Apr; 24(2):e211-8. PMID: 24630423.
      View in: PubMed
    34. Foster DG, Grossman D, Turok DK, Peipert JF, Prine L, Schreiber CA, Jackson AV, Barar RE, Schwarz EB. Interest in and experience with IUD self-removal. Contraception. 2014 Jul; 90(1):54-9. PMID: 24613370.
      View in: PubMed
    35. Chibber KS, Biggs MA, Roberts SC, Foster DG. The role of intimate partners in women's reasons for seeking abortion. Womens Health Issues. 2014 Jan-Feb; 24(1):e131-8. PMID: 24439939.
      View in: PubMed
    36. Dobkin LM, Gould H, Barar RE, Ferrari M, Weiss EI, Foster DG. Implementing a prospective study of women seeking abortion in the United States: understanding and overcoming barriers to recruitment. Womens Health Issues. 2014 Jan-Feb; 24(1):e115-23. PMID: 24439937.
      View in: PubMed
    37. Gatter M, Kimport K, Foster DG, Weitz TA, Upadhyay UD. Relationship between ultrasound viewing and proceeding to abortion. Obstet Gynecol. 2014 Jan; 123(1):81-7. PMID: 24463667.
      View in: PubMed
    38. Swanson M, Karasek D, Drey E, Foster DG. Delayed pregnancy testing and second-trimester abortion: can public health interventions assist with earlier detection of unintended pregnancy? Contraception. 2014 May; 89(5):400-6. PMID: 24636226.
      View in: PubMed
    39. Ralph L, Gould H, Baker A, Foster DG. The role of parents and partners in minors' decisions to have an abortion and anticipated coping after abortion. J Adolesc Health. 2014 Apr; 54(4):428-34. PMID: 24332398.
      View in: PubMed
    40. Foster DG, Kimport K. Who seeks abortions at or after 20 weeks? Perspect Sex Reprod Health. 2013 Dec; 45(4):210-8. PMID: 24188634.
      View in: PubMed
    41. Roberts SC, Rocca CH, Foster DG. Receiving versus being denied an abortion and subsequent drug use. Drug Alcohol Depend. 2014 Jan 01; 134:63-70. PMID: 24183616.
      View in: PubMed
    42. Upadhyay UD, Weitz TA, Jones RK, Barar RE, Foster DG. Denial of abortion because of provider gestational age limits in the United States. Am J Public Health. 2014 Sep; 104(9):1687-94. PMID: 23948000; PMCID: PMC4151926.
    43. Rocca CH, Kimport K, Gould H, Foster DG. Women's emotions one week after receiving or being denied an abortion in the United States. Perspect Sex Reprod Health. 2013 Sep; 45(3):122-31. PMID: 24020773.
      View in: PubMed
    44. Kimport K, Upadhyay UD, Foster DG, Gatter M, Weitz TA. Patient viewing of the ultrasound image prior to abortion. Contraception. 2013 Nov; 88(5):666-70. PMID: 24028750.
      View in: PubMed
    45. Biggs MA, Gould H, Foster DG. Understanding why women seek abortions in the US. BMC Womens Health. 2013 Jul 05; 13:29. PMID: 23829590; PMCID: PMC3729671.
    46. Gould H, Foster DG, Perrucci AC, Barar RE, Roberts SC. Predictors of abortion counseling receipt and helpfulness in the United States. Womens Health Issues. 2013 Jul-Aug; 23(4):e249-55. PMID: 23816155.
      View in: PubMed
    47. Foster DG, Biggs MA, Malvin J, Bradsberry M, Darney P, Brindis CD. Cost-savings from the provision of specific contraceptive methods in 2009. Womens Health Issues. 2013 Jul-Aug; 23(4):e265-71. PMID: 23816157.
      View in: PubMed
    48. Thompson KM, Raine TR, Foster DG, Speidel JJ, Darney PD, Brindis CD, Harper CC. Access to levonorgestrel emergency contraception: science versus federal politics. Womens Health (Lond). 2013 Mar; 9(2):139-43. PMID: 23477320.
      View in: PubMed
    49. Foster DG, Biggs MA, Grossman D, Schwarz EB. Interest in a pericoital pill among women in family planning and abortion clinics. Contraception. 2013 Jul; 88(1):141-6. PMID: 23507170.
      View in: PubMed
    50. Biggs MA, Foster DG. Misunderstanding the risk of conception from unprotected and protected sex. Womens Health Issues. 2013 Jan; 23(1):e47-53. PMID: 23231762.
      View in: PubMed
    51. Foster DG, Dobkin LM, Upadhyay UD. Denial of abortion care due to gestational age limits. Contraception. 2013 Jan; 87(1):3-5. PMID: 23122688.
      View in: PubMed
    52. Foster DG, Kimport K, Gould H, Roberts SC, Weitz TA. Effect of abortion protesters on women's emotional response to abortion. Contraception. 2013 Jan; 87(1):81-7. PMID: 23062524.
      View in: PubMed
    53. Roberts SC, Avalos LA, Sinkford D, Foster DG. Alcohol, tobacco and drug use as reasons for abortion. Alcohol Alcohol. 2012 Nov-Dec; 47(6):640-8. PMID: 22917755.
      View in: PubMed
    54. Lessard LN, Karasek D, Ma S, Darney P, Deardorff J, Lahiff M, Grossman D, Foster DG. Contraceptive features preferred by women at high risk of unintended pregnancy. Perspect Sex Reprod Health. 2012 Sep; 44(3):194-200. PMID: 22958664.
      View in: PubMed
    55. Gould H, Perrucci A, Barar R, Sinkford D, Foster DG. Patient education and emotional support practices in abortion care facilities in the United States. Womens Health Issues. 2012 Jul-Aug; 22(4):e359-64. PMID: 22609254.
      View in: PubMed
    56. Foster DG, Gould H, Taylor J, Weitz TA. Attitudes and decision making among women seeking abortions at one U.S. clinic. Perspect Sex Reprod Health. 2012 Jun; 44(2):117-24. PMID: 22681427.
      View in: PubMed
    57. Biggs MA, Karasek D, Foster DG. Unprotected intercourse among women wanting to avoid pregnancy: attitudes, behaviors, and beliefs. Womens Health Issues. 2012 May-Jun; 22(3):e311-8. PMID: 22555219.
      View in: PubMed
    58. Foster DG, Gould H, Kimport K. How women anticipate coping after an abortion. Contraception. 2012 Jul; 86(1):84-90. PMID: 22176790.
      View in: PubMed
    59. Foster DG, Higgins JA, Karasek D, Ma S, Grossman D. Attitudes toward unprotected intercourse and risk of pregnancy among women seeking abortion. Womens Health Issues. 2012 Mar; 22(2):e149-55. PMID: 22000817.
      View in: PubMed
    60. Foster DG, Karasek D, Grossman D, Darney P, Schwarz EB. Interest in using intrauterine contraception when the option of self-removal is provided. Contraception. 2012 Mar; 85(3):257-62. PMID: 22067772.
      View in: PubMed
    61. Dehlendorf C, Foster DG, de Bocanegra HT, Brindis C, Bradsberry M, Darney P. Race, ethnicity and differences in contraception among low-income women: methods received by Family PACT Clients, California, 2001-2007. Perspect Sex Reprod Health. 2011 Sep; 43(3):181-7. PMID: 21884386; PMCID: PMC3412526.
    62. Foster DG, Biggs MA, Rostovtseva D, de Bocanegra HT, Darney PD, Brindis CD. Estimating the fertility effect of expansions of publicly funded family planning services in California. Womens Health Issues. 2011 Nov-Dec; 21(6):418-24. PMID: 21802962.
      View in: PubMed
    63. Thompson KM, Foster DG, Harper CC. Increased use of intrauterine contraception in California, 1997 to 2007. Womens Health Issues. 2011 Nov-Dec; 21(6):425-30. PMID: 21723742.
      View in: PubMed
    64. Foster DG, Higgins JA, Biggs MA, McCain C, Holtby S, Brindis CD. Willingness to have unprotected sex. J Sex Res. 2012; 49(1):61-8. PMID: 21516592.
      View in: PubMed
    65. Foster DG, Hulett D, Bradsberry M, Darney P, Policar M. Number of oral contraceptive pill packages dispensed and subsequent unintended pregnancies. Obstet Gynecol. 2011 Mar; 117(3):566-72. PMID: 21343759.
      View in: PubMed
    66. Foster DG, Raine TR, Brindis C, Rostovtseva DP, Darney PD. Should providers give women advance provision of emergency contraceptive pills? A cost-effectiveness analysis. Womens Health Issues. 2010 Jul-Aug; 20(4):242-7. PMID: 20620913; PMCID: PMC3153435.
    67. Rodriguez MI, Caughey AB, Edelman A, Darney PD, Foster DG. Cost-benefit analysis of state- and hospital-funded postpartum intrauterine contraception at a university hospital for recent immigrants to the United States. Contraception. 2010 Apr; 81(4):304-8. PMID: 20227546.
      View in: PubMed
    68. Landau S, Besinque K, Chung F, Dries-Daffner I, Maderas NM, McGhee BT, Foster DG. Pharmacist interest in and attitudes toward direct pharmacy access to hormonal contraception in the United States. J Am Pharm Assoc (2003). 2009 Jan-Feb; 49(1):43-50. PMID: 19196596.
      View in: PubMed
    69. Foster DG, Rostovtseva DP, Brindis CD, Biggs MA, Hulett D, Darney PD. Cost savings from the provision of specific methods of contraception in a publicly funded program. Am J Public Health. 2009 Mar; 99(3):446-51. PMID: 18703437; PMCID: PMC2661445.
    70. Foster DG, Biggs MA, Ralph LJ, Arons A, Brindis CD. Family planning and life planning reproductive intentions among individuals seeking reproductive health care. Womens Health Issues. 2008 Sep-Oct; 18(5):351-9. PMID: 18485738.
      View in: PubMed
    71. Foster DG, Jackson RA, Cosby K, Weitz TA, Darney PD, Drey EA. Predictors of delay in each step leading to an abortion. Contraception. 2008 Apr; 77(4):289-93. PMID: 18342653.
      View in: PubMed
    72. Amaral G, Foster DG, Biggs MA, Jasik CB, Judd S, Brindis CD. Public savings from the prevention of unintended pregnancy: a cost analysis of family planning services in California. Health Serv Res. 2007 Oct; 42(5):1960-80. PMID: 17850528; PMCID: PMC2254565.
    73. Prager SW, Steinauer JE, Foster DG, Darney PD, Drey EA. Risk factors for repeat elective abortion. Am J Obstet Gynecol. 2007 Dec; 197(6):575.e1-6. PMID: 17904511.
      View in: PubMed
    74. Foster DG, Ralph LJ, Arons A, Brindis CD, Harper CC. Trends in knowledge of emergency contraception among women in California, 1999-2004. Womens Health Issues. 2007 Jan-Feb; 17(1):22-8. PMID: 17321944.
      View in: PubMed
    75. Bigbee JL, Abood R, Landau SC, Maderas NM, Foster DG, Ravnan S. Pharmacy access to emergency contraception in rural and frontier communities. J Rural Health. 2007; 23(4):294-8. PMID: 17868235.
      View in: PubMed
    76. Foster DG, Parvataneni R, de Bocanegra HT, Lewis C, Bradsberry M, Darney P. Number of oral contraceptive pill packages dispensed, method continuation, and costs. Obstet Gynecol. 2006 Nov; 108(5):1107-14. PMID: 17077231.
      View in: PubMed
    77. Foster DG, Biggs MA, Amaral G, Brindis C, Navarro S, Bradsberry M, Stewart F. Estimates of pregnancies averted through California's family planning waiver program in 2002. Perspect Sex Reprod Health. 2006 Sep; 38(3):126-31. PMID: 16963385.
      View in: PubMed
    78. Foster DG, Landau SC, Monastersky N, Chung F, Kim N, Melton M, McGhee BT, Stewart F. Pharmacy access to emergency contraception in California. Perspect Sex Reprod Health. 2006 Mar; 38(1):46-52. PMID: 16554271.
      View in: PubMed
    79. Drey EA, Foster DG, Jackson RA, Lee SJ, Cardenas LH, Darney PD. Risk factors associated with presenting for abortion in the second trimester. Obstet Gynecol. 2006 Jan; 107(1):128-35. PMID: 16394050.
      View in: PubMed
    80. Schwarz EB, Luetkemeyer A, Foster DG, Weitz TA, Lindes D, Stewart FH. Willing and able? Provision of medication for abortion by future internists. Womens Health Issues. 2005 Jan-Feb; 15(1):39-44. PMID: 15661586.
      View in: PubMed
    81. Foster DG, Klaisle CM, Blum M, Bradsberry ME, Brindis CD, Stewart FH. Expanded state-funded family planning services: estimating pregnancies averted by the Family PACT Program in California, 1997-1998. Am J Public Health. 2004 Aug; 94(8):1341-6. PMID: 15284041; PMCID: PMC1448453.
    82. Foster DG, Harper CC, Bley JJ, Mikanda JJ, Induni M, Saviano EC, Stewart FH. Knowledge of emergency contraception among women aged 18 to 44 in California. Am J Obstet Gynecol. 2004 Jul; 191(1):150-6. PMID: 15295356.
      View in: PubMed
    83. Foster DG, Bley J, Mikanda J, Induni M, Arons A, Baumrind N, Darney PD, Stewart F. Contraceptive use and risk of unintended pregnancy in California. Contraception. 2004 Jul; 70(1):31-9. PMID: 15208050.
      View in: PubMed
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