have yet to examine the influence of county of residence. County-level factors may be undocumented contributors to disparities in accessing abortion services. Methods: This analysis explores the relationship between gestational age at time of abortion and county-level factors (e.g., metropolitan status and poverty), adjusting for individual characteristics and distance traveled to care, using a three-level hierarchical model. Data come from 38,611 abortion surveillance records from North Carolina, Virginia and West Virginia in 2012. Results: Some 8.22% of the variation in gestational age was attributable to county-level factors. An additional 11.83% of the variation was attributable to state-level factors. Persistent poverty at the county level was associated with increased gestational age at abortion in the crude analysis. Additionally, residing in a nonmetropolitan county was associated with seeking abortion later even after controlling for miles traveled and county- level poverty. Conclusions: Place of residence, specifically county of residence, was associated with gestational age at time of abortion for women living in North Carolina, Virginia and West Virginia who obtained abortion services in those states. Living in a nonmetropolitan county, separate from the distance traveled to care, was associated with obtaining abortions at later gestational ages. Both individual characteristics and place of residence are critical to the identification of potential disparities in accessing abortion care. http://dx.doi.org/10.1016/j.contraception.2017.07.048 P19 Just Google it: quality of information available online for abortion self- referral L Dodge Beth Israel Deaconess Medical Center, Boston, MA, USA SJ Phillip, D Neo, S Nippita, M Paul, M Hacker Objectives: It is unknown whether women seeking abortion services can quickly and easily obtain high-quality information about abortion providers online. Our aim was to assess the quality of information obtained for abortion self-referral. Methods: We used a standard protocol to perform internet searches of “abortion” and a location, consisting of each of the 25 most populous U.S. cities along with the 40 state capitals not already included. We classified the first 10 webpage results and the first 5 location results and advertisements as facilitating abortion referral (local independent abortion provider, local Planned Parenthood facility, national abortion provider or organization, prochoice website or abortion directory), not facilitating abortion referral (nonproviding physician office, nonmedical website, abortion provider more than 50 miles from the location, news article, general directory, other) or hindering abortion referral (crisis pregnancy center or antichoice website). We used U.S. census regions to examine geographic differences. Results: Overall, 50.6% of webpage results, 33.8% of location results and 20.0% of advertisements facilitated abortion referral, while 14.5%, 3.7% and 21.8%, respectively, hindered abortion referral. Searches of webpages from locations in the Midwest were least likely to facilitate referral (42.5%) compared with searches from locations in the Northeast (51.8%), South (52.6%) and West (53.3%), although this difference was not significant (p=.38). Conclusions: Half of webpage results facilitated abortion self-referral, while only one third of location results did. Advertisements were the least likely to facilitate and the most likely to hinder self-referral. Quality of information was lowest among advertisements. There was little geographic variability at the level of U.S. census regions. http://dx.doi.org/10.1016/j.contraception.2017.07.049 P20 Abortion among homeless youth: results from a qualitative study S Begun Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada K Massey Combs Objectives: Homeless youth demonstrate exceptionally high pregnancy rates, although limited research exists on this population’s abortion attitudes and experiences. Moreover, several preliminary studies noted that some homeless youth attempt self-induced abortions via unsafe methods. Accordingly, this study explores, in greater detail than prior research, homeless youths’ experiences, attitudes and decision making regarding abortion, including self- induced abortion. Methods: Phenomenological qualitative data were collected from interviews with 30 female, male and gender-fluid homeless youth, aged 18–21, who were staying at a youth-serving shelter. Using a semistructured interview guide, several family planning topics, including abortion, were explored. Qualitative transcripts were independently analyzed by two coders to increase rigor and reduce bias in analyses. To comprehensively, yet concisely, summarize homeless youths’ experiences regarding these topics, transcripts underwent three rounds of coding: initial “open” coding; holistic, “middle-order” coding; and final, “focused” coding. Results: Youth noted that abortions obtained in the formal medical system are common in this population. Surprisingly, most respondents also knew of others who had attempted self-induced abortions using dangerous strategies, and several youth recounted their own stories of self-induction attempts while homeless. The majority of respondents did not know where and how to access abortions safely, feared abortion-related stigma and reflected inaccurate perceptions regarding abortion cost and legality. Conclusions: Findings suggest significant misperceptions about access to and cost of abortion, and an alarmingly high prevalence of self-induction strategies. This indicates an urgent need to develop culturally responsive prevention and family planning outreach for this uniquely vulnerable population. http://dx.doi.org/10.1016/j.contraception.2017.07.050 P21 An unmet need: homeless youths’ experiences, attitudes and decision making regarding contraception S Begun Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada K Massey Combs Objectives: Pregnancy rates among homeless youth are approximately four to eight times those of their housed peers. Studies pertaining to contraceptive use among this population are notably scarce. Thus, this study explores, in greater depth than past research, homeless youths’ experiences, attitudes and decision making regarding contraception. Methods: Utilizing a semistructured interview guide, phenomenological qualitative data were obtained from interviews with 30 female, male and gender-fluid homeless youth, aged 18–21, who were residing at a youth- serving shelter. Two coders independently analyzed the interview transcripts. To accurately capture homeless youths’ experiences regarding contraception, transcripts were examined through three rounds of coding: initial “open” coding; holistic, “middle-order” coding; and final, “focused” coding. Results: Though many youth reported that they preferred to wait for pregnancy, few were using contraceptives, and all reported that contraceptive use was rare among homeless youth in general. The most common reasons reported for not Abstracts / Contraception 96 (2017) 263–306 274