State-Level Abortion Policy Hostility and Unplanned Births in the Pre-Dobbs Era.

IF 3.6 1区社会学 Q1 DEMOGRAPHY

Demography Pub Date : 2023-10-01 DOI:10.1215/00703370-10952575

Julia C P Eddelbuettel, Sharon Sassler

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Abstract

An increasingly hostile policy climate has reshaped abortion access in the United States. Recent literature has studied the effects of restrictive abortion policies on reproductive health outcomes. This study is the first to investigate the association between state-level abortion policy hostility and the pregnancy intentions of women with a pregnancy resulting in live birth. Data are from the Pregnancy Risk Assessment Monitoring System survey, merged with a state-level legislative database from 2012-2018 and other state-level controls. Cross-sectional results reveal that a one-unit increase in abortion policy hostility is associated with a relative risk (odds) of having a live birth resulting from an unintended versus intended pregnancy that is 1.02 times as high (RRR = 1.02, 95% confidence interval = 1.01, 1.03). This result corresponds to a 13% increase in the predicted probability of having a live birth resulting from an unintended pregnancy between a zero-hostility and a maximum-hostility state. Models stratified by demographic and socioeconomic characteristics reveal that the association between abortion policy hostility and live birth resulting from an unintended pregnancy is particularly robust among women in younger, less educated, Medicaid, uninsured, and rural populations.

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前多布斯时代州一级堕胎政策的敌意和意外分娩。

日益敌对的政策环境重塑了美国堕胎的机会。最近的文献研究了限制性堕胎政策对生殖健康结果的影响。这项研究首次调查了州级堕胎政策的敌意与妊娠导致活产的妇女的怀孕意图之间的关系。数据来自妊娠风险评估监测系统调查，该调查与2012-2018年的州级立法数据库和其他州级控制合并。横断面结果显示，堕胎政策敌意增加一个单位，意外怀孕与预期怀孕导致活产的相对风险（几率）是预期怀孕的1.02倍（RRR=1.02，95%置信区间=1.01，1.03）处于零敌意和最大敌意状态之间的意外怀孕。根据人口和社会经济特征分层的模型显示，在年轻、受教育程度较低、医疗补助、没有保险和农村人口中，堕胎政策的敌意与意外怀孕导致的活产之间的关联尤其强烈。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Demography DEMOGRAPHY-

CiteScore

5.90

自引率

2.90%

发文量

期刊介绍： Since its founding in 1964, the journal Demography has mirrored the vitality, diversity, high intellectual standard and wide impact of the field on which it reports. Demography presents the highest quality original research of scholars in a broad range of disciplines, including anthropology, biology, economics, geography, history, psychology, public health, sociology, and statistics. The journal encompasses a wide variety of methodological approaches to population research. Its geographic focus is global, with articles addressing demographic matters from around the planet. Its temporal scope is broad, as represented by research that explores demographic phenomena spanning the ages from the past to the present, and reaching toward the future. Authors whose work is published in Demography benefit from the wide audience of population scientists their research will reach. Also in 2011 Demography remains the most cited journal among population studies and demographic periodicals. Published bimonthly, Demography is the flagship journal of the Population Association of America, reaching the membership of one of the largest professional demographic associations in the world.