Seeking support for abortion care from national hotlines in Canada: Caller characteristics and call outcomes, 2019-2021.

IF 3.4 2区 医学 Q1 DEMOGRAPHY
Perspectives on Sexual and Reproductive Health Pub Date : 2023-09-01 Epub Date: 2023-07-24 DOI:10.1363/psrh.12239
Carly Demont, Jill Doctoroff, Britt Neron, Angel M Foster
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Abstract

Objectives: Both the National Abortion Federation Canada and Action Canada for Sexual Health and Rights operate national toll-free hotlines that provide information, financial support, and travel assistance to abortion seekers. We aimed to characterize callers to both hotlines before and after the onset of the COVID-19 pandemic.

Methods: Hotline personnel routinely document information about callers and type(s) of assistance needed and received. We received call logs from both organizations for a two-year period (April 1, 2019 through March 31, 2021). We exported these data to Microsoft Excel® and analyzed them using descriptive statistics. We analyzed case notes for content and themes.

Results: Over the study period, the two hotlines worked with 270 unique callers. Nearly two-thirds of callers (n = 174) were seeking support to obtain abortion care for pregnancies after 14 weeks gestation, including 69 callers (26%) who were at or beyond 24 weeks gestation. Most callers were seeking support to obtain abortion care outside of their province of residence because services at their gestational age were not available. Caller needs were similar before and after the onset of the pandemic, but fewer traveled to the United States for abortion care in the COVID-19 era.

Discussion: Assistance hotlines play an important role in helping some abortion seekers navigate the Canadian health system to obtain needed abortion care. The needs of those seeking care after the 14 weeks gestation points to gaps in current service availability. Identifying ways to expand later abortion care in Canada, particularly after 24 weeks, appears warranted.

从加拿大国家热线寻求堕胎护理支持:2019-2021年来电者特征和来电结果。
目标:加拿大全国堕胎联合会和加拿大性健康与权利行动组织都开通了全国免费热线,为寻求堕胎者提供信息、财政支持和旅行援助。我们旨在描述新冠肺炎大流行前后两条热线的来电者。方法:热线工作人员定期记录来电者的信息以及所需和收到的援助类型。我们收到了两个组织为期两年的通话记录(2019年4月1日至2021年3月31日)。我们将这些数据导出到Microsoft Excel®中,并使用描述性统计数据进行分析。我们分析了案例笔记的内容和主题。结果:在研究期间,这两条热线共有270名不同的来电者。近三分之二的来电者(n = 174)正在寻求支持,以获得14岁后妊娠的堕胎护理 妊娠周,包括69名24岁或24岁以上的来电者(26%) 妊娠周。大多数打电话的人都在寻求支持,以便在居住地以外获得堕胎护理,因为他们的孕龄无法获得服务。在疫情爆发前后,来电需求相似,但在新冠肺炎时代,前往美国接受堕胎护理的人数较少。讨论:援助热线在帮助一些寻求堕胎者在加拿大卫生系统中获得所需的堕胎护理方面发挥着重要作用。14岁以后寻求护理的人的需求 妊娠数周表明当前服务可用性存在差距。确定在加拿大扩大后期堕胎护理的方法,特别是在24岁之后 周,似乎是有必要的。
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来源期刊
CiteScore
5.10
自引率
3.40%
发文量
24
期刊介绍: Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.
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