OHIO ABORTION SEEKERS CHALLENGED BY TWO-VISIT REQUIREMENT ARE LIKELY TO REPORT MORE CHALLENGES OVERALL

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110607

A Kirkendall, M Bornstein, K Rivlin, A Norris Turner, M Davoodifar, T Odum, D Bessett

{"title":"OHIO ABORTION SEEKERS CHALLENGED BY TWO-VISIT REQUIREMENT ARE LIKELY TO REPORT MORE CHALLENGES OVERALL","authors":"A Kirkendall, M Bornstein, K Rivlin, A Norris Turner, M Davoodifar, T Odum, D Bessett","doi":"10.1016/j.contraception.2024.110607","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Ohio, like many restrictive states, requires abortion patients to present in-person for two appointments 24-hours apart. This study seeks to understand which, if any, patient-reported challenges are associated with the two-visit requirement.</div></div><div><h3>Methods</h3><div>1,361 participants seeking abortion care in Ohio completed an online survey between April 2020 and July 2021. Survey questions addressed challenges experienced, delayed expenses, and actions taken to cover costs. Responses of those who indicated making multiple trips for their abortion care was a challenge were compared to those who did not experience this challenge.</div></div><div><h3>Results</h3><div>29.4% of participants were challenged by the multiple trips requirement. Participants reporting this challenge were demographically similar by race, sexuality, and gender to those not reporting this challenge. Participants challenged by multiple visits reported twice as many challenges overall than those who were not challenged by multiple trips (mean=4.0 vs. 2.1, p<0.01). Participants challenged by multiple trips took more actions to cover costs (mean=1.1 vs. 0.8 for those not challenged by multiple visits, p<0.01). Overall, 28.5% of participants delayed expenses to cover costs, including 37.8% of those challenged by multiple visits and 24.7% of those not challenged by multiple visits (p<0.01). The number of delayed expenses was greater for those challenged by multiple visits (mean=0.7 vs. 0.4, p<0.01).</div></div><div><h3>Conclusions</h3><div>Many Ohioans seeking abortion identified the two-visit requirement as a challenge. The two-visit requirement occurs in conjunction with, and likely exacerbates, other challenges, especially financial stressors. Patients should be allowed to work with their care providers to determine the right number of visits for them.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0010782424003020","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

Ohio, like many restrictive states, requires abortion patients to present in-person for two appointments 24-hours apart. This study seeks to understand which, if any, patient-reported challenges are associated with the two-visit requirement.

Methods

1,361 participants seeking abortion care in Ohio completed an online survey between April 2020 and July 2021. Survey questions addressed challenges experienced, delayed expenses, and actions taken to cover costs. Responses of those who indicated making multiple trips for their abortion care was a challenge were compared to those who did not experience this challenge.

Results

29.4% of participants were challenged by the multiple trips requirement. Participants reporting this challenge were demographically similar by race, sexuality, and gender to those not reporting this challenge. Participants challenged by multiple visits reported twice as many challenges overall than those who were not challenged by multiple trips (mean=4.0 vs. 2.1, p<0.01). Participants challenged by multiple trips took more actions to cover costs (mean=1.1 vs. 0.8 for those not challenged by multiple visits, p<0.01). Overall, 28.5% of participants delayed expenses to cover costs, including 37.8% of those challenged by multiple visits and 24.7% of those not challenged by multiple visits (p<0.01). The number of delayed expenses was greater for those challenged by multiple visits (mean=0.7 vs. 0.4, p<0.01).

Conclusions

Many Ohioans seeking abortion identified the two-visit requirement as a challenge. The two-visit requirement occurs in conjunction with, and likely exacerbates, other challenges, especially financial stressors. Patients should be allowed to work with their care providers to determine the right number of visits for them.

查看原文本刊更多论文

俄亥俄州寻求堕胎者受到两次探视要求的挑战，可能报告总体上面临更多挑战

目标俄亥俄州与许多限制性州一样，要求堕胎患者必须在 24 小时内亲自赴约两次。本研究旨在了解患者报告的挑战（如果有的话）与两次就诊要求有哪些关联。方法在 2020 年 4 月至 2021 年 7 月期间，1361 名在俄亥俄州寻求堕胎护理的参与者完成了一项在线调查。调查问题涉及所经历的挑战、延迟支出以及为支付费用所采取的行动。我们将那些表示多次往返接受人工流产护理是一项挑战的参与者的回答与那些没有遇到这一挑战的参与者的回答进行了比较。在种族、性取向和性别方面，报告这一挑战的参与者与未报告这一挑战的参与者在人口统计学上相似。因多次旅行而受到挑战的参与者所报告的挑战数量是未受到多次旅行挑战的参与者的两倍（平均值=4.0 vs. 2.1，p<0.01）。受到多次访问挑战的参与者采取了更多行动来支付费用（平均=1.1，而未受到多次访问挑战的参与者为 0.8，p<0.01）。总体而言，28.5% 的参与者延迟支出以支付费用，其中 37.8% 的参与者因多次出差而延迟支出，24.7% 的参与者未因多次出差而延迟支出（p<0.01）。结论许多寻求堕胎的俄亥俄州人将两次就诊要求视为一项挑战。两次就诊要求与其他挑战同时存在，并可能加剧其他挑战，尤其是经济压力。应允许患者与他们的医疗服务提供者合作，以确定适合他们的就诊次数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.