Crisis Pregnancy Centers in the United States: Post-Dobbs Characteristics and Changes.

IF 9.6 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of public health Pub Date : 2025-06-01 DOI:10.2105/ajph.2025.308055

Danielle N Lambert,Nicole Luisi,Erin R Johnson,Rachel Baugh,Andrea Swartzendruber

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引用次数: 0

Abstract

Objective. To enumerate crisis pregnancy centers (CPCs) in the United States in 2024 and examine changes before and after Dobbs v Jackson Women's Health Organization and associations with selected state characteristics. Methods. Repeated cross-sectional analyses used CPC Map data to describe the number of CPCs in the United States after Dobbs and examine changes since 2021. We used negative binomial models to compare CPC counts by selected state characteristics. Results. In 2024, 2633 CPCs operated in the United States, a 3.3% increase from 2021. Nationally, 71.7% offered nondiagnostic ultrasounds, 28.0% advertised sexually transmitted infection (STI) testing, 17.2% STI treatment, 6.8% HIV testing, and 3.8% unproven "abortion reversal" on-site. The total count of CPCs in 2024 was 230% greater in states with a grant program (95% confidence interval [CI] = 148%, 357%; P < .001), and the rate of newly identified and re-opened CPCs was 1.81 times (95% CI = 1.15, 2.84; P = .010) greater, adjusting for CPCs in 2021. Conclusions. Despite being largely unregulated and failing to adhere to medical and ethical practice standards, CPCs proliferated and posed risk nationally, particularly in states with CPC grant programs. Health professionals should educate themselves and their communities about local CPCs and risks. (Am J Public Health. 2025;115(6):924-935. https://doi.org/10.2105/AJPH.2025.308055).

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美国危机怀孕中心：后多布斯的特点和变化。

目标。列举2024年美国危机妊娠中心（CPCs），并考察Dobbs v Jackson妇女健康组织前后的变化及其与选定州特征的联系。方法。重复的横断面分析使用CPC地图数据来描述多布斯之后美国CPC的数量，并检查自2021年以来的变化。我们使用负二项模型来比较选定州特征的CPC计数。结果。2024年，美国有2633家cpc运营，比2021年增长3.3%。在全国范围内，71.7%提供非诊断性超声检查，28.0%宣传性传播感染（STI）检测，17.2%宣传性传播感染治疗，6.8%宣传艾滋病毒检测，3.8%在现场进行未经证实的“堕胎逆转”。在有补助计划的州，2024年cpc总数增加了230%(95%置信区间[CI] = 148%, 357%；P < 0.001)，新发现和重新打开cpc的比率为1.81倍(95% CI = 1.15, 2.84；P = 0.010)更大，根据2021年的cpc进行调整。结论。尽管在很大程度上不受监管，也没有遵守医疗和道德实践标准，CPC仍在全国范围内激增，并构成了风险，特别是在有CPC资助项目的州。卫生专业人员应该对自己和所在社区进行当地重点关注疾病和风险的教育。[J] .公共卫生，2025;115(6):924-935。https://doi.org/10.2105/AJPH.2025.308055)。

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来源期刊

American journal of public health 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.50

自引率

3.90%

发文量

1109

审稿时长

2-4 weeks

期刊介绍： The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.