Changes in Abortion Access, Travel, and Costs Since the Implementation of State Abortion Bans, 2022-2024.

IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nancy F Berglas, Jessica T Barnes, Elizabeth Gonzalez Ba, Lisa Peters, Diana Greene Foster
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引用次数: 0

Abstract

Objectives. To compare the experiences of people who obtained abortions before the implementation of a state abortion ban with those seeking abortion after a ban. Methods. Using self-administered surveys (n = 855), we examined the abortion-seeking experiences of individuals recruited from clinics and call centers in 14 US states that implemented bans on abortion at all gestations, June 2022 to June 2024. We used bivariate analyses to compare differences in travel by ban status. Results. Most people (81%) who contacted a clinic or call center after a ban reported traveling to another state for an abortion; few (3%) continued their pregnancy to birth. Compared with those who accessed abortion in their state before a ban, postban travelers were less likely to drive and more likely to travel by bus, train, or airplane. Mean travel time (2.8 vs 11.3 hours), overnight stays (5% vs 58%), and mean travel costs ($179 vs $372) increased, as did mean pregnancy duration (7.7 vs 8.8 weeks) and the proportion occurring at 13 weeks or more duration (8% vs 17%). Conclusions. Travel burdens, costs, and delays in abortion have increased since the implementation of state abortion bans. (Am J Public Health. Published online ahead of print June 26, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308191).

自实施国家堕胎禁令以来,堕胎途径、旅行和成本的变化,2022-2024。
目标。比较在州堕胎禁令实施前堕胎的人与禁令实施后堕胎的人的经历。方法。通过自我管理的调查(n = 855),我们研究了从美国14个州的诊所和呼叫中心招募的个人寻求堕胎的经历,这些州在2022年6月至2024年6月期间实施了所有妊娠期堕胎禁令。我们使用双变量分析来比较禁令状态下旅行的差异。结果。大多数(81%)在禁令颁布后联系诊所或呼叫中心的人报告说,他们曾前往另一个州堕胎;少数人(3%)继续妊娠至分娩。与那些在禁令颁布前堕胎的人相比,禁令颁布后的旅行者开车的可能性更小,更有可能乘坐公共汽车、火车或飞机。平均旅行时间(2.8小时vs 11.3小时)、过夜时间(5% vs 58%)和平均旅行费用(179美元vs 372美元)都有所增加,平均怀孕时间(7.7周vs 8.8周)和怀孕时间超过13周的比例(8% vs 17%)也有所增加。结论。自从各州实施堕胎禁令以来,堕胎的旅行负担、费用和延误都有所增加。公共卫生。2025年6月26日在线出版:e1-e10。https://doi.org/10.2105/AJPH.2025.308191)。
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
American journal of public health
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.
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