Cynthia Beavin, Mikaela H Smith, Shanan Ashton, Valarie Blake, Alison H Norris, Danielle Bessett, Michelle L McGowan
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引用次数: 0
Abstract
Objective: To analyze changes in method, gestational duration, and out-of-state travel for abortion care in West Virginia and for West Virginians during a timeframe with increasingly restrictive abortion legislation and decreasing abortion availability.
Methods: We used publicly available data from the Centers for Disease Control and Prevention and data obtained from the Guttmacher Institute to calculate abortion rates by state of occurrence and state of residence and describe trends in abortion by gestational duration and method from 2013 to 2020. We constructed a timeline of abortion restrictions and clinic closures in West Virginia using news reports and legislation from Nexis Uni and the WV Legislature website.
Results: From 2013 to 2020, West Virginia enacted six abortion restrictions and one of two clinics in the state closed. During this time, the abortion rates both in West Virginia and for West Virginians experienced greater decreases compared to abortion rates in the South and United States (US). Patients in West Virginia had a lower percentage of abortions before 7 weeks (22%) compared to 41% in the region and 38% nationally. Patients in West Virginia had proportionally more aspiration abortions (79% compared to 70% in the South and US) until 2019, when state trends began to resemble regional and national trends. By 2020, a majority (52%) of all abortions for West Virginia residents occurred out of state, compared to 14% in the South and 9% in the US.
Conclusion: Abortion restrictions and a clinic closure coincided with decreased abortions at earlier gestational durations, increased use of medication abortion, and more out-of-state travel to a wider variety of states.
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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