患者对多布斯案后前往州外接受堕胎护理的看法

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110583

H Simons, K Przytula

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引用次数: 0

摘要

本研究探讨了在州外接受人工流产服务的患者的旅行经历，包括经济、后勤和社会情感障碍。方法我们对 2023 年前往位于中西部和西南部的两家计划生育分支机构的人工流产患者（Ntot=510）进行了电子访问后调查。我们进行了描述性分析和双变量分析，以研究旅行距离和旅行相关障碍，以及它们是否因种族/民族和年龄而有所不同。单程旅行距离的中位数为 450 英里。半数受访者表示曾无偿请假，46%的受访者表示曾向家人/朋友隐瞒行踪，32%的受访者表示曾付费过夜。将近三分之一的受访者表示没有尽早获得护理（30%）--首要原因是无法预约（46%）、没有足够的钱（43%）、无法向工作/学校请假（32%）以及不知道家乡没有堕胎服务（32%）。与其他种族/族裔群体（中位数白种人=300，中位数黑种人=160，P=0.001）相比，西班牙裔/拉丁裔受访者的中位数距离（中位数=700 英里）更远。年轻受访者（40%）比年长受访者（29%，p=0.004）更有可能付费过夜。白人受访者（55%）和西班牙裔/拉丁裔受访者（51%）比黑人受访者（30%，p<0.0001）更有可能隐瞒自己的行踪。旅行障碍可能会对患者亚群（如年轻人）造成不同程度的影响。

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PATIENT PERSPECTIVES ON OUT-OF-STATE TRAVEL FOR ABORTION CARE POST-DOBBS

Objectives

This study examines the travel experiences of patients receiving abortion services out of state including financial, logistical, and social-emotional barriers.

Methods

We electronically administered a post-visit survey to abortion patients traveling to two Planned Parenthood affiliates located in the Midwest and Southwest in 2023 (N_tot=510). We conducted descriptive and bivariable analysis to examine travel distance and travel-related barriers and whether they differed by race/ethnicity and age.

Results

86% of respondents traveled because abortion was not legal in their home state. The median one-way travel distance was 450 miles. Half of the respondents reported taking unpaid time off work, 46% reported concealing whereabouts from family/friends, and 32% reported paying to stay overnight. Nearly 1 in 3 reported not getting care as early as desired (30%) - top reasons were not being able to get an appointment (46%), not having enough money (43%), not being able to take time off from work / school (32%) and not knowing abortion was not available in their home state (32%). Median distance was greater for Hispanic/Latina respondents (median=700 miles) compared to other racial/ethnic groups (median_wht=300, median_blk=160, p=0.001). Younger respondents were more likely to pay to stay overnight (40%) than older respondents (29%, p=0.004). White (55%) and Hispanic/Latina (51%) respondents were more likely to conceal their whereabouts than Black respondents (30%, p<0.0001).

Conclusions

Abortion patients traveling regionally in the Southwest and Midwest experienced notable barriers, including delays in obtaining care and taking unpaid time off work. Travel barriers may differentially affect patient subgroups, such as young people.

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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.