2020-2023 年芝加哥堕胎基金来电者旅行距离的变化

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110609

LA McGuinn, M Quasebarth, M Daniel, L Hasselbacher, K Rivlin

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引用次数: 0

摘要

目标研究 2020-2023 年期间芝加哥堕胎基金（CAF）来电者旅行距离的总体变化以及人口和地理指标的变化。方法我们纳入了 2020-2023 年期间在伊利诺伊州寻求堕胎护理的 6512 位提供居住地邮政编码的外州 CAF 来电者。我们通过计算每位来电者的人口加权邮政编码中心点到诊所地点的距离来近似计算旅行距离。我们使用邮政编码得出的农村-城市社区区域类别来定义城市/农村状态。我们利用美国人口普查数据得出了地区级社会贫困度量。结果总体而言，在州外的 CAF 求诊者中，68%（n=4,404）的求诊距离≥ 100 英里。单程旅行距离的中位数从 2020 年的 90.3 英里（四分位数间距 [IQR]：123）下降到 2021 年的 50.6 英里（四分位数间距 [IQR]：126）。然而，2022 年又增至 173 英里（四分位数间距 [IQR]：323），2023 年进一步增至 191 英里（四分位数间距 [IQR]：384）。居住在农村邮政编码的居民的中位旅行距离为 277 英里（IQR：258），而居住在城市邮政编码的居民的中位旅行距离为 164 英里（IQR：315）。与贫困程度较低的农村地区（中位数为 204 英里，IQR：200）相比，贫困程度较高的农村地区的个人旅行距离更远（中位数：373 英里，IQR：294）。堕胎基金在维持生活在限制性州的人们获得堕胎机会方面发挥着至关重要的作用，并应考虑到其受赠者所面临的结构性障碍。

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CHANGES IN DISTANCE TRAVELED AMONG CHICAGO ABORTION FUND CALLERS FROM 2020-2023

Objectives

To examine changes in the distance traveled by Chicago Abortion Fund (CAF) callers from 2020-2023, overall and by demographic and geographic indicators.

Methods

We included 6,512 out-of-state CAF callers seeking abortion care in Illinois between 2020-2023 who provided a zip code of residence. We approximated distance traveled by calculating the distance from each caller’s population-weighted zip code centroid to the clinic location. We defined urban/rural status using zip code derived Rural-Urban Community Area categories. We derived area level social deprivation measures using US Census data. We assessed median differences in distances (miles) traveled for callers over time and by geographic indicators.

Results

Overall, among out-of-state CAF callers, 68% (n=4,404) traveled ≥ 100 miles to access abortion care. The median one-way travel distance decreased from 90.3 miles (interquartile range [IQR]: 123) in 2020 to 50.6 miles (IQR: 126) in 2021. However, it then increased to 173 miles (IQR: 323) in 2022 and further to 191 miles (IQR: 384) in 2023. Individuals residing in rural zip codes had a median travel distance of 277 miles (IQR: 258), compared to 164 miles (IQR: 315) for those residing in urban zip codes. Individuals in more deprived rural areas traveled further (median: 373 miles, IQR:294) compared to those in less deprived rural areas (median 204 miles, IQR: 200).

Conclusions

CAF callers experience complex challenges accessing abortion, including intersections between geography and socioeconomic status. Abortion funds play a critical role in maintaining abortion access for those living in restrictive states, and should account for the structural barriers their grantees face.

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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.