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Association of Restricted Abortion Access With Maternal and Infant Health by Maternal Nativity: A
Savannah Adkins1, Noa Talmor2, Tenzin Dechen2
1Department of Economics, Bentley University, Waltham, Massachusetts, USA.
Summary
Targeted Restrictions on Abortion Providers (TRAP) laws were associated with increased maternal morbidity for foreign-born individuals, but not for US-born individuals. These findings highlight how abortion restrictions can exacerbate health disparities for immigrant populations.
Area of Science:
- Reproductive Health
- Health Disparities
- Maternal-Infant Health
Background:
- Access to reproductive healthcare is a critical determinant of maternal and infant health outcomes.
- Existing research suggests that socioeconomic and immigration status can influence health outcomes.
- Understanding the impact of abortion restrictions on diverse populations is essential for public health policy.
Purpose of the Study:
- To investigate the association between state-level abortion restrictions and maternal and infant health outcomes.
- To examine these associations stratified by maternal nativity (US-born vs. foreign-born).
Main Methods:
- An observational, population-based, retrospective cohort study using 2011-2019 US birth data (N=33,663,837).
- Utilized Centers for Disease Control and Prevention (CDC) Period Linked Birth/Infant Deaths datafiles.
- Employed a triple-differences framework to analyze state-level abortion restrictions (Targeted Restrictions on Abortion Providers - TRAP laws) and maternal nativity.
Main Results:
- No significant impact of TRAP laws on maternal morbidity was observed for US-born individuals.
- Foreign-born individuals in states with TRAP laws had 15% higher odds of maternal morbidity (aOR=1.15; CI=1.00-1.31) compared to US-born individuals in states without TRAP laws.
- Secondary analyses explored birth interval, birth weight, first-trimester care, and gestational age.
Conclusions:
- Anti-abortion legislation can exacerbate existing health inequalities.
- The findings underscore the need for policies ensuring equitable reproductive healthcare access for immigrant populations.
- Further research is warranted to explore the mechanisms behind these disparities.
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