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Commentary: Adolescents, Marginalization(s) and Abortion Care in Canada
Tobin Leblanc Haley1, Ghazal Motamedi2
1Assistant Professor of Sociology, University of New Brunswick, Saint John, NB.
Healthcare Policy = Politiques De Sante
|July 8, 2025
Summary
Abortion access in Canada has improved, but provincial differences create disparities in care, especially for rural populations and adolescents. Understanding federalism and intersecting inequalities is crucial for equitable abortion services.
Area of Science:
- Public Health
- Healthcare Policy
- Sociology of Health
Background:
- Canadian abortion access has seen improvements over 37 years.
- Healthcare delivery is a provincial/territorial responsibility, leading to varied abortion care.
- Disparities exist in rural coverage, telemedicine for medication abortion, and minor consent laws.
Discussion:
- Federalism significantly impacts abortion care administration and operation across Canadian provinces/territories.
- Racial, class, and gender inequalities shape the access and experience of abortion care.
- Rural and semi-rural realities present unique challenges to accessing abortion services.
Key Insights:
- Divergences in abortion care administration and operation are linked to Canada's federal structure.
- Intersecting marginalizations, including race, class, and gender, critically affect service users.
- Adolescents face particular challenges accessing and experiencing abortion care due to these complexities.
Outlook:
- Addressing federalism complexities is essential for equitable abortion access nationwide.
- Mitigating the impact of intersecting inequalities requires targeted policy interventions.
- Improving telemedicine and rural access is key to enhancing medication abortion availability.
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