在伊利诺伊州引入医疗补助堕胎保险后,堕胎率增加,出生率下降
Taehyun Kim1, Jacqueline Ellison2, Julia R Steinberg3
1Taehyun Kim (taehyun@wisc.edu), University of Wisconsin-Madison, Madison, Wisconsin.
Health affairs (Project Hope)
|February 3, 2025
概括
在伊利诺伊州,医疗补助计划对堕胎护理的覆盖率增加了18.2%的堕胎率,出生率下降了2.8%. 这些发现突出了医疗补助计划.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 生殖健康 生殖健康
背景情况:
- 海德修正案限制了联邦对堕胎的资助,影响了低收入人群的堕胎.
- 有限的因果证据存在于州级医疗补助计划堕胎覆盖范围对怀孕结果的影响.
- 17个州利用国家资金在医疗补助计划中提供堕胎护理.
研究的目的:
- 评估2018年伊利诺伊州政策引入堕胎医疗补助覆盖的影响.
- 评估这一覆盖范围对堕胎和出生率的影响,使用多布斯前决策数据.
主要方法:
- 采用差异差异的设计.
- 利用了来自疾病控制和预防中心的2014-2021年出生和堕胎数据.
- 将伊利诺伊州与29个没有覆盖的州进行了比较.
主要成果:
- 医疗补助计划的覆盖率使堕胎增加了18.2% (每1000名生育年龄女性中有2.43人).
- 医疗补助计划的覆盖率使出生率下降了2.8% (每1000名生育年龄女性中有1.66名).
- 黑人和西班牙裔人口,高贫困地区和接近设施的地区的出生率下降幅度更大.
结论:
- 堕胎的医疗补助覆盖面对堕胎和出生率产生重大影响.
- 该政策对生殖健康结果产生了显著的影响,特别是在弱势群体中.
- 调查结果强调了医疗补助计划在确保堕胎准入和影响母亲和儿童健康方面发挥的关键作用.
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