自实施国家堕胎禁令以来,堕胎获取,旅行和成本的变化,2022-2024年
Nancy F Berglas1, Jessica T Barnes1, Elizabeth Gonzalez Ba1
1All authors are with Advancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco.
American journal of public health
|June 26, 2025
概括
州立堕胎禁令显著增加了寻求堕胎的个人旅行负担,成本和延误. 禁令后,越来越多的人出国旅行,面临更长的旅程和更高的费用,影响堕胎准入.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 立法对社会的影响.
背景情况:
- 在2022年6月之后颁布的州立堕胎禁令已经造成了医疗保健获得的重大障碍.
- 了解这些禁令对寻求堕胎的个人的影响对于公共卫生政策至关重要.
- 在禁令之前的先前访问模式为比较提供了基准.
研究的目的:
- 为了比较个人的堕胎寻求经验,在实施国家堕胎禁令之前和之后.
- 分析由于州级禁止堕胎的旅行,成本和妊娠年龄的变化.
主要方法:
- 在美国14个禁止堕胎的州,对855名寻求堕胎的个人进行了调查.
- 在2022年6月至2024年6月期间从诊所和呼叫中心招聘.
- 基于堕胎禁令状态进行比较旅行经验的两变量分析.
主要成果:
- 81%的联系诊所/呼叫中心的人在禁令后出国进行堕胎;只有3%的人继续怀孕.
- 禁令后的旅行者更有可能使用公共交通工具 (公共汽车,火车,飞机) 而不是私人车辆.
- 观察到的显著增加是平均旅行时间 (2.8至11.3小时),过夜 (5%至58%),旅行费用 (179至372美元) 和堕胎时的妊娠年龄 (7.7至8.8周).
结论:
- 国家对堕胎的禁令显然增加了与堕胎相关的负担,成本和延迟.
- 调查结果强调了在禁止堕胎的州获得生殖健康保健的重大挑战.
- 政策影响包括需要解决堕胎护理的旅行和财务负担增加的问题.
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