Unequal Spatial Consequences of Abortion Restrictions in Texas, 2021-2023.

IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of public health Pub Date : 2024-10-01 Epub Date: 2024-05-23 DOI:10.2105/AJPH.2024.307652
Sydney R Sauter, Maeve E Wallace, Julie H Hernandez
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Abstract

Objectives. To demonstrate the spatially uneven effects of abortion restriction laws in Texas. Methods. We used network analysis to determine the change in distance to the nearest surgical abortion provider for 5253 Texas neighborhoods after the passing of Texas Senate Bill 8 (SB8; 2021) and the US Supreme Court's Dobbs v Jackson Women's Health Organization (2022) decision. We identified associations between key measures of neighborhood socioeconomic context and change in distance to providers using multivariable linear regression models. Results. After the Dobbs decision, Texas residents experienced an average change in distance to the nearest provider of 457 miles (SD = 179). Neighborhoods of concentrated disadvantage experienced the greatest increase in distance to abortion providers after SB8's passing, and neighborhoods with high levels of income inequality experienced the greatest increase in distance after the Dobbs decision. Conclusions. We document the rapidly changing abortion landscape in a highly restrictive state and show that women living in more disadvantaged and unequal areas are most affected by the increasing distance to providers. Public Health Implications. Our methods and findings will continue to be relevant in understanding the burden placed on women in areas where medical abortion has been restricted because of the Dobbs decision. (Am J Public Health. 2024;114(10):1024-1033. https://doi.org/10.2105/AJPH.2024.307652).

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2021-2023 年得克萨斯州堕胎限制的不平等空间后果。
目标。展示德克萨斯州堕胎限制法律在空间上的不均衡影响。方法。我们利用网络分析法确定了德克萨斯州参议院第 8 号法案(SB8;2021 年)和美国最高法院对多布斯诉杰克逊妇女健康组织案(2022 年)判决通过后,德克萨斯州 5253 个社区与最近的手术堕胎提供者的距离变化。我们使用多变量线性回归模型确定了邻里社会经济环境的主要衡量指标与医疗机构距离变化之间的关联。结果。多布斯案判决后,得克萨斯州居民到最近医疗机构的距离平均变化了 457 英里(SD = 179)。在 SB8 法案通过后,贫困人口集中的社区与堕胎医疗机构的距离增加最多,而在多布斯法案通过后,收入不平等程度高的社区与堕胎医疗机构的距离增加最多。结论。我们记录了这个限制性极强的州迅速变化的堕胎环境,并表明生活在较为贫困和不平等地区的妇女受距离堕胎服务提供者的距离增加的影响最大。对公共卫生的影响。我们的方法和研究结果对于了解因多布斯裁决而限制医疗堕胎的地区的妇女所承受的负担将继续具有现实意义。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307652).
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American journal of public health
American journal of public health 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.50
自引率
3.90%
发文量
1109
审稿时长
2-4 weeks
期刊介绍: The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.
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