Abortion Return Rates and Wait Times Before and After Texas' Executive Order Banning Abortion During COVID-19.

IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of public health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI:10.2105/AJPH.2024.307747
Brooke Whitfield, Gracia Sierra, Klaira Lerma, Vinita Goyal, Lauren Thaxton, Bhavik Kumar, Allison Gilbert, Kari White
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Abstract

Objectives. To assess the associations between the executive order that Texas governor Greg Abbott issued on March 22, 2020, postponing procedures deemed not immediately medically necessary, and patients' access to abortion care in Texas. Methods. We used 17 515 individual-level patient records from 13 Texas abortion facilities for matched periods in 2019 and 2020 to examine differences in return rates for abortion after completion of a state-mandated ultrasound and median wait times between ultrasound and abortion visits for those who returned. Results. Patients were less likely to return for an abortion if they had an ultrasound while the executive order was under effect (82.8%) than in the same period in 2019 (90.4%; adjusted odds ratio = 2.06; 95% confidence interval = 1.12, 3.81). Compared with patients at or before 10.0 weeks' gestation at ultrasound, patients at more than 10 weeks' gestation had higher odds of not returning for an abortion or, if they returned, experienced greater wait times between ultrasound and abortion visits. Conclusions. Texas' executive order prohibiting abortion during the COVID-19 pandemic disrupted patients' access to care and disproportionately affected patients who were past 10 weeks' gestation. (Am J Public Health. 2024;114(10):1013-1023. https://doi.org/10.2105/AJPH.2024.307747).

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德克萨斯州颁布禁止在 COVID-19 期间堕胎的行政命令前后的堕胎返回率和等待时间。
目标。评估得克萨斯州州长格雷格-阿博特(Greg Abbott)于 2020 年 3 月 22 日发布的行政命令(该行政命令推迟了被视为非立即医疗必需的手术)与得克萨斯州患者获得堕胎护理之间的关联。方法。我们使用了德克萨斯州 13 家人工流产机构在 2019 年和 2020 年匹配时间段内的 17 515 份个人水平患者记录,以研究完成州规定的超声检查后重返人工流产的比率差异,以及重返者在超声检查和人工流产就诊之间的中位等待时间。结果显示与2019年同期(90.4%;调整后的几率比=2.06;95%置信区间=1.12,3.81)相比,在行政命令生效期间进行超声波检查的患者(82.8%)再次进行人工流产的可能性较低。与妊娠 10.0 周或之前进行超声检查的患者相比,妊娠超过 10 周的患者不再进行人工流产的几率更高,或者,如果她们再次进行人工流产,超声检查和人工流产就诊之间的等待时间更长。结论。得克萨斯州在 COVID-19 大流行期间禁止堕胎的行政命令扰乱了患者获得医疗服务的途径,并对妊娠超过 10 周的患者造成了不成比例的影响。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307747 )。
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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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