How Ohio's proposed abortion bans would impact travel distance to access abortion care.

IF 3.4 2区 医学 Q1 DEMOGRAPHY Perspectives on Sexual and Reproductive Health Pub Date : 2022-06-01 Epub Date: 2022-04-20 DOI:10.1363/psrh.12191
Payal Chakraborty, Stef Murawsky, Mikaela H Smith, Michelle L McGowan, Alison H Norris, Danielle Bessett
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Abstract

Context: Since March 2021, the Ohio legislature has been actively considering laws that would ban abortion if the United States Supreme Court overturns the Roe v. Wade decision that legalized abortion nationally in 1973.

Methods: We used a national database of publicly advertised abortion facilities to calculate driving distances for Ohioans before and after the activation of proposed abortion bans. Using a legal analysis of abortion laws following the overturn of Roe, we determined which states surrounding Ohio would continue providing abortion care. We calculated distances from each Ohio county centroid to the nearest open abortion facility in three scenarios: (1) as of February 2022, (2) the best-case post-Roe scenario (two of the five surrounding states continue to offer abortion care), and (3) worst-case post-Roe scenario (no surrounding states continue to offer abortion care). We calculated population-weighted distances using county-level data about women aged 15-44 years from the 2019 American Community Survey.

Results: In February 2022, all Ohio county centroids were at most 99 miles from an abortion facility (median = 50 miles). The best-case post-Roe scenario shows 62 of Ohio's 88 counties to be 115-279 miles away from the nearest facility (median = 146). The worst-case shows 85 counties to be 191-339 miles away from the nearest facility (median = 264). The current average population-weighted driving distance from county centroid to the nearest facility is 26 miles; the post-Roe scenarios would increase this to 157 miles (best-case) or 269 miles (worst-case).

Conclusions: Ohio's proposed abortion bans would substantially increase travel distances to abortion care, impacting over 2.2 million reproductive-aged Ohioans.

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俄亥俄州拟议的堕胎禁令将如何影响获得堕胎护理的旅行距离
自2021年3月以来,俄亥俄州立法机构一直在积极考虑,如果美国最高法院推翻1973年在全国范围内使堕胎合法化的罗伊诉韦德案的判决,将禁止堕胎的法律。方法我们使用一个公开宣传堕胎设施的国家数据库来计算俄亥俄州人在堕胎禁令启动前后的驾驶距离。通过对罗伊案被推翻后堕胎法的法律分析,我们确定了俄亥俄州周围的哪些州将继续提供堕胎护理。我们计算了三种情况下从俄亥俄州每个县质心到最近的开放式堕胎设施的距离:(1)截至2022年2月,(2)Roe事件后的最佳情况(五个周边州中有两个继续提供堕胎护理),以及(3)Roe事件后的最坏情况(没有周边州继续提供堕胎护理)。我们使用2019年美国社区调查中15-44岁女性的县级数据计算人口加权距离。结果2022年2月,所有俄亥俄州县的中心点距离堕胎设施最多99英里(中位数= 50英里)。Roe事件后的最佳情况显示,俄亥俄州88个县中有62个县距离最近的设施115-279英里(中位数= 146)。最坏的情况显示,85个县离最近的设施有191-339英里(中位数= 264)。目前从县中心到最近设施的平均人口加权驾驶距离为26英里;Roe事件后的情况下,这一里程将增加到157英里(最佳情况)或269英里(最坏情况)。俄亥俄州提出的堕胎禁令将大大增加前往堕胎护理的路程,影响超过220万育龄俄亥俄州人。
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来源期刊
CiteScore
5.10
自引率
3.40%
发文量
24
期刊介绍: Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.
期刊最新文献
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