Abortion incidence and service availability in the United States, 2020.

IF 3.4 2区 医学 Q1 DEMOGRAPHY Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI:10.1363/psrh.12215
Rachel K Jones, Marielle Kirstein, Jesse Philbin
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引用次数: 44

Abstract

Background: This study provides a baseline assessment of abortion incidence and service delivery prior to Roe v. Wade being overturned.

Methods: We collected information from all facilities known to have provided abortion services in the United States in 2019 and 2020. We examined abortion incidence by state, region and nationally and combined data on number of abortions with population data to estimate abortion rates. We also examined the number of abortion clinics, trends in medication abortion and service disruptions and changes in abortion protocols that occurred during the COVID-19 pandemic. We compare these findings to those of our prior Abortion Provider Census, which collected information for 2017.

Results: We documented 930,160 abortions in 2020, an 8% increase from 2017. Between 2017 and 2020, abortion incidence increased in all four regions of the country and in a majority of states. The total number of clinics providing abortion care remained stable nationally but increased in the Midwest and the West and declined in the Northeast and South. There were 492,210 medication abortions in 2020, a 45% increase from 2017. A substantial minority of clinics adjusted protocols in response to COVID, most commonly adopting remote pre- and post-abortion counseling.

Discussion: This study did not address factors behind the increase in abortion. However, this report demonstrates that the need for abortion care was growing just prior to the overturning Roe v. Wade, and the impact of this decision will be even more far-reaching than previously expected.

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2020年美国堕胎率和服务可得性。
背景:本研究提供了罗伊诉韦德案被推翻前堕胎发生率和服务提供的基线评估。方法:我们收集了2019年和2020年美国所有已知提供堕胎服务的机构的信息。我们检查了各州、地区和全国的堕胎发生率,并将堕胎数量数据与人口数据相结合,以估计堕胎率。我们还研究了2019冠状病毒病大流行期间堕胎诊所的数量、药物堕胎的趋势以及服务中断和堕胎协议的变化。我们将这些发现与之前的堕胎提供者普查进行了比较,该普查收集了2017年的信息。结果:我们在2020年记录了930160例堕胎,比2017年增加了8%。2017年至2020年期间,该国所有四个地区和大多数州的堕胎发生率都有所上升。全国范围内提供堕胎护理的诊所总数保持稳定,但中西部和西部有所增加,东北部和南部有所下降。2020年有492210例药物流产,比2017年增加了45%。为应对COVID,少数诊所调整了方案,最常见的是采用远程堕胎前和堕胎后咨询。讨论:这项研究没有涉及堕胎增加背后的因素。然而,这份报告表明,在推翻罗伊诉韦德案之前,对堕胎护理的需求正在增长,这一决定的影响将比之前预期的更为深远。
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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.
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