LA McGuinn, M Quasebarth, M Daniel, L Hasselbacher, K Rivlin
{"title":"2020-2023 年芝加哥堕胎基金来电者旅行距离的变化","authors":"LA McGuinn, M Quasebarth, M Daniel, L Hasselbacher, K Rivlin","doi":"10.1016/j.contraception.2024.110609","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To examine changes in the distance traveled by Chicago Abortion Fund (CAF) callers from 2020-2023, overall and by demographic and geographic indicators.</div></div><div><h3>Methods</h3><div>We included 6,512 out-of-state CAF callers seeking abortion care in Illinois between 2020-2023 who provided a zip code of residence. We approximated distance traveled by calculating the distance from each caller’s population-weighted zip code centroid to the clinic location. We defined urban/rural status using zip code derived Rural-Urban Community Area categories. We derived area level social deprivation measures using US Census data. We assessed median differences in distances (miles) traveled for callers over time and by geographic indicators.</div></div><div><h3>Results</h3><div>Overall, among out-of-state CAF callers, 68% (n=4,404) traveled ≥ 100 miles to access abortion care. The median one-way travel distance decreased from 90.3 miles (interquartile range [IQR]: 123) in 2020 to 50.6 miles (IQR: 126) in 2021. However, it then increased to 173 miles (IQR: 323) in 2022 and further to 191 miles (IQR: 384) in 2023. Individuals residing in rural zip codes had a median travel distance of 277 miles (IQR: 258), compared to 164 miles (IQR: 315) for those residing in urban zip codes. Individuals in more deprived rural areas traveled further (median: 373 miles, IQR:294) compared to those in less deprived rural areas (median 204 miles, IQR: 200).</div></div><div><h3>Conclusions</h3><div>CAF callers experience complex challenges accessing abortion, including intersections between geography and socioeconomic status. Abortion funds play a critical role in maintaining abortion access for those living in restrictive states, and should account for the structural barriers their grantees face.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"CHANGES IN DISTANCE TRAVELED AMONG CHICAGO ABORTION FUND CALLERS FROM 2020-2023\",\"authors\":\"LA McGuinn, M Quasebarth, M Daniel, L Hasselbacher, K Rivlin\",\"doi\":\"10.1016/j.contraception.2024.110609\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>To examine changes in the distance traveled by Chicago Abortion Fund (CAF) callers from 2020-2023, overall and by demographic and geographic indicators.</div></div><div><h3>Methods</h3><div>We included 6,512 out-of-state CAF callers seeking abortion care in Illinois between 2020-2023 who provided a zip code of residence. We approximated distance traveled by calculating the distance from each caller’s population-weighted zip code centroid to the clinic location. We defined urban/rural status using zip code derived Rural-Urban Community Area categories. We derived area level social deprivation measures using US Census data. We assessed median differences in distances (miles) traveled for callers over time and by geographic indicators.</div></div><div><h3>Results</h3><div>Overall, among out-of-state CAF callers, 68% (n=4,404) traveled ≥ 100 miles to access abortion care. The median one-way travel distance decreased from 90.3 miles (interquartile range [IQR]: 123) in 2020 to 50.6 miles (IQR: 126) in 2021. However, it then increased to 173 miles (IQR: 323) in 2022 and further to 191 miles (IQR: 384) in 2023. Individuals residing in rural zip codes had a median travel distance of 277 miles (IQR: 258), compared to 164 miles (IQR: 315) for those residing in urban zip codes. Individuals in more deprived rural areas traveled further (median: 373 miles, IQR:294) compared to those in less deprived rural areas (median 204 miles, IQR: 200).</div></div><div><h3>Conclusions</h3><div>CAF callers experience complex challenges accessing abortion, including intersections between geography and socioeconomic status. Abortion funds play a critical role in maintaining abortion access for those living in restrictive states, and should account for the structural barriers their grantees face.</div></div>\",\"PeriodicalId\":10762,\"journal\":{\"name\":\"Contraception\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2024-10-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contraception\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0010782424003044\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0010782424003044","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
CHANGES IN DISTANCE TRAVELED AMONG CHICAGO ABORTION FUND CALLERS FROM 2020-2023
Objectives
To examine changes in the distance traveled by Chicago Abortion Fund (CAF) callers from 2020-2023, overall and by demographic and geographic indicators.
Methods
We included 6,512 out-of-state CAF callers seeking abortion care in Illinois between 2020-2023 who provided a zip code of residence. We approximated distance traveled by calculating the distance from each caller’s population-weighted zip code centroid to the clinic location. We defined urban/rural status using zip code derived Rural-Urban Community Area categories. We derived area level social deprivation measures using US Census data. We assessed median differences in distances (miles) traveled for callers over time and by geographic indicators.
Results
Overall, among out-of-state CAF callers, 68% (n=4,404) traveled ≥ 100 miles to access abortion care. The median one-way travel distance decreased from 90.3 miles (interquartile range [IQR]: 123) in 2020 to 50.6 miles (IQR: 126) in 2021. However, it then increased to 173 miles (IQR: 323) in 2022 and further to 191 miles (IQR: 384) in 2023. Individuals residing in rural zip codes had a median travel distance of 277 miles (IQR: 258), compared to 164 miles (IQR: 315) for those residing in urban zip codes. Individuals in more deprived rural areas traveled further (median: 373 miles, IQR:294) compared to those in less deprived rural areas (median 204 miles, IQR: 200).
Conclusions
CAF callers experience complex challenges accessing abortion, including intersections between geography and socioeconomic status. Abortion funds play a critical role in maintaining abortion access for those living in restrictive states, and should account for the structural barriers their grantees face.
期刊介绍：
Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.
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