Denial of Abortion Because of Provider Gestational Age Limits in the United States
Denial of Abortion Because of Provider Gestational Age Limits in the United States
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DOI：
10.2105/ajph.2013.301378
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发表时间：
2014-09-01
影响因子：
12.7
通讯作者：
Foster, Diana Greene
中科院分区：
文献类型：
--
作者：
Upadhyay, Ushma D.;Weitz, Tracy A.;Foster, Diana Greene
目标。我们调查了影响延迟寻求堕胎的因素，以及因堕胎机构的孕龄限制而拒绝堕胎护理的妇女的结局。我们比较了在这些机构的胎龄限制下进行堕胎护理并接受堕胎的妇女(n=452)和那些刚刚超过孕龄限制并在美国30家机构被拒绝堕胎的妇女(n=231)。我们描述了延迟寻求服务的原因。在因设施孕龄限制而被拒绝堕胎后，我们研究了在其他地方堕胎的决定因素。然后，我们估计了全国因设施妊娠年龄限制而被拒绝堕胎的发生率。没有及早意识到怀孕的青少年和妇女最有可能推迟寻求治疗。推迟的最常见原因是不得不筹集旅费和手续费用。我们估计，每年有4000多名美国妇女因设施妊娠限制而被拒绝堕胎，她们必须将意外怀孕带到足月。许多州的法律限制基于胎龄的堕胎，新的法律正在进一步降低限制。被拒绝堕胎的发生率可能会增加，对年轻和贫穷妇女的影响不成比例。
Objectives. We examined the factors influencing delay in seeking abortion and the outcomes for women denied abortion care because of gestational age limits at abortion facilities.Methods. We compared women who presented for abortion care who were under the facilities' gestational age limits and received an abortion (n = 452) with those who were just over the gestational age limits and were denied an abortion (n = 231) at 30 US facilities. We described reasons for delay in seeking services. We examined the determinants of obtaining an abortion elsewhere after being denied one because of facility gestational age limits. We then estimated the national incidence of being denied an abortion because of facility gestational age limits.Results. Adolescents and women who did not recognize their pregnancies early were most likely to delay seeking care. The most common reason for delay was having to raise money for travel and procedure costs. We estimated that each year more than 4000 US women are denied an abortion because of facility gestational limits and must carry unwanted pregnancies to term.Conclusions. Many state laws restrict abortions based on gestational age, and new laws are lowering limits further. The incidence of being denied abortion will likely increase, disproportionately affecting young and poor women.