Secondary Measures of Access to Abortion Services in the United States, 2011 and 2012: Gestational Age Limits, Cost, and Harassment
Secondary Measures of Access to Abortion Services in the United States, 2011 and 2012: Gestational Age Limits, Cost, and Harassment
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DOI：
10.1016/j.whi.2014.05.002
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发表时间：
2014-07-01
影响因子：
3.2
通讯作者：
Jones, Rachel K.
中科院分区：
文献类型：
--
作者：
Jerman, Jenna;Jones, Rachel K.
背景：美国临床堕胎服务的提供方面，如孕龄限制、堕胎服务收费和反堕胎骚扰，都会影响堕胎的可及性；这项研究记录了2008至2012年间这些措施的变化。方法：2012至2013年，我们调查了美国所有已知的堕胎服务机构(n=1,720)。这项研究总结了在诊所中获得的关于胎龄限制、指控和反堕胎骚扰暴露的信息；相关项目的应答率从54%(妊娠限制)到80%(暴露于骚扰)不等。权重的构建是为了补偿没有反应的设施。我们还调查了堕胎和堕胎机构的地区分布。结果：几乎所有堕胎机构(95%)在怀孕8周时提供堕胎；2012年，72%的人在怀孕12周时堕胎，34%的人在怀孕20周时堕胎，16%的人在怀孕24周时堕胎。2011年和2012年，妊娠10周手术流产的费用中值为495美元，早期药物流产的费用中值为500美元，而2009年的中位数分别为503美元和524美元(经通胀调整)。2011年，84%的诊所经历了至少一种形式的骚扰，仅略高于2009年的数字。在中西部和南部，医院和医生办公室在设施中所占的比例要小得多。中西部和南部的诊所比东北和西部的诊所受到更多的骚扰。结论：虽然2008-2011年间堕胎发生率大幅下降，但本研究考察的堕胎可获得性的二级指标在此期间变化不大。版权所有(C)2014年，由雅各布斯妇女健康研究所所有。由爱思唯尔公司出版。
Background: Aspects of U. S. clinical abortion service provision such as gestational age limits, charges for abortion services, and anti-abortion harassment can impact the accessibility of abortion; this study documents changes in these measures between 2008 and 2012.Methods: In 2012 and 2013, we surveyed all known abortion-providing facilities in the United States (n = 1,720). This study summarizes information obtained about gestational age limits, charges, and exposure to anti-abortion harassment among clinics; response rates for relevant items ranged from 54% (gestational limits) to 80% (exposure to harassment). Weights were constructed to compensate for nonresponding facilities. We also examine the distribution of abortions and abortion facilities by region.Findings: Almost all abortion facilities (95%) offered abortions at 8 weeks' gestation; 72% did so at 12 weeks, 34% at 20 weeks, and 16% at 24 weeks in 2012. In 2011 and 2012, the median charge for a surgical abortion at 10 weeks gestation was $495, and $500 for an early medication abortion, compared with $503 and $524 (adjusted for inflation) in 2009. In 2011, 84% of clinics experienced at least one form of harassment, only slightly higher than found in 2009. Hospitals and physicians' offices accounted for a substantially smaller proportion of facilities in the Midwest and South. Clinics in the Midwest and South were exposed to more harassment than their counterparts in the Northeast and West.Conclusions: Although there was a substantial decline in abortion incidence between 2008 and 2011, the secondary measures of abortion access examined in this study changed little during this time period. Copyright (C) 2014 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.