Barriers to Abortion Care and Their Consequences For Patients Traveling for Services: Qualitative Findings from Two States
Barriers to Abortion Care and Their Consequences For Patients Traveling for Services: Qualitative Findings from Two States
复制标题
DOI：
10.1363/psrh.12024
复制
发表时间：
2017-06-01
影响因子：
5.8
通讯作者：
Blades, Nakeisha
中科院分区：
文献类型：
--
作者：
Jerman, Jenna;Frohwirth, Lori;Blades, Nakeisha
堕胎的可用性和可获得性因州而异。特别是在服务受到限制或限制的地区，一些妇女前往其他州获得堕胎服务。鲜为人知的是旅行的经验，以获得observation.METHODS：在2015年1月和2月，进行了深入的采访，与29例患者寻求堕胎服务，在密歇根州和新墨西哥州的六个设施。符合条件的女性年龄在18岁或以上，会说英语，并且已经跨越州界或在州内旅行超过100英里。受访者被要求描述他们从怀孕发现到堕胎手术的经历。障碍，以获得堕胎护理和这些障碍的后果，通过归纳和演绎analysis.Results：受访者描述了15个障碍，堕胎护理，而旅行，以获得服务，和三个主要的后果，经历这些障碍。障碍分为五类：旅行相关的后勤问题，系统导航问题，有限的诊所选择，财务问题，以及国家或诊所的限制。其后果是护理延误，心理健康的负面影响和考虑自我诱导。障碍的经历使堕胎过程复杂化，但任何单独障碍的影响尚不清楚。相反，多个障碍的经验似乎有一个复合效应，导致妇女旅行为abortation.CONCLUSION的负面后果：合并的障碍，同时经历流产护理可以有显着的后果为患者。
CONTEXT: Abortion availability and accessibility vary by state. Especially in areas where services are restricted or limited, some women travel to obtain abortion services in other states. Little is known about the experience of travel to obtain abortion.METHODS: In January and February 2015, in-depth interviews were conducted with 29 patients seeking abortion services at six facilities in Michigan and New Mexico. Eligible women were 18 or older, spoke English, and had traveled either across state lines or more than 100 miles within the state. Respondents were asked to describe their experience from pregnancy discovery to the day of the abortion procedure. Barriers to accessing abortion care and consequences of these barriers were identified through inductive and deductive analysis.RESULTS: Respondents described 15 barriers to abortion care while traveling to obtain services, and three major consequences of experiencing those barriers. Barriers were grouped into five categories: travel-related logistical issues, system navigation issues, limited clinic options, financial issues, and state or clinic restrictions. Consequences were delays in care, negative mental health impacts and considering self-induction. The experience of barriers complicated the process of obtaining an abortion, but the effect of any individual barrier was unclear. Instead, the experience of multiple barriers appeared to have a compounding effect, resulting in negative consequences for women traveling for abortion.CONCLUSION: The amalgamation of barriers to abortion care experienced simultaneously can have significant consequences for patients.