Abortion Return Rates and Wait Times Before and After Texas' Executive Order Banning Abortion During COVID-19.

Objectives. To assess the associations between the executive order that Texas governor Greg Abbott issued on March 22, 2020, postponing procedures deemed not immediately medically necessary, and patients' access to abortion care in Texas. Methods. We used 17 515 individual-level patient records from...

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Publicado en:American Journal of Public Health Vol. 114; no. 10; pp. 1013 - 1024
Autores principales: Whitfield, Brooke, Sierra, Gracia, Lerma, Klaira, Goyal, Vinita, Thaxton, Lauren, Kumar, Bhavik, Gilbert, Allison, White, Kari
Formato: Artículo
Publicado: American Public Health Association Oct2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
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        10.2105/AJPH.2024.307747
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        atl: Abortion Return Rates and Wait Times Before and After Texas' Executive Order Banning Abortion During COVID-19.
      aug:
        au:
          Whitfield, Brooke
          Sierra, Gracia
          Lerma, Klaira
          Goyal, Vinita
          Thaxton, Lauren
          Kumar, Bhavik
          Gilbert, Allison
          White, Kari
      su:
        Texas
        Health services accessibility
        COVID-19 pandemic
        Abortion laws
        Executives
        Research funding
        Descriptive statistics
        Odds ratio
        Gestational age
        Confidence intervals
        COVID-19
      sug:
        subj:
          Health services accessibility
          COVID-19 pandemic
          Texas
          Abortion laws
          Executives
          Research funding
          Descriptive statistics
          Odds ratio
          Gestational age
          Confidence intervals
          COVID-19
      ab: Objectives. To assess the associations between the executive order that Texas governor Greg Abbott issued on March 22, 2020, postponing procedures deemed not immediately medically necessary, and patients' access to abortion care in Texas. Methods. We used 17 515 individual-level patient records from 13 Texas abortion facilities for matched periods in 2019 and 2020 to examine differences in return rates for abortion after completion of a state-mandated ultrasound and median wait times between ultrasound and abortion visits for those who returned. Results. Patients were less likely to return for an abortion if they had an ultrasound while the executive order was under effect (82.8%) than in the same period in 2019 (90.4%; adjusted odds ratio = 2.06; 95% confidence interval = 1.12, 3.81). Compared with patients at or before 10.0 weeks' gestation at ultrasound, patients at more than 10 weeks' gestation had higher odds of not returning for an abortion or, if they returned, experienced greater wait times between ultrasound and abortion visits. Conclusions. Texas' executive order prohibiting abortion during the COVID-19 pandemic disrupted patients' access to care and disproportionately affected patients who were past 10 weeks' gestation. (Am J Public Health. 2024;114(10):1013–1023. https://doi.org/10.2105/AJPH.2024.307747)
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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