Travel for Abortion Services in Alabama and Delays Obtaining Care

Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Kari WhiteDaniel Grossman

Abstract

In 2013, Alabama required women seeking abortion to have a consultation visit followed by a 24-hour waiting period. These requirements may adversely affect return for timely care among those traveling long distances for services. Using de-identified billing data from two Alabama clinics for all abortion encounters in 2013, we calculated the distance traveled from women's residential zip code and the number of days between their in-person consultation and procedure visits. To assess the associations between distance traveled and return for an abortion visit and length of interval between visits, we used logistic and ordinal logistic regression, respectively. Of the 2,730 women attending a consultation visit, 58% traveled less than 25 miles one way to the clinic, 13% traveled 25 to 49 miles, 21% traveled 50 to 100 miles, and 8% traveled more than 100 miles. Overall, 19% of women did not return to either clinic for an abortion procedure after their consultation. Distance traveled was not associated with return for an abortion visit (odds ratio, 1.04; 95% confidence interval, 0.76-1.42). Among women who returned, 59% had less than 7 days, 29% had 7 to 13 days, and 12% had 14 or more days between their consultation and procedure vis...Continue Reading

Citations

Apr 10, 2019·PloS One·Jill Barr-WalkerCaitlin Gerdts
May 15, 2020·Perspectives on Sexual and Reproductive Health·Rachel K JonesElizabeth Witwer
Oct 18, 2019·American Journal of Public Health·Abigail R A AikenJames G Scott
Aug 18, 2020·International Journal of Women's Health·Sam Rowlands, Kevin Thomas
Apr 10, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Shelly KallerDaniel Grossman
May 1, 2021·International Journal of Environmental Research and Public Health·Whitney S RiceOriaku Njoku
Jul 17, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Amy N AddanteTessa Madden

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