Abortion Surveillance — United States, 2018

Kortsmit, Katherine; Jatlaoui, Tara C.; Mandel, Michele G.; Reeves, Jennifer A.; Oduyebo, Titilope; Petersen, Emily E.; Whiteman, Maura K.

doi:10.15585/mmwr.ss6907a1

Cited by 85 publications

(82 citation statements)

References 80 publications

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“…Another key difference from prior abortion fund case studies is that ARC-Southeast callers are largely in the first trimester of pregnancy, whereas over 70% of cases reported by studies from NNAF Tiller Memorial Fund were in the second trimester, which was a function of funding priorities for the Tiller Fund [ 39 ]. The distribution of ARC-Southeast cases by gestational age is more consistent with the distribution of abortions reported by the Centers for Disease Control and Prevention (CDC) for 2018, among which nearly all (92%) occurred in the first trimester-with variation by state and region [ 40 ]. The percentage of first trimester abortions in the 6 states served by ARC-Southeast ranged from 66–82 (mean: 73).…”

Section: Discussionsupporting

confidence: 76%

“…Several gestational age policies passed during or prior to the study period, including a 24 week ban in Florida [ 41 ], 22 week bans in Alabama, Georgia, and South Carolina [ 16 , 42 , 43 ], and 20-week ban in Mississippi [ 44 ]. Notably, while the majority of abortions in the U.S. occur within the first 13 weeks of gestation [ 40 ], a national survey found that most people who have had a second trimester abortion would have preferred an earlier abortion [ 45 ]. People seeking abortion, particularly younger and lower income individuals, report delays due to factors including cost, travel, and other access barriers (i.e., mandatory pre-abortion service consultation and subsequent waiting periods) to obtaining an abortion [ 16 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

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Sociodemographic and Service Use Characteristics of Abortion Fund Cases from Six States in the U.S. Southeast

Rice

Labgold

Peterson

et al. 2021

IJERPH

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Abortion funds are key actors in mitigating barriers to abortion access, particularly in contexts where state-level abortion access restrictions are concentrated. Using 2017–2019 case management data from a regional abortion fund in the southeastern U.S., we described the sociodemographic and service use characteristics of cases overall (n = 9585) and stratified by state of residence (Alabama, Florida, Georgia, Mississippi, South Carolina, and Tennessee). Overall, cases represented people seeking abortion fund assistance who predominately identified as non-Hispanic Black (81%), 18–34 years of age (84%), publicly or uninsured (87%), having completed a high school degree or some college (70%), having one or more children (77%), and as Christian (58%). Most cases involved an in-state clinic (81%), clinic travel distance under 50 miles (63%), surgical abortion (66%), and pregnancy under 13 weeks’ gestation (73%), with variation across states. The median abortion fund contribution pledge was $75 (interquartile range (IQR): 60–100), supplementing median caller contributions of $200 (IQR: 40–300). These data provide a unique snapshot of a population navigating disproportionate, intersecting barriers to abortion access, and abortion fund capacity for social care and science. Findings can inform abortion fund development, data quality improvement efforts, as well as reproductive health, rights and justice advocacy, policy, and research.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Sociodemographic and Service Use Characteristics of Abortion Fund Cases from Six States in the U.S. Southeast

Rice

Labgold

Peterson

et al. 2021

IJERPH

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“…Compared with countries where abortions are illegal [ 33 , 34 , 35 ], as in Asian countries [ 36 , 37 ], China had a higher proportion of repeated induced abortions. But it was basically same as in European and American countries [ 38 , 39 ]. Firstly, the reason for the similar proportion of repeat induced abortions with European and American countries might be due to the release of the family planning policy in China.…”

Section: Discussionmentioning

confidence: 81%

Repeat Induced Abortion among Chinese Women Seeking Abortion: Two Cross Sectional Studies

Tang

Liu

et al. 2021

IJERPH

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Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [ORadj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [ORadj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (ORadj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IRadj: 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IRadj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.

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“…Most miscarriages occur by the 14th week of pregnancy, 23 and more than 90% of abortions occur before that time. 24 Estimation of fetal loss as a proportion of births and abortions accounts for these different gestation-dependent risks associated with pregnancies that end early (abortions) and those that end later (births). Put simply, the greater the proportion of pregnancies terminated by abortion, the less opportunity for a miscarriage or other fetal loss to occur and the lower the overall incidence.…”

Section: Fetal Lossesmentioning

confidence: 99%

Pregnancies, Births and Abortions in the United States, 1973–2017: National and State Trends by Age

Maddow‐Zimet¹,

Kost²,

Finn³

2021

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Abortion Surveillance — United States, 2018

Cited by 85 publications

References 80 publications

Sociodemographic and Service Use Characteristics of Abortion Fund Cases from Six States in the U.S. Southeast

Sociodemographic and Service Use Characteristics of Abortion Fund Cases from Six States in the U.S. Southeast

Repeat Induced Abortion among Chinese Women Seeking Abortion: Two Cross Sectional Studies

Pregnancies, Births and Abortions in the United States, 1973–2017: National and State Trends by Age

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