Relationship Between Abortion at First Pregnancy and Live Births by Young Adulthood: A Population-Based Study Among Mexican Women

Saavedra-Avendano, Biani; Schiavon, Raffaela; Darney, Blair G.

doi:10.1016/j.jpag.2021.01.007

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…27 Previous work suggests that denying women an abortion may have negative socioeconomic or developmental effects on their existing children. 28 While prior studies on abortion in Mexico focused on young women and adolescent access to the ILE programme, 29 and abortion as a strategy to prevent first births, 29 30 our findings highlight that people who are already parents also need access to legal abortion services.…”

Section: Original Researchmentioning

confidence: 73%

Travelling for abortion services in Mexico 2016–2019: community-level contexts of Mexico City public abortion clients

Jacobson

Saavedra-Avendano

Fuentes-Rivera

et al. 2021

BMJ Sex Reprod Health

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ObjectiveTo describe the community context of women who travel to access Mexico City’s public sector abortion programme and identify factors associated with travelling from highly marginalised settings.MethodsWe used data from the Interrupción Legal de Embarazo (ILE) programme (2016–2019) and identified all abortion clients who travelled from outside Mexico City. We merged in contextual information at the municipality level and used descriptive statistics to describe ILE clients’ individual characteristics and municipalities on several measures of vulnerability. We also compared municipalities that ILE clients travelled from with those where no one travelled from. We used logistic regression to identify factors associated with travelling to access ILE services from highly marginalised versus less marginalised municipalities.ResultsOur sample included 21 629 ILE clients who travelled to Mexico City from 491 municipalities within all 31 states outside Mexico City. The majority of clients travelled from the least marginalised (81.9%) and most populated (over 100 000 inhabitants; 91.3%) municipalities. Most (91.2%) ILE clients came from municipalities with adolescent fertility rates in the bottom three quintiles. Clients with a primary or secondary education (vs high school or more) and those from a municipality with a high adolescent fertility rate (top two quintiles) had higher odds of travelling from a highly marginalised (vs less) municipality (adjusted odds ratio (aOR) 1.46, 95% CI 1.35 to 1.58 and aOR 1.89, 95% CI 1.68 to 2.12, respectively).ConclusionILE clients travel from geographically and socioeconomically diverse communities. There is an unmet need for legal abortion across Mexico.

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Section: Original Researchmentioning

confidence: 73%

Travelling for abortion services in Mexico 2016–2019: community-level contexts of Mexico City public abortion clients

Jacobson

Saavedra-Avendano

Fuentes-Rivera

et al. 2021

BMJ Sex Reprod Health

Self Cite

View full text Add to dashboard Cite

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COVID-19 pandemic exacerbation of disparities in access to public abortion services in Mexico

Kravitz,

Saavedra-Avendaño,

Darney

2024

BMJ Sex Reprod Health

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BackgroundWe describe clients in Mexico City’s public abortion programme, Interrupción Legal de Embarazo (ILE), during the COVID-19 pandemic and test whether the pandemic exacerbated inequities in access.MethodsWe conducted a cohort study of all abortions in the ILE programme from 1 January 2019 to 30 June 2022. We compared patients from within and outside the Mexico City Metropolitan area (ZMVM) by pandemic stage (pre-, acute-, mid- and late-COVID periods) and assessed changes in client characteristics (adolescent age, education, weeks’ gestation) by place of residence (ZMVM vs outside the ZMVM) using linear probability models clustered on state.ResultsWe included 45 031 abortions. The proportion of abortions to women who travelled from outside the ZMVM decreased from 6.5% pre-COVID to 4.4%–4.8% in in the acute, mid- and late-COVID periods. The adjusted probability of being an adolescent who travelled from outside the ZMVM dropped between pre-COVID (14.4%, 95% CI 12.7% to 16.1%) and mid-COVID (9.3%, 95% CI 7.9% to 10.7%). The proportion of abortions to women with a high school education stayed fairly flat among those travelling, while it rose among those residing in the ZMVM. The adjusted probability of presenting at 11 gestational weeks or greater was higher among women residing in the ZMVM in the pre-pandemic period; this flipped during all pandemic stages, with a higher probability of presenting at 11 weeks or greater among those who travelled from outside the ZMVM.ConclusionsThe COVID-19 pandemic exacerbated existing disparities in who can access ILE services. To reduce inequities in access to essential health services, public sector abortion services should be made available in all Mexican states.

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Relationship Between Abortion at First Pregnancy and Live Births by Young Adulthood: A Population-Based Study Among Mexican Women

Cited by 2 publications

References 17 publications

Travelling for abortion services in Mexico 2016–2019: community-level contexts of Mexico City public abortion clients

Travelling for abortion services in Mexico 2016–2019: community-level contexts of Mexico City public abortion clients

COVID-19 pandemic exacerbation of disparities in access to public abortion services in Mexico

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