The Impact of a Parental Notification Requirement on Illinois Minors' Access to and Decision-Making Around Abortion

Ralph, Lauren; King, E.L.; Belusa, Elise; Foster, Diana Greene; Brindis, Claire D.; Biggs, M. Antonia

doi:10.1016/j.jadohealth.2017.09.031

Cited by 18 publications

(17 citation statements)

References 21 publications

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“…Finally, family structure (e.g., cohabitation) and parental characteristics (e.g., age and education of mother) differ significantly by geography and time, and these differences may affect child-parent relationships and the composition of teens at risk of being affected by PI laws. 2 Overall, there are ample 1 The literature consists of state-specific studies (Cartoof and Klerman 1986;Colman et al 2008;Ellertson 1997;Henshaw 1995;Kaestner 1996, 2001;Joyce et al 2006;MacAfee et al 2015;Ralph et al 2018;Ramesh et al 2016;Rogers et al 1991) and analyses using a broader set of states (Haas-Wilson 1996;Levine 2003;Myers and Ladd 2017;New 2011;Ohsfeldt and Gohmann 1994). After reviewing this literature, we conclude that results from these studies indicate that PI laws decreased abortions among minors and that an effect size of 15% is typical, although there is meaningful variation across studies.…”

Section: Introductionmentioning

confidence: 96%

“…1% from 1980 to 1982 (4,935 -3,942) / 4,935). 4 MacAfee et al (2015) and Ralph et al (2018) showed that abortions fell more among out-of-state minors following PI laws in New Hampshire and Illinois than among resident minors of each state. However, their results pertain to one clinic, or a few clinics, in close proximity to states without a PI law.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Parental Involvement Laws on the Abortion Rate of Minors

2020

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In this article, we conduct a comprehensive analysis of the effect of parental involvement (PI) laws on the incidence of abortions to minors in the United States. We contribute to the extant literature in several ways. First, we explore differences in estimates of the effect of PI laws across time that may result from changes in contraception, the composition of pregnant minors, abortion access in nearby states, and differences in how these laws are enforced. We find that PI laws enacted before the mid-1990s are associated with a 15% to 20% reduction in abortions to minors, but PI laws enacted after this time are not associated with declines in abortions to minors. Second, we assess the role of out-of-state travel by minors and find that it is not a significant factor moderating the effect of PI laws. Third, we use a synthetic control approach to explore state-level heterogeneity in the effect of PI laws and find large differences in the effect of PI laws on abortions to minors by state that appear unrelated to the type of PI law or whether contiguous states have enacted PI laws. Finally, we show that estimates of the effect of PI laws using data from either the Centers for Disease Control or the Guttmacher Institute do not differ qualitatively once differences in the states and years available across these data are harmonized.

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Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

The Impact of Parental Involvement Laws on the Abortion Rate of Minors

2020

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Section: Discussionmentioning

confidence: 52%

“…In the current study, about one in ten people endorsed the statement that they felt forced to disclose they were considering abortion and a similar proportion felt forced to wait to have the abortion after they had already made a decision. Research from Illinois found that enforcement of a parental notification law resulted in a slight increase in the proportion of young people who felt forced to have an abortion [ 51 ]. Our findings suggest that mandatory waiting periods, parental involvement requirements, and other legal restrictions that reduce people’s autonomy around the pregnancy decision are likely to increase people’s psychosocial burden and their risk for experiencing mental health symptoms.…”

Section: Discussionmentioning

confidence: 99%

Developing and validating the Psychosocial Burden among people Seeking Abortion Scale (PB-SAS)

Biggs¹,

Neilands

Kaller³

et al. 2020

PLoS ONE

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While there is a large body of research demonstrating that having an abortion is not associated with adverse mental health outcomes, less research has examined which factors may contribute to elevated levels of mental health symptoms at the time of abortion seeking. This study aims to develop and validate a new tool to measure dimensions of psychosocial burden experienced by people seeking abortion in the United States. To develop scale items, we reviewed the literature including existing measures of stress and anxiety and conducted interviews with experts in abortion care and with patients seeking abortion. Thirty-five items were administered to 784 people seeking abortion at four facilities located in three U.S. states. We used exploratory factor analysis (EFA) to reduce items and identify key domains of psychosocial burden. We assessed the predictive validity of the overall scale and each sub-scale, by assessing their associations with validated measures of perceived stress, anxiety, and depression using multivariable linear regression models. Factor analyses revealed a 12-item factor solution measuring psychosocial burden seeking abortion, with four subdomains: structural challenges, pregnancy decision-making, lack of autonomy, and others’ reactions to the pregnancy. The alpha reliability coefficients were acceptable for the overall scale (α = 0.83) and each subscale (ranging from α = 0.82–0.85). In adjusted analyses, the overall scale was significantly associated with stress, anxiety and depression; each subscale was also significantly associated with each mental health outcome. This new scale offers a practical tool for providers and researchers to empirically document the factors associated with people’s psychological well-being at the time of seeking an abortion. Findings suggest that the same restrictions that claim to protect people from mental health harm may be increasing people’s psychosocial burden and contributing to adverse psychological outcomes at the time of seeking abortion.

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“…Although multiple studies examine changes in the number of abortions among adolescents after implementation of parental involvement laws [10][11][12][13], little is known about adolescents' experiences obtaining judicial bypass, particularly in the context of other abortion restrictions, and bypass' impact on their health. Absence of evidence on this topic is salient because such laws are justified on grounds of protecting adolescents from harm yet there is little evidence on consequences of these laws [14,15].…”

mentioning

confidence: 99%

Young Women's Experiences Obtaining Judicial Bypass for Abortion in Texas

Coleman‐Minahan

Stevenson

Obront

et al. 2019

Journal of Adolescent Health

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We found the bypass process functions as a form of punishment and allows state actors to humiliate adolescents for their personal decisions. The bypass process was implemented to protect adolescents from alleged negative emotional consequences of abortion, yet our results suggest the bypass process itself causes emotional harm through unpredictability and humiliation. Despite participants' resilience, the process may have negative consequences for adolescent health.

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The Impact of a Parental Notification Requirement on Illinois Minors' Access to and Decision-Making Around Abortion

Abstract: Illinois' PN requirement was associated with a decrease in the number of abortions among minors, delayed care for those from out-of-state, increased parental awareness of the pregnancy, and no change in parents' support.

Cited by 18 publications

References 21 publications

The Impact of Parental Involvement Laws on the Abortion Rate of Minors

The Impact of Parental Involvement Laws on the Abortion Rate of Minors

Developing and validating the Psychosocial Burden among people Seeking Abortion Scale (PB-SAS)

Young Women's Experiences Obtaining Judicial Bypass for Abortion in Texas

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