Travel undertaken by women accessing private Victorian pregnancy termination services

Nickson, Carolyn; Smith, Anthony M. A.; Shelley, Julia

doi:10.1111/j.1467-842x.2006.tb00844.x

Cited by 28 publications

(36 citation statements)

References 7 publications

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“…In this review, travel and waiting for appointments were the main impediments for women to accessing timely abortion 37 50. Silva and McNeill49 note an international trend where abortion services are concentrated in metropolitan areas, with fewer doctors.…”

Section: Discussionmentioning

confidence: 90%

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Barriers and facilitators of access to first-trimester abortion services for women in the developed world: a systematic review

Doran

Nancarrow

2015

J Fam Plann Reprod Health Care

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ObjectivesTo identify the barriers and facilitators to accessing first-trimester abortion services for women in the developed world.MethodsSystematic review of published literature. CINAHL, PubMed, Proquest, MEDLINE, InformIT, Scopus, PsycINFO and Academic Search Premier were searched for papers written in the English language, from the developed world, including quantitative and qualitative articles published between 1993 and 2014.ResultsThe search initially yielded 2511 articles. After screening of title, abstract and removing duplicates, 38 articles were reviewed. From the provider perspective, barriers included moral opposition to abortion, lack of training, too few physicians, staff harassment, and insufficient hospital resources, particularly in rural areas. From the women's perspective, barriers included lack of access to services (including distance and lack of service availability), negative attitudes of staff, and the associated costs of the abortion procedure. Service access could be enhanced by increasing training, particularly for mid-level practitioners; by increasing the range of service options, including the use of telehealth; and by creating clear guidelines and referral procedures to alternative providers when staff have a moral opposition to abortion.ConclusionDespite fewer legal barriers to accessing abortion services, the evidence from this review suggests that women in developed countries still face significant inequities in terms of the level of quality and access to services as recommended by the World Health Organization.

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Section: Discussionmentioning

confidence: 90%

“…More than 15% of women in Canada travelled between 101 and 1000 kilometres to access an abortion provider 37. Young women,37 50 indigenous women49 and women on low incomes are disproportionately affected 37. Women who travel are more likely to have an abortion later than 12 weeks’ gestation compared to those who do not travel 64.…”

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators of access to first-trimester abortion services for women in the developed world: a systematic review

Doran

Nancarrow

2015

J Fam Plann Reprod Health Care

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“…A recent Australian study estimated that teenagers were 1.5 times more likely than other women to travel further than 100 kilometres to seek a termination. Such an additional economic and social burden for teenage women already having to find the costs of termination could exacerbate other difficulties that they may be facing 23 …”

Section: Discussionmentioning

confidence: 99%

“…Such an additional economic and social burden for teenage women already having to find the costs of termination could exacerbate other difficulties that they may be facing. 23 Glander et al argued that a past or present abusive relationship influences a women's decision to terminate a pregnancy. The abusive relationship, they argued, appeared to affect the reason for the termination decision and the dynamics of the decision-making process.…”

Section: Discussionmentioning

confidence: 99%

Termination of pregnancy: associations with partner violence and other factors in a national cohort of young Australian women

Taft

Watson

2007

Australian and New Zealand Journal of Public Health

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Objective: To examine the associations between termination and other reproductive events, socio‐demographic characteristics and experience of violence among a community‐based national sample of young Australian women. Methods: Using multiple logistic regression, we analysed data from the Younger cohort of the Australian Longitudinal Study on Women's Health comprising 14,776 young women aged 18–23 in survey 1 (1996), of whom 9,683 aged 22–27 also responded to survey 2 (2000). We stratified respondents into those aged below 20 and those who were older at survey 1. We compared the characteristics associated with terminations among teenage women in 1996 (survey 1) with those of women aged over 20 in 1996 who had not then reported a termination and who responded to survey 2 in 2000. Finally, we compared the characteristics of women reporting terminations, births, preterm births and miscarriages. Results: Women reporting teenage terminations were more likely to be in a de facto relationship (OR=1.94, 95% CI 1.17–3.21), less well educated (OR=2.32, 95% CI 1.44–3.74), have no private health insurance, and be a victim of partner violence (OR=3.11, 95% CI 1.76–5.49). Women reporting later terminations were also more likely to be abused by a partner (OR=3.52, 95% CI 2.14–5.81).The relationship with violence held for the other reproductive events. Conclusion and Implications: Partner violence is a strong predictor of termination and other reproductive outcomes among young Australian women. Education has a protective effect. Prevention and reduction of partner violence may reduce the rate of unwanted pregnancy.

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“…Evidence from similar settings with legal TOP suggests that when seeking TOP, women living rurally are disadvantaged compared with urban women, due to lack of local services, judgemental service providers and long‐distance travel necessitating substantial financial outlay . Although women will travel long distances to undergo TOP, the greater the distance a woman lives from facilities, the less likely she is to use them . Little information is available about women's experiences of seeking TOP in this area.…”

Section: Introductionmentioning

confidence: 99%

Barriers to accessing termination of pregnancy in a remote and rural setting: a qualitative study

Heller

Purcell

Mackay

et al. 2016

BJOG

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Barriers to accessing termination of pregnancy in a remote and rural setting: a qualitative study. BJOG: An International Journal of Obstetrics and Gynaecology, 123(10), pp. 1684-1691. (doi:10.1111/1471 This is the author's final accepted version.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/119417/ Methods: Sixteen semi-structured, audio-recorded telephone interviews were conducted by a researcher with women who had consented to be interviewed at their initial assessment. Six stages of thematic analysis were followed to explore themes in and across participant accounts. Main outcome measures: Themes derived from interview transcripts.Results: Four themes emerged relating to barriers to access and experience: (i) the impact of travel for TOP, (ii) temporal factors unique to this population and how they affected women, (iii) the attitude of health professionals, notably general practitioners, as a result of local culture, and (iv) stigma surrounding TOP and the expectation that abortion will be traumatizing. Conclusions:Women in remote and rural areas experience barriers to accessing TOP.Prompt referrals, more providers of TOP and tackling stigma associated with TOP could make delivery of this service more equitable and improve women's journey through TOP.Tweetable abstract: Women in remote and rural areas of Scotland face multiple barriers to accessing termination of pregnancy.

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Travel undertaken by women accessing private Victorian pregnancy termination services

Cited by 28 publications

References 7 publications

Barriers and facilitators of access to first-trimester abortion services for women in the developed world: a systematic review

Barriers and facilitators of access to first-trimester abortion services for women in the developed world: a systematic review

Termination of pregnancy: associations with partner violence and other factors in a national cohort of young Australian women

Barriers to accessing termination of pregnancy in a remote and rural setting: a qualitative study

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