Abortion Services in Rural Washington State, 1983-1984 to 1993-1994: Availability and Outcomes

Sa, Dobie; Lg, Hart; Glusker, Ann; Madigan, David; Eh, Larson; Ra, Rosenblatt

doi:10.2307/2991572

Cited by 13 publications

(11 citation statements)

References 2 publications

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“…Nine studies explored geographical obstacles to care and travel undertaken by women to access abortion providers 37 49–51 56 59 63 64. Women travel between 1 and 12 hours to access services.…”

Section: Resultsmentioning

confidence: 99%

“…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. However, the introduction of medical abortion via telemedicine was found to increase rates of medical abortion among women living more than 50 miles from the nearest clinic offering surgical abortion 60…”

Section: Resultsmentioning

confidence: 99%

“…Six studies examined the resource issues influencing the delivery of abortion services;37 52 64 65 two focused specifically on rural issues 35 63. Lack of training, too few physicians and lack of hospital facilities were identified as factors limiting provision of abortion services.…”

Section: Resultsmentioning

confidence: 99%

“…Dobie et al 64. report a decade-long decline in the number of abortion providers in Washington State 65…”

Section: Resultsmentioning

confidence: 99%

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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

101

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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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Dobie et al 64. report a decade-long decline in the number of abortion providers in Washington State 65…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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

101

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show abstract

“…This difference vanished in 1993-1994. Also, the distance that women living in rural counties traveled to obtain abortions increased significantly between and 1993-1994(Dobie, Hart, Glusker, Madigan, Larson, & Rosenblatt, 1999.…”

Section: Formentioning

confidence: 97%

Differences in Fertility Patterns Between Urban and Rural Women in Washington State, 1983–1984 to 1993–1994

et al. 2000

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We use data on Washington State abortions and births for 1983-1984 and 1993-1994 to analyze trends for urban and rural women, using the demographic measures total abortion and total fertility rates. These express pacing of childbearing in a single number which is simple to calculate and interpret, and is age-standardized. We find significant urban-rural differences. Total abortion rates decline and total fertility rates increase in both areas. However, the relative magnitudes of pacing decreases in abortions for rural women and increases in births for urban women are striking. The demographic measures are useful interpretive tools, and can be applied to a broad range of questions.

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Alternatives to ultrasound for follow-up after medication abortion: a systematic review

Grossman

Grindlay

2011

Contraception

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Abortion Services in Rural Washington State, 1983-1984 to 1993-1994: Availability and Outcomes

Abstract: Rural Washington women are traveling farther and more often to urban and out-of-state locations for abortion services, and are obtaining their abortions at a later gestational age, which is associated with a decade-long decline in the number of abortion providers.

Cited by 13 publications

References 2 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

Differences in Fertility Patterns Between Urban and Rural Women in Washington State, 1983–1984 to 1993–1994

Alternatives to ultrasound for follow-up after medication abortion: a systematic review

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