Border-state abortions increased for Texas residents after House Bill 2

Raifman, Sarah; Sierra, Gracia; Grossman, Daniel; Baum, Sarah E.; Hopkins, Kristine; Potter, Joseph E.; White, Kari

doi:10.1016/j.contraception.2021.03.017

Cited by 13 publications

(9 citation statements)

References 15 publications

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“…The slower decline in out-of-state travel after the order expired might be related to a backlog at Texas abortion facilities as they tried to accommodate patients whose appointments had been canceled and uncertainty about whether the order would be extended, as well as Texans traveling for previously made appointments at out-of-state facilities. Our findings showing a large increase in out-of-state travel after the implementation of abortion restrictions is consistent with other studies [ 8 , 11 , 17 ]. It also demonstrates that many, but not all, people will overcome significant barriers to obtain care, even following bans on abortion.…”

Section: Discussionsupporting

confidence: 93%

“…Previous studies found that hundreds of Texas residents traveled out of state during the executive order period to obtain abortion care [ 8 , 9 ]. However, beyond documenting overall increases in out-of-state travel, studies assessing the impact of the executive order—as well as studies about prior restrictions—did not examine people’s travel patterns, geographic travel flows and shifts over time or whether people obtained care at the nearest out-of-state location [ 9 , 10 , 11 , 12 ]. A detailed analysis of these patterns would illustrate the burdens of out-of-state travel and the disproportionate effects that abortion restrictions have on people needing care in different communities.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Out-of-State Travel for Abortion among Texas Residents following an Executive Order Suspending In-State Services during the Coronavirus Pandemic

Sierra

Berglas²,

Hofler

et al. 2023

IJERPH

Self Cite

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During the COVID-19 pandemic, existing and new abortion restrictions constrained people’s access to abortion care. We assessed Texas abortion patients’ out-of-state travel patterns before and during implementation of a state executive order that prohibited most abortions for 30 days in 2020. We received data on Texans who obtained abortions between February and May 2020 at 25 facilities in six nearby states. We estimated weekly trends in the number of out-of-state abortions related to the order using segmented regression models. We compared the distribution of out-of-state abortions by county-level economic deprivation and distance traveled. The number of Texas out-of-state abortions increased 14% the week after (versus before) the order was implemented (incidence rate ratio [IRR] = 1.14; 95% CI: 0.49, 2.63), and increased weekly while the order remained in effect (IRR = 1.64; 95% CI: 1.23, 2.18). Residents of the most economically disadvantaged counties accounted for 52% and 12% of out-of-state abortions before and during the order, respectively (p < 0.001). Before the order, 38% of Texans traveled ≥250 miles one way, whereas during the order 81% traveled ≥250 miles (p < 0.001). Texans’ long-distance travel for out-of-state abortion care and the socioeconomic composition of those less likely to travel reflect potential burdens imposed by future abortion bans.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Out-of-State Travel for Abortion among Texas Residents following an Executive Order Suspending In-State Services during the Coronavirus Pandemic

Sierra

Berglas²,

Hofler

et al. 2023

IJERPH

Self Cite

View full text Add to dashboard Cite

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“…We were unable to calculate self-managed and out-of-state abortions, which may have increased due to more recent abortion restrictions in Texas, but were likely negligible during our study period. [39][40][41] Texas' 2013 legislation that led to closure of more than half of the state's abortions clinics has been associated with a decline in the state abortion rate. 17,18 We evaluated the association between median percent change in distance to an open abortion clinic and found no significant association with abortion-rate decline county categories, likely because the effect of distance is not linear.…”

Section: Discussionmentioning

confidence: 99%

Association Between Publicly Funded Contraceptive Services and the Abortion Rate in Texas, 2010–2015

Madison

Powers

Maslowsky

et al. 2023

Obstetrics &Amp; Gynecology

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“…The current accessibility of abortion in the United States thus varies by state and is characterized by a patchwork of service availability resulting in vast abortion deserts, or large geographic areas where abortion is unavailable. 3 The implementation of existing abortion restrictions has coincided with facility closures, increased wait times, and differences in care offerings, [4][5][6][7][8][9] creating barriers to care, including long travel distances for abortion seekers. Current estimates of interstate travel suggest between 6% and 7% of patients already cross state lines to receive abortion care.…”

Section: Introductionmentioning

confidence: 99%

“…The implementation of existing abortion restrictions has coincided with facility closures, increased wait times, and differences in care offerings, 4–9 creating barriers to care, including long travel distances for abortion seekers. Current estimates of interstate travel suggest between 6% and 7% of patients already cross state lines to receive abortion care 10–12 .…”

Section: Introductionmentioning

confidence: 99%

How Ohio's proposed abortion bans would impact travel distance to access abortion care

Chakraborty

Murawsky

Smith

et al. 2022

Perspect Sexual Reproductive

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Context: Since March 2021, the Ohio legislature has been actively considering laws that would ban abortion if the United States Supreme Court overturns the Roe v. Wade decision that legalized abortion nationally in 1973. Methods: We used a national database of publicly advertised abortion facilities to calculate driving distances for Ohioans before and after the activation of proposed abortion bans. Using a legal analysis of abortion laws following the overturn of Roe, we determined which states surrounding Ohio would continue providing abortion care. We calculated distances from each Ohio county centroid to the nearest open abortion facility in three scenarios: (1) as of February 2022, (2) the best-case post-Roe scenario (two of the five surrounding states continue to offer abortion care), and (3) worst-case post-Roe scenario (no surrounding states continue to offer abortion care). We calculated population-weighted distances using county-level data about women aged 15-44 years from the 2019 American Community Survey. Results: In February 2022, all Ohio county centroids were at most 99 miles from an abortion facility (median = 50 miles). The best-case post-Roe scenario shows 62 of Ohio's 88 counties to be 115-279 miles away from the nearest facility (median = 146). The worst-case shows 85 counties to be 191-339 miles away from the nearest facility (median = 264). The current average populationweighted driving distance from county centroid to the nearest facility is 26 miles; the post-Roe scenarios would increase this to 157 miles (best-case) or 269 miles (worst-case).Conclusions: Ohio's proposed abortion bans would substantially increase travel distances to abortion care, impacting over 2.2 million reproductive-aged Ohioans.

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Border-state abortions increased for Texas residents after House Bill 2

Cited by 13 publications

References 15 publications

Out-of-State Travel for Abortion among Texas Residents following an Executive Order Suspending In-State Services during the Coronavirus Pandemic

Out-of-State Travel for Abortion among Texas Residents following an Executive Order Suspending In-State Services during the Coronavirus Pandemic

Association Between Publicly Funded Contraceptive Services and the Abortion Rate in Texas, 2010–2015

How Ohio's proposed abortion bans would impact travel distance to access abortion care

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