Intended pregnancy after receiving vs. being denied a wanted abortion

Upadhyay, Ushma D.; Aztlan-James, E. Angel; Rocca, Corinne H.; Foster, Diana Greene

doi:10.1016/j.contraception.2018.09.002

Cited by 12 publications

(10 citation statements)

References 24 publications

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“…35 These responses also suggest that increasing the availability of abortion providers and the affordability of the procedure may help to reduce delays in seeking care. However, other reasons that may be more difficult to address are women not recognizing their pregnancy (reported by 43 percent of women in the Near Limit group and 48 percent of women in the Turnaway 34 The Turnaway Study also documents potential impacts for the other children of these women: the children that women already had at the time of seeking an abortion fare worse in terms of achieving developmental milestones and living in economic security when their mothers were denied, rather than receiving a wanted abortion (Foster et al, 2019); also, women were less likely to have an intended child within the next five years if they were denied an abortion (Upadhyay et al, 2019). group), or difficulty deciding whether to have an abortion (44 percent and 40 percent, respectively).…”

Section: Resultsmentioning

confidence: 99%

The Economic Consequences of Being Denied an Abortion

Miller¹,

Wherry²,

Foster³

2020

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Restrictions on abortion are pervasive, yet relatively little is known about the financial and economic impact of being denied an abortion on pregnant women who seek one. This paper evaluates the economic consequences of being denied an abortion on the basis of the gestational age of the pregnancy. Our analysis relies on new linkages to administrative credit report data for participants in the Turnaway Study, the first study to collect high-quality, longitudinal data on women receiving or being denied a wanted abortion in the United States. Some women had pregnancies close to the facility's gestational age limit, but below it, and received a wanted abortion (Near Limit Group). A second group of women had pregnancies just over the facility's gestational age limit and were turned away without receiving an abortion (Turnaway Group). We link study participants to ten years of credit report data including several years prior to their recruitment into the study. Using these data, we compare differences in credit report outcomes for the two groups of women over time using an event study design. We find that the trajectories for these outcomes are similar for the two groups of women prior to the abortion encounter. However, following their visit to the abortion provider, we find evidence of a large and persistent increase in financial distress for the women who were denied an abortion that is sustained for several years. Being denied an abortion increases the amount of debt 30 days or more past due by 78 percent and increases negative public records, such as bankruptcies and evictions, by 81 percent. We conduct additional analyses that use a regression discontinuity design to compare outcomes for women just above and just below the gestation limit at each clinic and find results that are consistent with the event study analyses. We explore the mechanisms behind these findings by taking advantage of existing survey data collected for the study participants and compare the effects sizes we document to those experienced by similar women following a "typical" birth. Our results highlight important financial and economic consequences of restrictions on abortion access.

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Section: Resultsmentioning

confidence: 99%

The Economic Consequences of Being Denied an Abortion

Miller¹,

Wherry²,

Foster³

2020

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“…Over the three years of observation, 143 participants reported 174 incident pregnancies for which both prospective and retrospective measures of intention were collected. Of all 479 incident pregnancies reported by 315 participants over five years in the Turnaway Study cohort, 199 occurred after the interview in which we incorporated the ProLMUP (two years into follow‐up). Among those pregnancies, 11 were missing both prospective and retrospective assessments and 14 were missing retrospective assessments, leaving 174 pregnancies as the final sample for this analysis.…”

Section: Resultsmentioning

confidence: 99%

Comparing Prospective and Retrospective Reports of Pregnancy Intention in a Longitudinal Cohort of U.S. Women

Ralph¹,

Foster²,

Rocca³

2020

Perspect Sexual Reproductive

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CONTEXT Measurement of pregnancy intentions typically relies on retrospective reporting, an approach that may misrepresent the extent of unintended pregnancy. However, the degree of possible misreporting is unclear, as little research has compared prospective and retrospective reports of intention for the same pregnancies. METHODS Longitudinal data collected between 2010 and 2015 on 174 pregnancies were used to analyze the magnitude and direction of changes in intendedness (intended, ambivalent or unintended) between prospective and retrospective measurements of intendedness using versions of the London Measure of Unplanned Pregnancy (LMUP). Changes were assessed both continuously and categorically. Differences in the degree of change—by pregnancy outcome and participant characteristics—were examined using mixed‐effects linear and logistic regression models. RESULTS Over two and one‐half years of follow‐up, 143 participants reported 174 pregnancies. Approximately half showed changes in intention between the prospective and retrospective assessments, with 38% of participants reporting increased intendedness and 10% decreased intendedness. Reported intendedness increased more among those who gave birth (mean change in continuous LMUP score, 2.2) than among those who obtained an abortion (0.7), as well as among individuals with a college degree (4.1) than among those with a high school diploma (1.2). Participants who reported recent depression or anxiety symptoms showed more stable intentions (0.02) than those who did not (2.1). CONCLUSIONS Retrospective measurement of pregnancy intentions may underestimate the frequency of unintended pregnancy, with such underestimation being greater among certain subgroups. Estimates based on retrospective reports thus may produce inaccurate impressions of intentionality. Further efforts to refine the measurement of pregnancy preferences are needed.

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“…48 The Turnaway Study also documents potential impacts for the other children of these women: the children that women already had at the time of seeking an abortion fare worse in terms of achieving developmental milestones and living in economic security when their mothers were denied, rather than receiving a wanted abortion (Foster et al, 2019). Also, women in the Turnaway group that carried the pregnancy to term were less likely to have subsequent pregnancies, and were less likely to express that they intended to become pregnant again in the future, compared to the Near Limit group (Upadhyay et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

The Economic Consequences of Being Denied an Abortion

Miller

Wherry

Foster

2023

American Economic Journal: Economic Policy

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This paper evaluates the financial and economic consequences of being denied an abortion. We link credit report data to the Turnaway Study, which collected high-quality, longitudinal data on women receiving or being denied a wanted abortion in the United States. We compare financial outcomes over a ten-year period for women who had pregnancies just above and below a gestational age limit allowing for a wanted abortion. Outcomes evolved similarly for the two groups prior to the abortion encounter. Following the encounter, women who were denied an abortion experience a large increase in financial distress that remains for several years. (JEL G51, I18, J13, J16)

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Intended pregnancy after receiving vs. being denied a wanted abortion

Cited by 12 publications

References 24 publications

The Economic Consequences of Being Denied an Abortion

The Economic Consequences of Being Denied an Abortion

Comparing Prospective and Retrospective Reports of Pregnancy Intention in a Longitudinal Cohort of U.S. Women

The Economic Consequences of Being Denied an Abortion

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