Patient perspectives on barriers in obtaining timely abortion care in Los Angeles, California

Jung, Christina; Fiastro, Anna; Cornell, Alia; Steward, Rachel; Rible, Radhika; Gipson, Jessica D.

doi:10.1016/j.contraception.2022.08.003

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…To the best of our knowledge, our study is the first to provide such evidence about the quantitative relationships between delay-causing obstacles to abortion care and people’s mental health. These novel results reinforce qualitative research that focuses on the emotional burden of seeking abortion in the U.S. [5] , [20] , [21] , [22] . They also suggest that policies that restrict access and lead to delays, such as mandated waiting period laws and gestational limits, may be negatively associated with the psychological well-being of people trying to obtain abortion care [23] .…”

Section: Discussionsupporting

confidence: 69%

“…A few qualitative studies have documented the emotional toll of delay-causing obstacles, including prolonged processes of referrals and Medicaid coverage application, lengthy appointment scheduling, time needed to raise funds to pay for the procedure, increased travel distances to reach a clinic, and multiple visits requirements [5] , [20] , [21] , [22] . While these studies lay an important groundwork, more is needed to further understand the psychological burden of encountering delays when seeking abortion care.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Experiences of delay-causing obstacles and mental health at the time of abortion seeking

Wasser,

Ralph,

Kaller

et al. 2024

Contraception: X

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Experiences of delay-causing obstacles and mental health at the time of abortion seeking

Wasser,

Ralph,

Kaller

et al. 2024

Contraception: X

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“…There are numerous factors that could contribute to seeking care later in pregnancy, including delays in suspecting pregnancy, difficulty in deciding to terminate, primigravity, finding an abortion clinician, sorting out insurance coverage, and making financial and logistical arrangements. 21 , 22 , 23 , 24 , 25 It is also possible that individuals first sought care at other clinics that had limited availability or longer wait times, resulting in obtaining care at this clinic network later in gestation. The Dobbs decision could have exacerbated these barriers, as well as added more confusion and uncertainty about the legality of abortion and where to seek care, leading to further delays.…”

Section: Discussionmentioning

confidence: 99%

Abortion Provision and Delays to Care in a Clinic Network in Washington State After Dobbs

Riley,

Fiastro,

Benson

et al. 2024

JAMA Netw Open

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ImportanceThe Supreme Court decision Dobbs v Jackson Women’s Health Organization (Dobbs) overturned federal protections to abortion care and altered the reproductive health care landscape. Thus far, aggregated state-level data reveal increases in the number of abortions in states where abortion is still legal, but there is limited information on delays to care and changes in the characteristics of people accessing abortion in these states after Dobbs.ObjectiveTo examine changes in abortion provision and delays to care after Dobbs.Design, Setting, and ParticipantsRetrospective cohort study of all abortions performed at an independent, high-volume reproductive health care clinic network in Washington state from January 1, 2017, to July 31, 2023. Using an interrupted time series, the study assessed changes in abortion care after Dobbs.ExposureAbortion care obtained after (June 24, 2022, to July 31, 2023) vs before (January 1, 2017, to June 23, 2022) Dobbs.Main Outcome and MeasurePrimary outcomes included weekly number of abortions and out-of-state patients and weekly average of gestational duration (days) and time to appointment (days).ResultsAmong the 18 379 abortions during the study period, most were procedural (13 192 abortions [72%]) and funded by public insurance (11 412 abortions [62%]). The mean (SD) age of individuals receiving abortion care was 28.5 (6.44) years. Following Dobbs, the number of procedural abortions per week increased by 6.35 (95% CI, 2.83-9.86), but then trended back toward pre-Dobbs levels. The number of out-of-state patients per week increased by 2 (95% CI, 1.1-3.6) and trends remained stable. The average gestational duration per week increased by 6.9 (95% CI, 3.6-10.2) days following Dobbs, primarily due to increased gestations of procedural abortions. The average gestational duration among out-of-state patients did not change following Dobbs, but it did increase by 6 days for in-state patients (5.9; 95% CI, 3.2-8.6 days). There were no significant changes in time to appointment.Conclusions and RelevanceThese findings provide a detailed picture of changes in abortion provision and delays to care after Dobbs in a state bordering a total ban state. In this study, more people traveled from out of state to receive care and in-state patients sought care a week later in gestation. These findings can inform interventions and policies to improve access for all seeking abortion care.

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Evaluating the frequency of crisis pregnancy center visits among a population of patients seeking abortions in Los Angeles

Korotkaya

Chen

Steward³

et al. 2023

Contraception

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Patient perspectives on barriers in obtaining timely abortion care in Los Angeles, California

Cited by 10 publications

References 14 publications

Experiences of delay-causing obstacles and mental health at the time of abortion seeking

Experiences of delay-causing obstacles and mental health at the time of abortion seeking

Abortion Provision and Delays to Care in a Clinic Network in Washington State After Dobbs

Evaluating the frequency of crisis pregnancy center visits among a population of patients seeking abortions in Los Angeles

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