Racial and Ethnic Abortion Disparities Following Georgia's 22-Week Gestational Age Limit

Mosley, Elizabeth A.; Redd, Sara K.; Hartwig, Sophie A.; Narasimhan, Subasri; Lemon, Emily; Berry, Erin; Lathrop, Eva; Haddad, Lisa; Rochat, Roger W.; Cwiak, Carrie; Hall, Kelli Stidham

doi:10.1016/j.whi.2021.09.005

Cited by 9 publications

(12 citation statements)

References 38 publications

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“…These findings support and extend the existing evidence on unjust social and health consequences of restrictive abortion policies. 17 , 32 , 33 , 34 , 35 In an evaluation of HB954, Black patients accessed abortions later in pregnancy and at higher rates than their White counterparts, 17 while Roberts et al 18 reported disproportionate effects of HB954 for those with a high school education or less. Undoubtedly, individuals at the intersection of these identities (eg, young Black people, young people with fewer years of education) are at the highest risk for experiencing compounded disproportionate effects of HB481 by way of multiple, simultaneous forms of oppression via racism and White supremacy, classism, and ageism.…”

Section: Discussionmentioning

confidence: 99%

“…Next, we present the numbers and proportions of abortions in Georgia stratified by weeks’ gestation and patient race, age, and educational level from January 1, 2016, to December 31, 2017, the 2 most recent years of data and the calendar years following full implementation of HB954, Georgia’s 22-week gestational limit, in October 2015. Prior research 17 , 22 revealed that abortion incidence changed most substantially following full (vs partial) implementation of HB954. 17 , 22 Thus, we report results from 2016 to 2017, as these years capture the most recent abortion trends in Georgia.…”

Section: Methodsmentioning

confidence: 99%

“…Prior research 17 , 22 revealed that abortion incidence changed most substantially following full (vs partial) implementation of HB954. 17 , 22 Thus, we report results from 2016 to 2017, as these years capture the most recent abortion trends in Georgia. We used χ 2 analyses to compare the proportion of abortions occurring before 6 weeks and at 6 weeks or later among different racial, age, and educational groups from 2016 to 2017.…”

Section: Methodsmentioning

confidence: 99%

“…For instance, a previous study on Georgia’s House Bill 954 (HB954), which prohibited abortions after 22 weeks’ from last menstrual period (LMP), found that the law disproportionately affected Black pregnant persons in the state. 17 We hypothesize that laws such as HB481 will likely reinforce inequities in access to abortion care, 10 exacerbating barriers for those with comparatively limited access, including Black people, young people, and people with lower socioeconomic status.…”

Section: Introductionmentioning

confidence: 99%

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Estimation of Multiyear Consequences for Abortion Access in Georgia Under a Law Limiting Abortion to Early Pregnancy

et al. 2023

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ImportanceFollowing the US Supreme Court ruling in Dobbs v Jackson Women’s Health Organization, Georgia’s law limiting abortion to early pregnancy, House Bill 481 (HB481), was allowed to go into effect in July 2022.ObjectivesTo estimate anticipated multiyear effects of HB481, which prohibits abortions after detection of embryonic cardiac activity, on abortion incidence in Georgia, and to examine inequities by race, age, and socioeconomic status.Design, Setting, and ParticipantsThis repeated cross-sectional analysis used abortion surveillance data from January 1, 2007, to December 31, 2017, to estimate future effects of HB481 on abortion care in Georgia, with a focus on the 2 most recent years of data (2016 and 2017). Abortion surveillance data were obtained from the 2007-2017 Georgia Department of Public Health’s Induced Termination of Pregnancy files. Linear regression was used to estimate trends in abortions provided at less than 6 weeks’ gestation and at 6 weeks’ gestation or later in Georgia, and χ2 analyses were used to compare group differences by race, age, and educational attainment. Data were analyzed from July 26 to September 22, 2022.ExposuresHB481, Georgia’s law limiting abortion to early pregnancy.Main Outcome and MeasuresWeeks’ gestation at abortion (&lt;6 vs ≥6 weeks).ResultsFrom January 1, 2007, to December 31, 2017, there were 360 972 reported abortions in Georgia, with an annual mean (SD) of 32 816 (1812) abortions. Estimates from 2016 to 2017 suggest that 3854 abortions in Georgia (11.6%) would likely meet eligibility requirements for abortion care under HB481. Fewer abortions obtained by Black patients (1943 [9.6%] vs 1280 [16.2%] for White patients), patients younger than 20 years (261 [9.1%] vs 168 [15.0%] for those 40 years and older), and patients with fewer years of education (392 [9.2%] with less than a high school diploma and 1065 [9.6%] with a high school diploma vs 2395 [13.5%] for those with some college) would likely meet eligibility requirements under HB481.Conclusions and RelevanceThese findings suggest that Georgia’s law limiting abortion to early pregnancy (HB481) would eliminate access to abortion for nearly 90% of patients in Georgia, and disproportionately harm patients who are Black, younger, and in lower socioeconomic status groups.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Estimation of Multiyear Consequences for Abortion Access in Georgia Under a Law Limiting Abortion to Early Pregnancy

et al. 2023

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“…Delaying abortion increases the likelihood of the pregnancy progressing to a later stage which can increase costs and required travel to obtain abortion or be beyond the timing that abortion is permitted at all. These delays made abortion care particularly inaccessible for Black, young, and low-income pregnant people while the COVID-19 abortion bans were in effect(Hill et al 2020;Mosley et al 2022;Upadhyay et al 2014). However, Journal of Health Politics, Policy and Law.…”

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confidence: 99%

Abortion as a Public Health Risk in COVID-19 Antiabortion Legislation

Carson

Carter

2023

Journal of Health Politics, Policy and Law

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During the early months of the COVID-19 pandemic, twelve states banned or restricted abortion access under elective procedure restrictions. The rationale was preserving hospital capacity and personal protective equipment (PPE), however abortions commonly take place in clinics and use less PPE than childbirth. This paper investigates the discursive construction of abortions, the people who get them, and fetuses in this legislation. The authors collaborated to analyze 13 anti-abortion documents using an iterative process of thematic coding and memo-writing. Twenty-three percent of the legislation listed abortion as banned, whereas the remaining laws implied abortion within the terms “elective” or “non-essential.” Legislation used common anti-abortion tactics, such as trivialization of abortion, risk discourses, and constructions of motherhood and fetal personhood. Discourses delegitimized abortion providers and used quasi-medical justifications for banning abortion. Finally, legislation constructed abortion clinics as sites of contagion and waste, and consequently as risks to public health. Results highlight the vulnerability of abortion and the connection between abortion policy and other conservative policy, and gesture towards a strategic attempt to federally ban abortion. Thus, these findings have several implications for a post-Roe US and for various stakeholders wishing to increase abortion access.

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Perceived Impact of the Overturning of Roe v. Wade on Queer Parents’ Reproductive and Sexual Lives

Goldberg,

Silvert,

Charlton

2024

Sex Res Soc Policy

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Racial and Ethnic Abortion Disparities Following Georgia's 22-Week Gestational Age Limit

Cited by 9 publications

References 38 publications

Estimation of Multiyear Consequences for Abortion Access in Georgia Under a Law Limiting Abortion to Early Pregnancy

Estimation of Multiyear Consequences for Abortion Access in Georgia Under a Law Limiting Abortion to Early Pregnancy

Abortion as a Public Health Risk in COVID-19 Antiabortion Legislation

Perceived Impact of the Overturning of Roe v. Wade on Queer Parents’ Reproductive and Sexual Lives

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