Impact of Clinic Closures on Women Obtaining Abortion Services After Implementation of a Restrictive Law in Texas
- 1 September 2022
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 112 (9), 1297-1304
- https://doi.org/10.2105/ajph.2016.303134
Abstract
Objectives. To evaluate the additional burdens experienced by Texas abortion patients whose nearest in-state clinic was one of more than half of facilities providing abortion that had closed after the introduction of House Bill 2 in 2013. Methods. In mid-2014, we surveyed Texas-resident women seeking abortions in 10 Texas facilities (n = 398), including both Planned Parenthood–affiliated clinics and independent providers that performed more than 1500 abortions in 2013 and provided procedures up to a gestational age of at least 14 weeks from last menstrual period. We compared indicators of burden for women whose nearest clinic in 2013 closed and those whose nearest clinic remained open. Results. For women whose nearest clinic closed (38%), the mean one-way distance traveled was 85 miles, compared with 22 miles for women whose nearest clinic remained open (P ≤ .001). After adjustment, more women whose nearest clinic closed traveled more than 50 miles (44% vs 10%), had out-of-pocket expenses greater than $100 (32% vs 20%), had a frustrated demand for medication abortion (37% vs 22%), and reported that it was somewhat or very hard to get to the clinic (36% vs 18%; P < .05). Conclusions. Clinic closures after House Bill 2 resulted in significant burdens for women able to obtain care.Keywords
This publication has 18 references indexed in Scilit:
- Mental Health Diagnoses 3 Years After Receiving or Being Denied an Abortion in the United StatesAmerican Journal of Public Health, 2015
- Implications of Georgia’s 20-Week Abortion BanAmerican Journal of Public Health, 2015
- Implications for women of Louisiana’s law requiring abortion providers to have hospital admitting privilegesContraception, 2015
- Denial of abortion in legal settings: Table 1BMJ Sexual & Reproductive Health, 2014
- Risk of violence from the man involved in the pregnancy after receiving or being denied an abortionBMC Medicine, 2014
- Change in abortion services after implementation of a restrictive law in TexasContraception, 2014
- At What Cost? Payment for Abortion Care by U.S. WomenWomen's Health Issues, 2013
- When Natural Experiments Are Neither Natural nor ExperimentsAmerican Political Science Review, 2012
- Regulating abortion: Impact on patients and providers in TexasJournal of Policy Analysis and Management, 2011
- The Concept of AccessMedical Care, 1981