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عنوان انگلیسی مقاله:
Factors associated with abortion at 12 or more weeks gestation after implementation of a restrictive Texas law
ترجمه فارسی عنوان مقاله:
عوامل مرتبط با سقط جنین در 12 یا بیشتر از هفته های حاملگی پس از اجرای قانون محدود کننده تگزاس
Sciencedirect - Elsevier - Contraception, Journal Pre-proof. doi:10.1016/j.contraception.2020.06.007
Vinita Goyal, Robin Wallace, Amna I. Dermish, Bhavik Kumar, Ann Schutt- Ainé, Anitra Beasley, Abigail R.A. Aiken
Objective: To examine factors associated with obtaining abortion at 12 or more weeks gestation in
26 Texas after implementation of a restrictive law.
27 Study Design: In this retrospective cohort study, we collected data from eight Texas abortion clinics that
28 provided services at 12 or more weeks gestation from April 1, 2015 to March 30, 2016, after a restrictive
29 abortion law enacted in November 2013 shuttered many of the state’s clinics. We examined factors
30 associated with obtaining in-clinic abortion services between 3-11 versus 12-24 weeks gestation
31 including patient race-ethnicity, income level, and driving distance to the clinic using chi-square tests
32 and calculating odds ratios. We further subcategorized abortion between 15-24 weeks to determine
33 who may be most affected by a Texas law banning dilation and evacuation (D&E).
34 Results: Among 24,555 in-clinic abortions, 19.2% (n=4,714) occurred at 12 or more weeks gestation.
35 Compared to patients who obtained care between 3-11 weeks, those who obtained care at 12 or more
36 weeks were more likely to be Black than White (OR 1.18; 95% CI 1.05-1.31), live ≤110% of the federal
37 poverty level than have higher income (OR 2.09; 95% CI 1.94-2.26), and drive 50+ miles than 1-24 miles
38 to obtain care (OR 1.25; 95% CI 1.15-1.38). These associations remained for those obtaining care
39 between 15-24 weeks. Even after adjusting for race-ethnicity and driving distance, low-income patients
40 had greater odds of obtaining care in between 15-24 weeks (aOR 1.52; 95% CI 1.21-1.91).
41 Conclusions: Patients obtaining abortion at 12 or more weeks gestation in Texas are more likely Black, low-income, and travel far distances to obtain in-clinic care.
43 Implications: In Texas, patients who are Black, low-income, and travel the farthest are more likely to
44 obtain in-clinic abortion between 15-24 weeks gestation, commonly performed via D&E. If Texas Senate
45 Bill 8 (SB8) banning D&E goes into effect, these patients may be prevented from obtaining care.