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Impact of clinic closures on women obtaining abortion services after implementation of a restrictive law in Texas

Author

Listed:
  • Gerdts, C.
  • Fuentes, L.
  • Grossman, D.
  • White, K.
  • Keefe-Oates, B.
  • Baum, S.E.
  • Hopkins, K.
  • Stolp, C.W.
  • Potter, J.E.

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

Suggested Citation

  • Gerdts, C. & Fuentes, L. & Grossman, D. & White, K. & Keefe-Oates, B. & Baum, S.E. & Hopkins, K. & Stolp, C.W. & Potter, J.E., 2016. "Impact of clinic closures on women obtaining abortion services after implementation of a restrictive law in Texas," American Journal of Public Health, American Public Health Association, vol. 106(5), pages 857-864.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303134_5
    DOI: 10.2105/AJPH.2016.303134
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    Cited by:

    1. Abigail R. A. Aiken & Jennifer E. Starling & Rebecca Gomperts, "undated". "Factors Associated with Use of an Online Telemedicine Service to Access Self-Managed Medical Abortion in the US," Mathematica Policy Research Reports 9f673b6c7d2049388e936a427, Mathematica Policy Research.
    2. Yao Lu & David J. G. Slusky, 2019. "The Impact of Women's Health Clinic Closures on Fertility," American Journal of Health Economics, University of Chicago Press, vol. 5(3), pages 334-359, Summer.
    3. Austin, Nichole & Harper, Sam, 2019. "Constructing a longitudinal database of Targeted Regulation of Abortion Providers laws," OSF Preprints tehu4, Center for Open Science.
    4. Martha J. Bailey & Jason M. Lindo, 2017. "Access and Use of Contraception and Its Effects on Women’s Outcomes in the U.S," NBER Working Papers 23465, National Bureau of Economic Research, Inc.
    5. Heidi Moseson & Jane W Seymour & Carmela Zuniga & Alexandra Wollum & Anna Katz & Terri-Ann Thompson & Caitlin Gerdts, 2022. "“It just seemed like a perfect storm”: A multi-methods feasibility study on the use of Facebook, Google Ads, and Reddit to collect data on abortion-seeking experiences from people who considered but d," PLOS ONE, Public Library of Science, vol. 17(3), pages 1-16, March.
    6. Mark Gius, 2019. "Using the Synthetic Control Method to Determine the Effect of Ultrasound Laws on State-Level Abortion Rates," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 47(2), pages 205-215, June.
    7. Caterina Muratori, 2021. "The Impact of Abortion Access on Violence Against Women," Economics Discussion Papers em-dp2021-03, Department of Economics, University of Reading.
    8. Jill Barr-Walker & Ruvani T Jayaweera & Ana Maria Ramirez & Caitlin Gerdts, 2019. "Experiences of women who travel for abortion: A mixed methods systematic review," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-26, April.
    9. Rocca, Corinne H. & Moseson, Heidi & Gould, Heather & Foster, Diana G. & Kimport, Katrina, 2021. "Emotions over five years after denial of abortion in the United States: Contextualizing the effects of abortion denial on women's health and lives," Social Science & Medicine, Elsevier, vol. 269(C).
    10. Michele Statz & Lisa R Pruitt, 2019. "To recognize the tyranny of distance: A spatial reading of Whole Woman’s Health v. Hellerstedt," Environment and Planning A, , vol. 51(5), pages 1106-1127, August.

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