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Denial of abortion because of provider gestational age limits in the United States

Author

Listed:
  • Upadhyay, U.D.
  • Weitz, T.A.
  • Jones, R.K.
  • Barar, R.E.
  • Foster, D.G.

Abstract

Objectives. We examined the factors influencing delay in seeking abortion and the outcomes for women denied abortion care because of gestational age limits at abortion facilities. Methods. We compared women who presented for abortion care who were under the facilities' gestational age limits and received an abortion (n = 452) with those who were just over the gestational age limits and were denied an abortion (n = 231) at 30 US facilities. We described reasons for delay in seeking services. We examined the determinants of obtaining an abortion elsewhere after being denied one because of facility gestational age limits. We then estimated the national incidence of being denied an abortion because of facility gestational age limits. Results. Adolescents and women who did not recognize their pregnancies early were most likely to delay seeking care. The most common reason for delay was having to raise money for travel and procedure costs. We estimated that each year more than 4000 US women are denied an abortion because of facility gestational limits and must carry unwanted pregnancies to term. Conclusions. Many state laws restrict abortions based on gestational age, and new laws are lowering limits further. The incidence of being denied abortion will likely increase, disproportionately affecting young and poor women.

Suggested Citation

  • Upadhyay, U.D. & Weitz, T.A. & Jones, R.K. & Barar, R.E. & Foster, D.G., 2014. "Denial of abortion because of provider gestational age limits in the United States," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 1687-1694.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301378_7
    DOI: 10.2105/AJPH.2013.301378
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    Cited by:

    1. Altındağ, Onur & Joyce, Theodore, 2022. "Another day, another visit: Impact of Arkansas’ mandatory waiting period for women seeking an abortion by demographic groups," Journal of Public Economics, Elsevier, vol. 213(C).
    2. Sarah C M Roberts & Nancy F Berglas & Katrina Kimport, 2020. "Complex situations: Economic insecurity, mental health, and substance use among pregnant women who consider – but do not have – abortions," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-16, January.
    3. Ernestina Coast & Samantha R Lattof & Yana van der Meulen Rodgers & Brittany Moore & Cheri Poss, 2021. "The microeconomics of abortion: A scoping review and analysis of the economic consequences for abortion care-seekers," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-21, June.
    4. Dickey, Madison S. & Mosley, Elizabeth A. & Clark, Elizabeth A. & Cordes, Sarah & Lathrop, Eva & Haddad, Lisa B., 2022. "“They're forcing people to have children that they can't afford”: a qualitative study of social support and capital among individuals receiving an abortion in Georgia," Social Science & Medicine, Elsevier, vol. 315(C).
    5. Whitney S. Rice & Katie Labgold & Quita Tinsley Peterson & Megan Higdon & Oriaku Njoku, 2021. "Sociodemographic and Service Use Characteristics of Abortion Fund Cases from Six States in the U.S. Southeast," IJERPH, MDPI, vol. 18(7), pages 1-16, April.
    6. 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.
    7. 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).

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