Population Research Center, University of Texas at Austin, 305 E. 23rd St, Stop G1800, Austin, TX 78712, United States.
Population Research Center, University of Texas at Austin, 305 E. 23rd St, Stop G1800, Austin, TX 78712, United States.
Contraception. 2020 Aug;102(2):109-114. doi: 10.1016/j.contraception.2020.04.008. Epub 2020 Apr 15.
To evaluate the association between a restrictive Texas law, House Bill 2 (HB2), and receipt of in-clinic abortion by patient's race-ethnicity.
In this retrospective cohort study, we collected Texas state statistics on number of abortions, abortions per county, and abortions per county by race-ethnicity for 2012, before HB2 was enacted, and 2015, after HB2 was in effect. Using female reproductive-aged population estimates, we calculated the abortion rate and percent change in the abortion rate between the two time periods by county, patient residence in a county with an open clinic or HB2-related clinic closure, and change in distance to an open clinic for each race-ethnicity. We also used geospatial analyses to depict the greatest decrease in abortion rate by race-ethnicity and county.
In Texas, there were 64,716 reported abortions in 2012 and 54,253 in 2015. Statewide, there was a 20% decrease in the abortion rate affecting all racial-ethnic groups, yet the reduction was greater among Hispanic women compared to White women (-25% vs. -16%, respectively). The abortion rate also decreased more among those living in a county with an HB2-related clinic closure, especially for Hispanic women (-41% Hispanic vs. -29% White vs. -30% Black vs. -3% Other). Hispanic women whose travel distance increased 100+ miles had the greatest reduction in the abortion rate (-43%). Geospatial mapping confirmed our quantitative findings.
HB2 led to a disproportionate reduction in the abortion rate among Hispanic women in Texas, including those living in counties with a closed clinic or traveling long distances to obtain in-clinic abortion care.
Restrictive abortion policies in Texas may disproportionately burden Hispanic women and those affected by clinic closures.
评估德克萨斯州的一项限制堕胎法案 HB2 与患者种族和族裔接受诊所堕胎之间的关联。
在这项回顾性队列研究中，我们收集了德克萨斯州在 HB2 颁布之前的 2012 年和之后的 2015 年的州级堕胎数量、每县堕胎数量以及按种族和族裔划分的每县堕胎数量的统计数据。我们使用女性生殖年龄人口估计数，按县计算了这两个时间段的堕胎率以及堕胎率的百分比变化，同时考虑了患者居住在有开放诊所或与 HB2 相关的诊所关闭的县、以及到开放诊所的距离变化等因素。我们还使用地理空间分析来描述按种族和族裔以及县划分的堕胎率最大降幅。
在德克萨斯州，2012 年报告的堕胎数量为 64716 例，2015 年为 54253 例。全州范围内，所有种族和族裔群体的堕胎率都下降了 20%，但西班牙裔女性的降幅大于白人女性（分别为-25%和-16%）。居住在 HB2 相关诊所关闭的县的女性的堕胎率下降幅度更大，尤其是西班牙裔女性（-41%的西班牙裔女性 vs. -29%的白人女性 vs. -30%的黑人女性 vs. -3%的其他种族女性）。出行距离增加 100 多英里的西班牙裔女性的堕胎率降幅最大（-43%）。地理空间映射证实了我们的定量发现。
HB2 导致德克萨斯州西班牙裔女性的堕胎率不成比例地下降，包括那些居住在诊所关闭的县或长途跋涉寻求诊所堕胎的女性。
德克萨斯州的限制堕胎政策可能会不成比例地给西班牙裔女性和那些受诊所关闭影响的人带来负担。
