Department of Sociology & Anthropology, The University of Texas at El Paso, El Paso, Texas, USA.
Department of Sociology & Anthropology, Middle Tennessee State University, Murfreesboro, Tennessee, USA.
Health Care Women Int. 2020 Oct;41(10):1111-1127. doi: 10.1080/07399332.2020.1833883. Epub 2020 Nov 10.
The devastating effects of natural hazards uncover and exacerbate social inequalities, yet reproductive health outcomes are often overlooked. Despite a small but growing literature on gender and disaster-related impacts, there are no studies to date to our knowledge on the intersection of abortion and disasters, which is important because abortion is common in the U.S. and is a critical component of comprehensive reproductive healthcare yet is routinely inaccessible due to a lack of health insurance coverage and other policy barriers. This is a qualitative case study of 8 individuals who required abortion services in Texas at the time of Hurricane Harvey. The study sample comes from caller data from a local Texas abortion fund. We present caller demographics, which reveal nonwhite patients in later trimesters struggling economically. Callers display a need for funding, particularly for travel, and were affected by interpersonal and sexual violence. We conclude with policy and research implications for disaster planners, domestic violence organizations, state and federal officials, and health insurers.
自然灾害的破坏性影响揭示并加剧了社会不平等，但生殖健康结果往往被忽视。尽管关于性别和与灾害相关影响的文献很少，但据我们所知，目前还没有关于堕胎和灾害交叉问题的研究，这很重要，因为堕胎在美国很常见，是全面生殖保健的重要组成部分，但由于缺乏医疗保险覆盖和其他政策障碍，堕胎通常无法获得。这是对 8 名在哈维飓风期间需要在德克萨斯州堕胎服务的个人进行的定性案例研究。研究样本来自当地德克萨斯州堕胎基金的呼叫者数据。我们展示了呼叫者的人口统计数据，这些数据显示经济困难的非白人患者处于妊娠后期。呼叫者需要资金，特别是旅行资金，并受到人际暴力和性暴力的影响。最后，我们为灾害规划者、家庭暴力组织、州和联邦官员以及医疗保险提供商提出了政策和研究方面的建议。
