Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio, USA.
Department of Sociology, College of Arts and Sciences, University of Cincinnati, Cincinnati, Ohio, USA.
Perspect Sex Reprod Health. 2022 Jun;54(2):54-63. doi: 10.1363/psrh.12191. Epub 2022 Apr 20.
Since March 2021, the Ohio legislature has been actively considering laws that would ban abortion if the United States Supreme Court overturns the Roe v. Wade decision that legalized abortion nationally in 1973.
We used a national database of publicly advertised abortion facilities to calculate driving distances for Ohioans before and after the activation of proposed abortion bans. Using a legal analysis of abortion laws following the overturn of Roe, we determined which states surrounding Ohio would continue providing abortion care. We calculated distances from each Ohio county centroid to the nearest open abortion facility in three scenarios: (1) as of February 2022, (2) the best-case post-Roe scenario (two of the five surrounding states continue to offer abortion care), and (3) worst-case post-Roe scenario (no surrounding states continue to offer abortion care). We calculated population-weighted distances using county-level data about women aged 15-44 years from the 2019 American Community Survey.
In February 2022, all Ohio county centroids were at most 99 miles from an abortion facility (median = 50 miles). The best-case post-Roe scenario shows 62 of Ohio's 88 counties to be 115-279 miles away from the nearest facility (median = 146). The worst-case shows 85 counties to be 191-339 miles away from the nearest facility (median = 264). The current average population-weighted driving distance from county centroid to the nearest facility is 26 miles; the post-Roe scenarios would increase this to 157 miles (best-case) or 269 miles (worst-case).
Ohio's proposed abortion bans would substantially increase travel distances to abortion care, impacting over 2.2 million reproductive-aged Ohioans.
自 2021 年 3 月以来，俄亥俄州立法机构一直在积极考虑相关法律，如果美国最高法院推翻 1973 年使堕胎合法化的罗诉韦德案裁决，这些法律将禁止堕胎。
我们使用全国范围内公开宣传的堕胎设施数据库，计算了俄亥俄州人在拟议堕胎禁令生效前后的驾驶距离。通过对罗诉韦德案被推翻后的堕胎法进行法律分析，我们确定了哪些周边州在俄亥俄州继续提供堕胎护理。我们在三种情况下计算了每个俄亥俄县中心到最近开放堕胎设施的距离：（1）截至 2022 年 2 月，（2）罗诉韦德案后最佳情况（周边五个州中的两个继续提供堕胎护理），（3）罗诉韦德案后最差情况（没有周边州继续提供堕胎护理）。我们使用 2019 年美国社区调查中关于 15-44 岁女性的县级数据，计算了人口加权距离。
截至 2022 年 2 月，俄亥俄州所有县中心离堕胎设施的距离都不超过 99 英里（中位数= 50 英里）。罗诉韦德案后最佳情况下，俄亥俄州 88 个县中的 62 个县距离最近的堕胎设施为 115-279 英里（中位数= 146 英里）。最坏情况下，85 个县距离最近的堕胎设施为 191-339 英里（中位数= 264 英里）。目前，从县中心到最近设施的平均人口加权驾驶距离为 26 英里；罗诉韦德案后的情况将使这一数字增加到 157 英里（最佳情况）或 269 英里（最差情况）。
俄亥俄州拟议的堕胎禁令将大幅增加获得堕胎护理的旅行距离，影响超过 220 万处于生育年龄的俄亥俄州人。
