Brooke Whitfield, Gracia Sierra, Klaira Lerma, Vinita Goyal, and Kari White are with the Population Research Center, University of Texas at Austin. Lauren Thaxton is with Dell Medical School, University of Texas at Austin. Bhavik Kumar is with Planned Parenthood Gulf Coast, Houston, TX. Allison Gilbert is with Southwestern Women's Surgery Center, Dallas, TX.
Am J Public Health. 2024 Oct;114(10):1013-1023. doi: 10.2105/AJPH.2024.307747. Epub 2024 Aug 15.
To assess the associations between the executive order that Texas governor Greg Abbott issued on March 22, 2020, postponing procedures deemed not immediately medically necessary, and patients' access to abortion care in Texas. We used 17 515 individual-level patient records from 13 Texas abortion facilities for matched periods in 2019 and 2020 to examine differences in return rates for abortion after completion of a state-mandated ultrasound and median wait times between ultrasound and abortion visits for those who returned. Patients were less likely to return for an abortion if they had an ultrasound while the executive order was under effect (82.8%) than in the same period in 2019 (90.4%; adjusted odds ratio = 2.06; 95% confidence interval = 1.12, 3.81). Compared with patients at or before 10.0 weeks' gestation at ultrasound, patients at more than 10 weeks' gestation had higher odds of not returning for an abortion or, if they returned, experienced greater wait times between ultrasound and abortion visits. Texas' executive order prohibiting abortion during the COVID-19 pandemic disrupted patients' access to care and disproportionately affected patients who were past 10 weeks' gestation. (. 2024;114(10):1013-1023. https://doi.org/10.2105/AJPH.2024.307747).
评估德克萨斯州州长格雷格·阿博特于 2020 年 3 月 22 日发布的行政命令（推迟被认为非紧急医疗程序）与德克萨斯州患者获得堕胎护理之间的关联。我们使用了来自 2019 年和 2020 年 13 家德克萨斯州堕胎设施的 17515 名患者的个人记录，以检查在完成州规定的超声检查后进行堕胎的回院率以及返回患者的超声检查和堕胎就诊之间的中位数等待时间的差异。如果在行政命令生效期间（82.8%）进行超声检查，患者进行堕胎的可能性较小（90.4%；调整后的优势比=2.06；95%置信区间=1.12，3.81）。与在超声检查时处于或早于 10.0 周妊娠的患者相比，妊娠超过 10 周的患者更有可能不返回进行堕胎，或者如果返回，他们在超声检查和堕胎就诊之间的等待时间更长。德克萨斯州在 COVID-19 大流行期间禁止堕胎的行政命令扰乱了患者的护理机会，并不成比例地影响了妊娠超过 10 周的患者。（. 2024;114(10):1013-1023. https://doi.org/10.2105/AJPH.2024.307747）。
