Mikaela H. Smith and Alison H. Norris are with the College of Public Health, The Ohio State University, Columbus. Michelle L. McGowan is with the Biomedical Ethics Research Program, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, and the Department of Women's, Gender, and Sexuality Studies, University of Cincinnati, OH. Courtney Kerestes is with the Department of Obstetrics and Gynecology, College of Medicine, The Ohio State University. Danielle Bessett is with the Department of Sociology, University of Cincinnati.
Am J Public Health. 2024 Oct;114(10):1034-1042. doi: 10.2105/AJPH.2024.307775.
To assess the impact of Ohio's abortion policy changes on abortion provision following . We analyzed quantitative and write-in responses from an ongoing survey of 6 abortion facilities in Ohio for 3 time periods: January‒June 2022 (pre-), July‒September 2022 (6-week ban in effect), and October 2022‒June 2023 (post-, ban blocked). We disaggregated counts by method, gestation, and state of residence. Following , Ohio banned abortions after detection of embryonic cardiac activity, and monthly abortion provision decreased 56%. Several months after the ban was lifted, monthly abortion means exceeded pre- means. The percentage of patients from out of state increased over time. The post- enactment of a restrictive abortion ban drastically reduced availability of reproductive health care in Ohio. Nevertheless, Ohio remained an important destination for patients from surrounding states with abortion restrictions. Gestational bans decrease access to necessary health care; instead, states like Ohio should work to eliminate barriers to abortion care to support the health and well-being of people in their own and surrounding states. (. 2024;114(10):1034-1042. https://doi.org/10.2105/AJPH.2024.307775).
为了评估俄亥俄州堕胎政策变化对堕胎服务的影响,我们分析了俄亥俄州 6 家堕胎机构持续调查的定量和手写回复,分为三个时间段:2022 年 1 月至 6 月(前)、2022 年 7 月至 9 月(6 周禁令生效)和 2022 年 10 月至 2023 年 6 月(后,禁令被阻止)。我们按方法、妊娠和居住州对计数进行了细分。在禁令之后,俄亥俄州禁止在胚胎心脏活动检测后进行堕胎,每月堕胎服务减少了 56%。在禁令解除后的几个月里,每月堕胎的平均值超过了前平均值。来自州外的患者比例随着时间的推移而增加。一项限制堕胎的禁令的颁布,极大地减少了俄亥俄州生殖保健服务的可及性。然而,俄亥俄州仍然是周围有堕胎限制的州的患者的重要目的地。妊娠禁令会降低获得必要医疗保健的机会;相反,像俄亥俄州这样的州应该努力消除堕胎护理的障碍,以支持其自身和周边州人民的健康和福祉。(2024 年;114(10):1034-1042. https://doi.org/10.2105/AJPH.2024.307775)。