Forrest J D, Sullivan E, Tietze C
Alan Guttmacher Institute.
Fam Plann Perspect. 1979 Nov-Dec;11(6):329-41.
There were 1.32 million legal abortions in the United States in 1977 and a projected 1.37 million in 1978, an increase of four percent between 1977 and 1978 compared with one of 12 percent between 1976 and 1977. In 1978, 29 percent of pregnant women chose to terminate their pregnancies by abortion. Almost three percent of U.S. women of reproductive age obtained an abortion in 1978. From 1967 through 1978, approximately six million women obtained almost eight million legal abortions; about one in eight U.S. women of reproductive age has had a legal abortion. The number of hospitals reporting that they provided abortion services dropped slightly from 1,695 in 1976 to 1,661 in 1977, but the number of nonhospital abortion clinics increased from 448 to 522, and the number of physicians who reported performing abortions in their offices grew from 424 to 533. Between 1976 and 1977, the average number of abortions per hospital facility decreased from 246 to 237, while the average number per nonhospital provider increased from 875 to 879. The percentage of abortions performed in hospitals declined from 35 in 1976 to 30 in 1977, while the percentage reported by free-standing clinics increased from 61 to 66; the percentage performed in physicians' offices remained at four. Ninety-five percent of abortions in 1977 occurred in metropolitan areas, where 75 percent of the women in need of abortion services live. In 1977, there were identified abortion providers in only 23 percent of U.S. counties. Nine percent (more than 118,000) of the women who obtained abortions in 1977 had to travel to another state for services, and many traveled to other, often distant, counties in their home states. One in three abortions in 1977 were obtained by teenagers, and three in four were obtained by unmarried women. Twenty-eight percent of the women estimated to be in need of abortion services in 1977, and 26 percent in 1978, were unable to obtain them. In FY 1977, before Hyde amendment restrictions on government financing of abortions for poor women, 133,000 of the estimated 427,000 Medicaid-eligible women in need of publicly funded abortion services were unable to obtain them.(ABSTRACT TRUNCATED AT 400 WORDS)
1977年，美国有132万例合法堕胎，预计1978年将达到137万例，1977年至1978年增长了4%，而1976年至1977年的增幅为12%。1978年，29%的孕妇选择通过堕胎终止妊娠。1978年，近3%的美国育龄妇女进行了堕胎。从1967年到1978年，约600万妇女进行了近800万例合法堕胎；约八分之一的美国育龄妇女进行过合法堕胎。报告提供堕胎服务的医院数量从1976年的1695家略有下降至1977年的1661家，但非医院堕胎诊所的数量从448家增加到522家，报告在其办公室进行堕胎的医生数量从424名增加到533名。1976年至1977年期间，每家医院设施的平均堕胎数量从246例降至237例，而非医院提供者的平均堕胎数量从875例增加到879例。在医院进行的堕胎比例从1976年的35%降至1977年的30%，而独立诊所报告的比例从61%增加到66%；在医生办公室进行的堕胎比例保持在4%。1977年，95%的堕胎发生在大都市地区，那里有75%需要堕胎服务的妇女居住。1977年，仅在美国23%的县有确定的堕胎提供者。1977年进行堕胎的妇女中有9%（超过11.8万）不得不前往另一个州接受服务，许多人还前往本州其他往往距离较远的县。1977年，三分之一的堕胎是由青少年进行的，四分之三是由未婚妇女进行的。据估计，1977年有28%需要堕胎服务的妇女以及1978年有26%的此类妇女无法获得堕胎服务。在1977财年，在海德修正案限制政府为贫困妇女堕胎提供资金之前，估计42.7万符合医疗补助条件且需要公共资金资助堕胎服务的妇女中有13.3万无法获得此类服务。（摘要截选至400字）
