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德克萨斯州堕胎服务获取的地理现实:利用手机数据探究德克萨斯州参议院第8号法案的异质效应

Geographic Realities of Abortion Access in Texas: Exploring the Heterogeneous Effects of Texas Senate Bill 8 with Mobile Phone Data.

作者信息

Miller Jessica, Chi Guangqing

机构信息

Department of Agriculture Economics, Sociology, and Education, Population Research Institute, and Social Science Research Institute, Pennsylvania State University, University Park, PA USA.

出版信息

Popul Res Policy Rev. 2025;44(3):29. doi: 10.1007/s11113-025-09948-0. Epub 2025 May 5.

DOI:10.1007/s11113-025-09948-0
PMID:40336775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12053199/
Abstract

UNLABELLED

Restrictive abortion policies have generated reductions in abortion access, increased travel distance to abortion clinics as a result of clinic closures, and produced declines in maternal health outcomes. This study explores the effects of Texas Senate Bill 8 (SB8), the most restrictive bill prior to the overturning of , on abortion access in Texas. We used a difference-in-differences approach to explore the heterogeneous effects of SB8 on abortion access for communities of varying socioeconomic statuses and travel distances using 16 months of SafeGraph Inc. mobile phone pattern data for 21 Texas and four Oklahoma abortion clinics between January 1, 2021, and April 30, 2022. Implementation of SB8 was associated with 34% fewer abortion clinic visits in Texas than in Oklahoma. The effects of SB8 on access to abortion care across state borders had a disproportionately greater impact on women in low-income communities. This study provides further evidence of the discriminatory impacts of SB8 in Texas.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s11113-025-09948-0.

摘要

未标注

限制性堕胎政策导致堕胎机会减少,诊所关闭使得前往堕胎诊所的路程增加,孕产妇健康结果下降。本研究探讨了德克萨斯州参议院第8号法案(SB8),即在 被推翻之前最具限制性的法案,对德克萨斯州堕胎机会的影响。我们采用了差分法,利用SafeGraph公司2021年1月1日至2022年4月30日期间16个月的手机模式数据,探讨SB8对不同社会经济地位和出行距离社区堕胎机会的异质性影响,这些数据涉及21家德克萨斯州和4家俄克拉荷马州的堕胎诊所。SB8的实施使得德克萨斯州堕胎诊所的就诊人数比俄克拉荷马州少34%。SB8对跨州堕胎护理机会的影响对低收入社区的女性产生了 disproportionately 更大的影响。本研究为SB8在德克萨斯州的歧视性影响提供了进一步证据。

补充信息

在线版本包含可在10.1007/s11113-025-09948-0获取的补充材料。 (注:“disproportionately”原词拼写有误,这里按正确理解翻译为“不成比例地”)

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本文引用的文献

1
Understanding the bias of mobile location data across spatial scales and over time: A comprehensive analysis of SafeGraph data in the United States.理解移动位置数据在不同空间尺度和时间上的偏差:对美国 SafeGraph 数据的综合分析。
PLoS One. 2024 Jan 19;19(1):e0294430. doi: 10.1371/journal.pone.0294430. eCollection 2024.
2
Abortion Bans Will Exacerbate Already Severe Racial Inequities in Maternal Mortality.堕胎禁令将加剧孕产妇死亡率方面业已严重的种族不平等。
Womens Health Issues. 2023 Jul-Aug;33(4):328-332. doi: 10.1016/j.whi.2023.04.007. Epub 2023 Jun 8.
3
Texas Senate Bill 8 significantly reduced travel to abortion clinics in Texas.
德克萨斯州参议院第8号法案大幅减少了前往德克萨斯州堕胎诊所的人数。
Front Glob Womens Health. 2023 Mar 20;4:1117724. doi: 10.3389/fgwh.2023.1117724. eCollection 2023.
4
Association of Texas' 2021 Ban on Abortion in Early Pregnancy With the Number of Facility-Based Abortions in Texas and Surrounding States.德克萨斯州 2021 年禁止早期妊娠堕胎与德克萨斯州及周边州医疗机构堕胎数量的关联。
JAMA. 2022 Nov 22;328(20):2048-2055. doi: 10.1001/jama.2022.20423.
5
Maternal morbidity and fetal outcomes among pregnant women at 22 weeks' gestation or less with complications in 2 Texas hospitals after legislation on abortion.德克萨斯州两家医院在堕胎立法后,妊娠22周及以下并伴有并发症的孕妇的孕产妇发病率和胎儿结局
Am J Obstet Gynecol. 2022 Oct;227(4):648-650.e1. doi: 10.1016/j.ajog.2022.06.060. Epub 2022 Jul 5.
6
Association of Texas Senate Bill 8 With Requests for Self-managed Medication Abortion.德克萨斯州参议院法案 8 号与自我管理药物流产请求的关联。
JAMA Netw Open. 2022 Feb 1;5(2):e221122. doi: 10.1001/jamanetworkopen.2022.1122.
7
Racial and Ethnic Abortion Disparities Following Georgia's 22-Week Gestational Age Limit.佐治亚州22周妊娠年龄限制后的种族和族裔堕胎差异。
Womens Health Issues. 2022 Jan-Feb;32(1):9-19. doi: 10.1016/j.whi.2021.09.005. Epub 2021 Oct 26.
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Racial/ethnic and educational inequities in restrictive abortion policy variation and adverse birth outcomes in the United States.美国限制堕胎政策差异和不良生育结果中的种族/民族和教育不平等。
BMC Health Serv Res. 2021 Oct 22;21(1):1139. doi: 10.1186/s12913-021-07165-x.
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JAMA Netw Open. 2021 Jul 1;4(7):e2115530. doi: 10.1001/jamanetworkopen.2021.15530.