Henshaw S K, Forrest J D, Blaine E
Fam Plann Perspect. 1984 May-Jun;16(3):119-27.
The U.S. abortion rate remained essentially stable in 1981 and 1982, after rising each year between 1973 and 1980. The increases had been due to widening availability of abortion services and rising unintended pregnancy rates caused by several factors, among them a shift from use of the pill and the IUD to use of less effective methods. The stabilization of the abortion rate since 1980 is the culmination of a pattern of smaller annual increases in the rate in previous years. There were 1.57 million legal abortions reported in the United States in 1982. About three percent of U.S. women of reproductive age obtained an abortion, and about 26 percent of all pregnancies were terminated by abortion during that year. There are still wide gaps in the geographic availability of abortion services. Seventy-eight percent of all U.S. counties--containing 28 percent of women aged 15-44--had no identified provider of abortion services in 1982. Only two percent of abortions were performed in nonmetropolitan counties in that year, although 26 percent of women of reproductive age live in such counties. Fully 87 percent of nonmetropolitan counties had no abortion providers at all in 1982. Despite the concentration of abortion services in urban areas, 47 percent of metropolitan counties also had no abortion service providers in 1982. Abortion services are most available, and rates are highest, in states on the East and West coasts. In 1982, 82 percent of abortions were performed in nonhospital facilities: 56 percent in clinics which specialize in abortion services, 21 percent in other kinds of clinics and five percent in physicians' offices.(ABSTRACT TRUNCATED AT 250 WORDS)
1981年和1982年,美国的堕胎率基本保持稳定,而在1973年至1980年期间,堕胎率每年都在上升。此前的增长归因于堕胎服务的可及性不断扩大以及由多种因素导致的意外怀孕率上升,其中包括从使用避孕药和宫内节育器转向使用效果较差的避孕方法。自1980年以来堕胎率的稳定是前几年堕胎率年增幅较小这一趋势的结果。1982年,美国报告了157万例合法堕胎。当年,约3%的美国育龄妇女进行了堕胎,约26%的怀孕以堕胎告终。堕胎服务的地理可及性仍存在巨大差距。1982年,美国78%的县(涵盖28%的15至44岁女性)没有确定的堕胎服务提供者。当年,只有2%的堕胎在非都市县进行,尽管26%的育龄妇女居住在这些县。1982年,足足87%的非都市县根本没有堕胎服务提供者。尽管堕胎服务集中在城市地区,但1982年仍有47%的都市县也没有堕胎服务提供者。堕胎服务在东海岸和西海岸的州最为可及,堕胎率也最高。1982年,82%的堕胎在非医院设施进行:56%在专门提供堕胎服务的诊所,21%在其他类型的诊所,5%在医生办公室。(摘要截选至25