As Ohio abortion regulations increased, disparities in care emerged


Ohio has seen a growing disparity between abortion rates in rural and urban communities, later abortions, and less use of medication abortion care as the state has heavily regulated abortion and clinics have closed, a new study has found.

Researchers say their study raises concerns about inadequate and inconsistent access to a full spectrum of reproductive health care.

The researchers looked at abortion services performed in Ohio from 2010 to 2018, a time when more than 15 new abortion regulations were instituted and when the number of surgical abortion clinics in the state dropped from 15 to eight. The study, led by Alison Norris of The Ohio State University, appears today (May 21, 2020) in the American Journal of Public Health.

In this study, researchers examined a variety of characteristics of those who received abortions during the eight-year study period, including how far along they were in their pregnancies, county of residence and what methods of abortion were used.

Nationally and in Ohio, abortion rates declined significantly during this time period. But a decrease in early first-trimester abortions and simultaneous increase in later first-trimester abortions was unique to Ohio, and may signal delays in women and teens receiving prompt care because of the burdens they have to overcome to get that care, said Norris, an associate professor of epidemiology in Ohio State’s College of Public Health.

“Abortion care is one of the safest procedures that we have. Because it becomes more complex later in pregnancy, women benefit from quick access to when they choose to end a pregnancy,” Norris said.

The research is part of a multidisciplinary reproductive health research consortium called the Ohio Policy Evaluation Network, or OPEN, which includes scientists from Ohio State, the University of Cincinnati, Cincinnati Children’s Hospital and Case Western Reserve University.

Ohio’s abortion laws include mandatory in-person counseling 24 hours before the procedure and limitations about how abortion can be funded, which can create significant obstacles to early care for some women, Norris said.

From 2010 to 2018, abortion ratios decreased sharply, and disproportionately, in most rural Ohio counties, the study found. In rural counties, the number of abortions per 1,000 dropped more than 32 percent compared to the 24 percent reduction seen in urban counties.

And in areas where clinics closed, use of abortion dropped off among women and teens living both within the county and in surrounding counties.

“This geographic inequity in abortion access is concerning, because it likely means that some people who have unintended pregnancies and want to end those pregnancies are not getting the care they want and deserve,” Norris said, adding that regulations passed in Ohio during the study period, including requirements that clinics have a written patient transfer agreement with a private hospital, have created administrative hurdles for abortion providers.

Norris said there’s no evidence that she’s aware of to support the idea that abortions are happening less frequently in rural Ohio because there are fewer unintended pregnancies or less demand for services. In fact, she said, it’s possible that are more common in some rural areas where access to contraceptive options could also be limited.

“It could actually be the case that there are higher rates of unintended in some rural areas, because people who live in those areas have reduced access to all kinds of health care, including high-quality reproductive care,” said Norris, adding that the OPEN research team hopes to explore that possibility in future work.

Medication abortion care also decreased significantly in Ohio during this time, likely largely due to the state’s narrow interpretation of how the medications had to be dispensed, Norris said.

Nationally, annual overall dropped from about 12 per 1,000 women of childbearing age to fewer than 10 per 1,000 during the study period.

“This national trend, one that has also been seen in Ohio, aligns with increased access to contraception and highly effective modes of contraception, particularly long-acting reversible contraceptives,” Norris said.

“But declines in the use of abortion are being experienced differently by different groups of people, and that’s what we found is happening in Ohio.”

While this study focuses on Ohio, it likely has broader implications, Norris said.

“I think we can expect similar experiences for people who live in states with a high regulatory burden around care. It’s reasonable to imagine that the things that we see in Ohio are playing out in other places.”


Study finds provider capacity to expand abortion, implications for access during COVID-19


Citation:
Researchers: As Ohio abortion regulations increased, disparities in care emerged (2020, May 21)
retrieved 21 May 2020
from https://medicalxpress.com/news/2020-05-ohio-abortion-disparities-emerged.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.



loading...

Related posts:

Germany to lift travel warning for Europe from June 15
Weight, blood pressure higher in younger patients with T2DM
Reducing number of BP meds may be safe in some older adults
At-home gene test for breast, ovarian cancers looks effective
People are avoiding the ER during COVID-19 crisis at their peril: study
In a first, researchers use base editing to correct recessive genetic deafness and restore partial h...
Engineered T cells for type 1 diabetes move closer to clinic
Cardiologist investigates why TAVR might not work for some heart patient
Metaanalyse: Monotherapie der Onychomykose - Biermann Medizin
Belgium to reopen borders with neighbours on June 15
DDG: Ernährungsreport des BMEL ignoriert Ausmaß der Fehlernährung
Cholesterol levels dropping in Western nations—but rising in Asia
Studie: Aussagen zur Ansteckungsgefahr durch Kinder bleiben bestehen
how physicians used it 500 years ago to control the bubonic plague
Uniklinik Ulm bietet nun Fertilitätsbehandlugnen mit Samenspende an
Remote devices for telehealth see surge in demand
Wundheilung detailliert aufgeschlüsselt - Biermann Medizin
Diet, gut microbes affect effectiveness of cancer treatment, research reveals
Forschung abseits von COVID-19: Kommen Krebsmedizin und Co. nun zu kurz?
Helping unlock personalised interventions for kids with developmental disabilities
Diamanttechnik im Herzkatheterlabor - Biermann Medizin
Benzodiazepine use before conception is linked to increased risk of ectopic pregnancy
Verbesserte Wundheilung mit thrombozytenreichem Plasma
Method to identify neural inputs that convey information for defined behaviors
Virchowbund: Die richtigen Lehren aus Corona ziehen
UK mulls 'air bridges' with low-risk countries
3-D-Gebärdensprach-Avatar - Biermann Medizin
A satisfying romantic relationship may improve breast cancer survivors' health
UKE-Studie untersucht Folgen der Corona-Pandemie für die psychische Gesundheit von Kindern
Families and communities are central to the recovery of Sierra Leone's former child soldiers
KMT-Patienten: Sichere Augenversorgung in der Corona-Krise
Expression of certain genes may affect vulnerability to post-traumatic stress disorder
Corona-Pandemie verschlechtert wirtschaftliche Lage der Krankenhäuser
Negative emotions cause stronger appetite responses in emotional eaters
Final states reopen amid worries that protests will spark new COVID infections
Scientists find a switch to flip and turn off breast cancer growth and metastasis
Impact of COVID-19 infection in blood cancer patients
Study in twins finds our sensitivity is partly in our genes
NIH funded research related to every new cancer drug approved from 2010-2016, totals $64B
Social status helped and hindered by the same behaviors and traits worldwide
Concerns mount about two studies on drugs for coronavirus
New CRISPR advance may solve key quandary
Spain records no virus deaths for second day running
Kölner Forschungsprojekt gestartet: COVID-19-Krise aus Sicht des ambulanten Sektors
Understanding the role of cardiorespiratory fitness and body composition in brain health
Neue Nachwuchsgruppe „Zellbiologie der RNA-Viren“ am HPI
Maria shriver and AARP take on Alzheimer's in women
Viel weniger Schlaganfall- und Herzinfarktpatienten in Notaufnahmen
Rolling lockdowns could protect both economies and health in low-income countries
Neue Leitung der Allgemein- und Viszeralchirurgie am Klinikum Kassel
Lab-grown miniature human livers successfully transplanted in rats
Mehr Lebertransplantationen im ersten Quartal
Facts and myths about obesity, emerging as a key factor in COVID-19 hospitalization
Jagd auf lebensbedrohliche Metastasen - Biermann Medizin
Where are kids getting the most 'empty calories'?
Handhygiene: Zunahme von Handekzemen - Biermann Medizin
Tauvid receives approval for tau pathology imaging
COVID-19: Reproduktionszahl genauer geschätzt - Biermann Medizin
You don't smoke, but your home could have thirdhand smoke residue
Evolutionäre Rätsel Säugetierohr - Biermann Medizin
Back to school in masks as Singapore eases virus curbs
Welche Rolle spielen B-Zellen bei kardiovaskulären Erkrankungen?
Pandemic antibiotics surge will cause more deaths: WHO
Studie: Sterberisiko nach Operationen bei Corona-Infizierten erhöht
Lockdowns ease in Florida, Europe with new tourism rules
Reduced humidity linked to increased COVID-19 risk
Glaukomentstehung: Welche Rolle spielt die körpereigene Immunabwehr?
Resistance to immunosurveillance favors cluster cancer metastasis
ADHS: Gleichstromstimulation zeigt klinische Wirkung
Study examines how Americans are coping with COVID-19 stress
Rheumaerkrankungen in der Corona-Situation - Biermann Medizin
Warmer temperatures slow COVID-19 transmission, but not by much
Virus still potent says WHO, after claim by Italian doctor
Engineers design nanoparticles that stimulate the immune system, helping it to attack tumors
Genetic cause of difference in sexual development uncovered
For each day's delay in social distancing, a COVID-19 outbreak lasts days longer
Evidence supports physical distancing, masks, and eye protection to help prevent COVID-19
Study seeks to optimize comfort for patients removed from ventilators at end of life
Europe loosens lockdown as virus tightens grip on Americas
Your brain needs to be ready to remember?
Italy records fewest new virus cases since February
Most Americans still more worried about COVID-19 spread than the economy
Britain takes its biggest step yet out of lockdown
Obesity a major risk factor for COVID-19 hospitalization
Pathogen scientist collaborating on vaccine that could prevent and treat COVID-19
Scientists develop means for detecting early stages of lung problems caused by COVID-19
UTSA software helps patients receive faster post-pandemic care
Almost 6 in 10 Aussies living in aged care are in inadequately staffed facilities
North Korea to reopen schools as virus fears ease
Moscow eases lockdown despite high virus caseload
Hauchdünne Fasern sollen Nerven nach Hirn-OP schützen
Debates rage in Britain as some children go back to school
Mögliches Referenzmessverfahren für die Analyse auf SARS-CoV-2
Putzfimmel im Gehirn - Biermann Medizin
Arbeitsbedingungen in der Intensivpflege prekärer denn je – DGIIN veröffentlicht Stellungnahme
US records 1,225 coronavirus deaths in 24 hours: Johns Hopkins
Coronavirus hopes and fears center on 'immunity'
Assessing cancer diagnosis in children with birth defects
Public health campaigns can do better on cannabis harm reduction
Evolution of pandemic coronavirus outlines path from animals to humans

Leave a Reply

Your email address will not be published. Required fields are marked *

Next Post

Gastriti – Ndryshimet e Nevojshme Në Ushqyerje

Thu May 21 , 2020
Gastriti është një term që i referohet disa problemeve shëndetësore që kanë një faktor të përbashkët: inflamacionin në shtresën e stomakut. Gastriti mund të jetë akut dhe me kohëzgjatje të shkurtër dhe kronik që zgjat për muaj ose vite. Bakteri Heliobakter pylori është përgjegjës për infeksionin dhe inflamacionin në shtresën […]