Abstract
Discussion Forum (0)
Introduction: Many women face logistical obstacles delaying access to abortion. This study aimed to identify logistical barriers to care in women obtaining hospital-based abortions in New Jersey (NJ) a state with limited restrictions.
Methods: This prospective cross-sectional study of women seeking abortion care at University Hospital in Newark surveyed participants using questions from the Guttmacher Institute's 'National Survey of Women Having Abortions.' IRB approval and informed consent were obtained prior to patient enrollment. Cross-sectional comparisons were made using Wilcoxon rank-sum tests and likelihood ratios.
Results: Of 121 patients, 93 women (81.8%) cited yearly household income below $40,000 with 59 (51.7%) reporting a yearly household income below $20,000. Length of time to abortion is significantly longer in women with a household income < $40,000 compared to those with incomes >$40,000 (32.98+/- 27.2 days vs. 17.3+/- 10.3 days, p=0.03). Twenty (17.1%) cite high treatment cost as a factor hindering earlier abortion. Similarly, 12 (10.3%) cite transportation issues as another barrier. Time to abortion is significantly longer for those who cited cost and transportation as barriers compared to those who did not report this (26.4 +/- 20.2 days vs. 47.9+/- 39.8 days, p=0.039; 28.4+/- 25.6 days vs. 45.5+/- 23.3 days, p=0.006, respectively). Age, race, ethnicity, and educational status are not significantly associated with time to abortion.
Conclusion/Implications: Access to abortion services in NJ are limited by logistical barriers to care, particularly for women with lower yearly household income and lack of transportation. Providing financial and transportation support for patients may improve access to abortion.
Methods: This prospective cross-sectional study of women seeking abortion care at University Hospital in Newark surveyed participants using questions from the Guttmacher Institute's 'National Survey of Women Having Abortions.' IRB approval and informed consent were obtained prior to patient enrollment. Cross-sectional comparisons were made using Wilcoxon rank-sum tests and likelihood ratios.
Results: Of 121 patients, 93 women (81.8%) cited yearly household income below $40,000 with 59 (51.7%) reporting a yearly household income below $20,000. Length of time to abortion is significantly longer in women with a household income < $40,000 compared to those with incomes >$40,000 (32.98+/- 27.2 days vs. 17.3+/- 10.3 days, p=0.03). Twenty (17.1%) cite high treatment cost as a factor hindering earlier abortion. Similarly, 12 (10.3%) cite transportation issues as another barrier. Time to abortion is significantly longer for those who cited cost and transportation as barriers compared to those who did not report this (26.4 +/- 20.2 days vs. 47.9+/- 39.8 days, p=0.039; 28.4+/- 25.6 days vs. 45.5+/- 23.3 days, p=0.006, respectively). Age, race, ethnicity, and educational status are not significantly associated with time to abortion.
Conclusion/Implications: Access to abortion services in NJ are limited by logistical barriers to care, particularly for women with lower yearly household income and lack of transportation. Providing financial and transportation support for patients may improve access to abortion.
Introduction: Many women face logistical obstacles delaying access to abortion. This study aimed to identify logistical barriers to care in women obtaining hospital-based abortions in New Jersey (NJ) a state with limited restrictions.
Methods: This prospective cross-sectional study of women seeking abortion care at University Hospital in Newark surveyed participants using questions from the Guttmacher Institute's 'National Survey of Women Having Abortions.' IRB approval and informed consent were obtained prior to patient enrollment. Cross-sectional comparisons were made using Wilcoxon rank-sum tests and likelihood ratios.
Results: Of 121 patients, 93 women (81.8%) cited yearly household income below $40,000 with 59 (51.7%) reporting a yearly household income below $20,000. Length of time to abortion is significantly longer in women with a household income < $40,000 compared to those with incomes >$40,000 (32.98+/- 27.2 days vs. 17.3+/- 10.3 days, p=0.03). Twenty (17.1%) cite high treatment cost as a factor hindering earlier abortion. Similarly, 12 (10.3%) cite transportation issues as another barrier. Time to abortion is significantly longer for those who cited cost and transportation as barriers compared to those who did not report this (26.4 +/- 20.2 days vs. 47.9+/- 39.8 days, p=0.039; 28.4+/- 25.6 days vs. 45.5+/- 23.3 days, p=0.006, respectively). Age, race, ethnicity, and educational status are not significantly associated with time to abortion.
Conclusion/Implications: Access to abortion services in NJ are limited by logistical barriers to care, particularly for women with lower yearly household income and lack of transportation. Providing financial and transportation support for patients may improve access to abortion.
Methods: This prospective cross-sectional study of women seeking abortion care at University Hospital in Newark surveyed participants using questions from the Guttmacher Institute's 'National Survey of Women Having Abortions.' IRB approval and informed consent were obtained prior to patient enrollment. Cross-sectional comparisons were made using Wilcoxon rank-sum tests and likelihood ratios.
Results: Of 121 patients, 93 women (81.8%) cited yearly household income below $40,000 with 59 (51.7%) reporting a yearly household income below $20,000. Length of time to abortion is significantly longer in women with a household income < $40,000 compared to those with incomes >$40,000 (32.98+/- 27.2 days vs. 17.3+/- 10.3 days, p=0.03). Twenty (17.1%) cite high treatment cost as a factor hindering earlier abortion. Similarly, 12 (10.3%) cite transportation issues as another barrier. Time to abortion is significantly longer for those who cited cost and transportation as barriers compared to those who did not report this (26.4 +/- 20.2 days vs. 47.9+/- 39.8 days, p=0.039; 28.4+/- 25.6 days vs. 45.5+/- 23.3 days, p=0.006, respectively). Age, race, ethnicity, and educational status are not significantly associated with time to abortion.
Conclusion/Implications: Access to abortion services in NJ are limited by logistical barriers to care, particularly for women with lower yearly household income and lack of transportation. Providing financial and transportation support for patients may improve access to abortion.
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