دورية أكاديمية
أعرض في EDS

Prevalence of Abortions Prior to and During the COVID-19 Pandemic in a Large Health Care System.

التفاصيل البيبلوغرافية
العنوان: Prevalence of Abortions Prior to and During the COVID-19 Pandemic in a Large Health Care System.
المؤلفون: Greiner KS; Department of Obstetrics and Gynecology, Kaiser Permanente San Francisco, San Francisco, California., Merchant M; Division of Research, Kaiser Permanente, Oakland, California., Sackeim MG; Department of Obstetrics and Gynecology, Kaiser Permanente San Francisco, San Francisco, California.
المصدر: Journal of midwifery & women's health [J Midwifery Womens Health] 2023 Nov-Dec; Vol. 68 (6), pp. 759-763. Date of Electronic Publication: 2023 Jul 26.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 100909407 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1542-2011 (Electronic) Linking ISSN: 15269523 NLM ISO Abbreviation: J Midwifery Womens Health Subsets: MEDLINE
أسماء مطبوعة: Publication: 2011- : Malden, MA : Wiley
Original Publication: New York, NY : Elsevier Science, c2000-
مواضيع طبية MeSH: COVID-19*/epidemiology , Abortion, Induced*, Pregnancy ; Female ; Humans ; Pandemics ; Cohort Studies ; Retrospective Studies ; Prevalence ; Health Services Accessibility
مستخلص: Introduction: The coronavirus disease 2019 (COVID-19) pandemic presented patients with numerous barriers to accessing health care, including access to reproductive health services. The goal of this study was to assess the prevalence of abortion prior to versus during the COVID-19 pandemic within a large health care system to better understand if patients were able to access abortion care.
Methods: This was a retrospective, data-only cohort study examining the prevalence of abortion among patients aged 15 to 44 within Kaiser Permanente Northern California (KPNC) in the first 6 months of the COVID-19 stay-at-home order (April 1 to September 30, 2020) compared with a 6-month period in the year prior to the COVID-19 pandemic (April 1 to September 30, 2019). Analyses were conducted using χ 2 and t tests, with a P value < .05 considered statistically significant.
Results: The prevalence of abortion among patients at risk of pregnancy in 2019 and 2020 was identical, at 0.04% (P = .93). Baseline characteristics were similar between the 2 periods. The prevalence of smoking among patients who had an abortion in 2019 was 11.24%, compared with 9.04% in 2020 (P = .0009). Additionally, 85.80% of patients had KPNC insurance 6 months after the abortion in 2019, compared with 89.53% in 2020 (P < .0001).
Discussion: The prevalence of abortion remained similar prior to and during the first 6 months of the COVID-19 pandemic within KPNC. Patients seeking abortion were less likely to smoke and were more likely to have consistent insurance 6 months after their abortion in 2020 versus 2019, potentially suggesting the COVID-19 pandemic resulted in healthier behaviors and more consistent access to health care. Despite stay-at-home orders and canceling of in-person clinic visits, abortion services remained accessible to a diverse population within a large health care system.
(© 2023 by the American College of Nurse-Midwives.)
References: Newsom G, Padilla A. Executive Order N-33-20. Executive Department, State of California; 2020. Accessed December 1, 2020. https://www.gov.ca.gov/wp-content/uploads/2020/03/3.19.20-attested-EO-N-33-20-COVID-19-HEALTH-ORDER.pdf.
Joint statement on abortion access during the COVID-19 outbreak. American College of Obstetricians and Gynecologists website. 2020. Accessed May 2, 2023. https://www.acog.org/news/news-releases/2020/03/joint-statement-on-abortion-access-during-the-covid-19-outbreak.
Sobel L, Ramaswamy A, Frederiksen B, Salganicoff A. State action to limit abortion access during the COVID-19 pandemic. 2020. Accessed October 4, 2022. https://www.kff.org/coronavirus-covid-19/issue-brief/state-action-to-limit-abortion-access-during-the-covid-19-pandemic/.
Aly J, Haeger KO, Christy AY, Johnson AM. Contraception access during the COVID-19 pandemic. Contracept Reprod Med. 2020;5:17.
Roberts SCM, Schroeder R, Joffe C. COVID-19 and independent abortion providers: findings from a rapid-response survey. Perspect Sex Reprod Health. 2020;52(4):217-225.
Stifani BM, Avila K, Levi EE. Telemedicine for contraceptive counseling: an exploratory survey of US family planning providers following rapid adoption of services during the COVID-19 pandemic. Contraception. 2020;103(3):157-162.
Birgisson NE, Zhao Q, Secura GM, Madden T, Peipert JF. Preventing unintended pregnancy: the contraceptive CHOICE project in review. J Womens Health (Larchmt). 2015;24(5):349-353.
Hubacher D, Spector H, Monteith C, Chen PL, Hart C. Long-acting reversible contraceptive acceptability and unintended pregnancy among women presenting for short-acting methods: a randomized patient preference trial. Am J Obstet Gynecol. 2017;216(2):101-109.
Ricketts S, Klingler G, Schwalberg R. Game change in Colorado: widespread use of long-acting reversible contraceptives and rapid decline in births among young, low-income women. Perspect Sex Reprod Health. 2014;46(3):125-132.
Jones RK, Kirstein M, Philbin J. Abortion incidence and service availability in the United States, 2020. Perspect Sex Reprod Health. 2022;54(4):128-141.
Geronimus AT, Bound J. Use of census-based aggregate variables to proxy for socioeconomic group: evidence from national samples. Am J Epidemiol. 1998;148(5):475-486.
Bojovic N, Stanisljevic J, Giunti G. The impact of COVID-19 on abortion access: insights from the European Union and the United Kingdom. Health Policy. 2021;125(7):841-858.
Bateson DJ, Lohr PA, Norman WV, et al. The impact of COVID-19 on contraception and abortion care policy and practice: experiences from selected countries. BMJ Sex Reprod Health. 2020;46(4):241-243.
White K, Kumar B, Goyal V, Wallace R, Roberts SCM, Grossman D. Changes in abortion in Texas following an executive order ban during the coronavirus pandemic. JAMA. 2021;325(7):691-693.
Aiken ARA, Starling JE, Gomperts R, Tec M, Scott JG, Aiken CE. Demand for self-managed online telemedicine abortion in the United States during the coronavirus disease 2019 (COVID-19) pandemic. Obstet Gynecol. 2020;136(4):835-837.
Hill BJ, Lock L, Parks V, Anderson B, Cathey JR. Coronavirus disease 2019 (COVID-19) and access to abortion: assessing patient sociodemographic and travel characteristics. Obstet Gynecol. 2021;138(3):475-477.
Cornelius M, Loretan C, Wang T, Jamal A, Homa D. Tobacco product use among adults - United States, 2020. MMWR Morb Mortal Wkly Rep. 2022;71(11):397-405.
Johnson B, Hashida C. Impact of COVID-19 on health care access. Budget and Policy Post. May 7, 2021. Accessed May 2, 2023. https://lao.ca.gov/Publications/Report/4426.
معلومات مُعتمدة: Kaiser Permanente Northern California Graduate Medical Education
فهرسة مساهمة: Keywords: COVID-19; abortion; access; pandemic; reproductive health
تواريخ الأحداث: Date Created: 20230727 Date Completed: 20231218 Latest Revision: 20240111
رمز التحديث: 20240111
DOI: 10.1111/jmwh.13553
PMID: 37496377
قاعدة البيانات: MEDLINE
الوصف
تدمد:1542-2011
DOI:10.1111/jmwh.13553