Abortion Incidence and Service Availability In the United States, 2014.

Perspect Sex Reprod Health

Research associate, Guttmacher Institute, New York.

Published: March 2017

AI Article Synopsis

  • National and state-level data on abortion incidence can aid in developing policies to address unintended pregnancies.
  • In a survey conducted between 2015-2016, data from U.S. abortion facilities indicated a 12% decrease in the number of abortions from 2011 to 2014, with significant declines in the Midwest and South.
  • The decline in abortion clinics was often linked to new state restrictions, but these laws didn't always correlate directly with the decrease in abortion rates, suggesting a complex relationship that requires further investigation.

Article Abstract

Context: National and state-level information about abortion incidence can help inform policies and programs intended to reduce levels of unintended pregnancy.

Methods: In 2015-2016, all U.S. facilities known or expected to have provided abortion services in 2013 or 2014 were surveyed. Data on the number of abortions were combined with population data to estimate national and state-level abortion rates. The number of abortion-providing facilities and changes since a similar 2011 survey were also assessed. The number and type of new abortion restrictions were examined in the states that had experienced the largest proportionate changes in clinics providing abortion services.

Results: In 2014, an estimated 926,200 abortions were performed in the United States, 12% fewer than in 2011; the 2014 abortion rate was 14.6 abortions per 1,000 women aged 15-44, representing a 14% decline over this period. The number of clinics providing abortions declined 6% between 2011 and 2014, and declines were steepest in the Midwest (22%) and the South (13%). Early medication abortions accounted for 31% of nonhospital abortions, up from 24% in 2011. Most states that experienced the largest proportionate declines in the number of clinics providing abortions had enacted one or more new restrictions during the study period, but reductions were not always associated with declines in abortion incidence.

Conclusions: The relationship between abortion access, as measured by the number of clinics, and abortion rates is not straightforward. Further research is needed to understand the decline in abortion incidence.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487028PMC
http://dx.doi.org/10.1363/psrh.12015DOI Listing

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