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. 2022 Aug;112(8):1202-1211.
doi: 10.2105/AJPH.2022.306876.

Potential Impact of Telemedicine for Medication Abortion Policy and Programming Changes on Abortion Accessibility in the United States

Jane W Seymour  1 , Terri-Ann Thompson  1 , Dennis Milechin  1 , Lauren A Wise  1 , Abby E Rudolph  1
Affiliations

Potential Impact of Telemedicine for Medication Abortion Policy and Programming Changes on Abortion Accessibility in the United States

Jane W Seymour et al. Am J Public Health. 2022 Aug.

Abstract

Objectives. To quantify the impact of telemedicine for medication abortion (TMAB) expansion or ban removal on abortion accessibility. Methods. We included 1091 facilities from the 2018 Advancing New Standards in Reproductive Health facility database and Planned Parenthood Web site, among which 241 did not offer abortion as sites for TMAB expansion. Accessibility was defined as the proportion of reproductive-aged women living within a 30-, 60-, or 90-minute drive time from an abortion-providing facility. We calculated accessibility differences between 3 scenarios: (1) facilities offering abortion in 2018 (reference), (2) the reference scenario in addition to all facilities in states without TMAB bans (TMAB expansion), and (3) all facilities (TMAB ban removal). We also stratified by state and urban-rural status. Results. In 2018, 65%, 81%, and 89% of women lived within a 30-, 60-, or 90-minute drive time from an abortion-providing facility, respectively. Expansion and ban removal expanded abortion accessibility relative to the current accessibility scenario (range: 1.25-5.66 percentage points). Women in rural blocks experienced greater increases in accessibility than those in urban blocks. Conclusions. TMAB program and policy changes could expand abortion accessibility to an additional 3.5 million reproductive-aged women. Public Health Implications. Our findings can inform where to invest resources to improve abortion accessibility. (Am J Public Health. 2022;112(8):1202-1211. https://doi.org/10.2105/AJPH.2022.306876).

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Figures

FIGURE 1—
FIGURE 1—
Drive Time Isochrones for Current Abortion Provision Scenario: United States, 2018 Note. Drive times were 30, 60, and 90 minutes, with 65.3%, 80.5%, and 88.9% of US women 15–44 years old living within the given drive time, respectively.
FIGURE 2—
FIGURE 2—
Drive Time Isochrones for TMAB Expansion Abortion Provision Scenario: United States, 2018 Note. TMAB = telemedicine for medication abortion. Drive times were 30, 60, and 90 minutes, with 68.3%, 82.6%, and 90.1% of US women 15–44 years old living within the given drive time, respectively.
FIGURE 3—
FIGURE 3—
Drive Time Isochrones for TMAB Ban Removal Abortion Provision Scenario: United States, 2018 Note. TMAB = telemedicine for medication abortion. Drive times were 30, 60, and 90 minutes, with 70.9%, 84.7%, and 91.7% of US women 15–44 years old living within the given drive time, respectively.
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References

    1. Roberts SCM, Biggs MA, Chibber KS, Gould H, Rocca CH, Foster DG. Risk of violence from the man involved in the pregnancy after receiving or being denied an abortion. BMC Med. 2014;12(1):144. doi: 10.1186/s12916-014-0144-z. - DOI - PMC - PubMed
    1. Upadhyay UD, Biggs MA, Foster DG. The effect of abortion on having and achieving aspirational one-year plans. BMC Womens Health. 2015;15(1):102. doi: 10.1186/s12905-015-0259-1. - DOI - PMC - PubMed
    1. Harris LF, Roberts SC, Biggs MA, Rocca CH, Foster DG. Perceived stress and emotional social support among women who are denied or receive abortions in the United States: a prospective cohort study. BMC Womens Health. 2014;14(1):76. doi: 10.1186/1472-6874-14-76. - DOI - PMC - PubMed
    1. Biggs MA, Upadhyay UD, McCulloch CE, Foster DG. Women’s mental health and well-being 5 years after receiving or being denied an abortion: a prospective, longitudinal cohort study. JAMA Psychiatry. 2017;74(2):169–178. doi: 10.1001/jamapsychiatry.2016.3478. - DOI - PubMed
    1. Foster DG, Biggs MA, Ralph L, Gerdts C, Roberts S, Glymour MM. Socioeconomic outcomes of women who receive and women who are denied wanted abortions in the United States. Am J Public Health. 2018;108(3):407–413. doi: 10.2105/AJPH.2017.304247. - DOI - PMC - PubMed