Knowledge of Abortion Laws and Services Among Low-Income Women in Three United States Cities
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Low-income women and women of color are disproportionately affected by unintended pregnancy. Lack of knowledge of abortion laws and services is one of several factors likely to hinder access to services, though little research has documented knowledge in this population. Survey with convenience sample of 1,262 women attending primary care or full-scope Ob/Gyn clinics serving low-income populations in three large cities and multivariable analyses with four knowledge outcomes. Among all participants, 53 % were first-generation immigrants, 25 % identified the correct gestational age limit, 41 % identified state parental consent laws, 67 % knew partner consent is not required, and 55 % knew where to obtain abortion services. In multivariable analysis, first-generation immigrants and primarily Spanish speakers were significantly less likely than higher-generation or primarily English speakers to display correct knowledge. Design and evaluation of strategies to improve knowledge about abortion, particularly among migrant women and non-primary English speakers, is needed.
KeywordsAbortion Abortion laws Low-income population Migration Latino
The authors thank our interviewers: Alma Avila Pilchman, Monti Castaneda, Denisse Cordova, Cecilia Marquez, Erica Seppala, and Margarita Velasco, as well as the clinic staff who helped coordinate the study at each site. The authors also thank the Society of Family Planning, Wallace A. Gerbode Foundation, David and Lucille Packard Foundation, Mary Wohlford Foundation, and an anonymous donor. The views and opinions expressed are those of the authors and do not necessarily represent the views and opinions of the Society of Family Planning.
- 6.Camarota SA. A record-setting decade of immigration:2000 to 2010. Washington: Center for Inmigration Studies; 2011.Google Scholar
- 11.Nielhsen-Bolhman L, Panzer AM, Kindig DA. Health literacy: a prescription to end confusion. Washington, D.C.: National Academy of Sciences; 2004.Google Scholar
- 13.Selden C, Zorn M, Ratza S, Parker R. Health literacy. Bethesda National Library of Medicine. 2000.Google Scholar
- 14.Garbers S, Chiasson MA. Inadequate functional health literacy in Spanish as a barrier to cervical cancer screening among immigrant Latinas in New York City. Prev Chron Dis. 2004;1(4):A07.Google Scholar
- 15.Kaiser Family Foundation. Analysis of 2012 current population survey. Bureau of the census. Menlo Park: Kaiser Family Foundation; 2013.Google Scholar
- 16.Kaiser Family Foundation. Putting women health care disparities on the map: examining ethnic and racial disparities at the state level. Los Angeles: Kaiser Family Foundation; 2009.Google Scholar
- 18.Mosher WD, Jones J. Use of contraception in the United States: 1982–2008. Vital Health Stat. 2010;23(29):1–44.Google Scholar
- 19.Henshaw SK, Joyce TJ, Dennis A, Finer LB, Blanchard K. Restrictions on Medicaid funding for abortions: a literature review. New York: Gutmacher Institute; 2009.Google Scholar
- 21.Trussell J, Menken J, Lindheim BL, Vaughan B. The impact of restricting Medicaid financing for abortion. Fam Plann Perspect. 1980;12(3):120–123, 127–130.Google Scholar
- 25.Jones RK. How commonly do US abortion patients report attempts to self-induce? Am J Obstet Gynecol. 2011;204(1):23 e21–24.Google Scholar
- 29.Llacer A, Zunzunegui MV, del Amo J, Mazarrasa L, Bolumar F. The contribution of a gender perspective to the understanding of migrants’ health. J Epidemiol Community Health. 2007;61(Suppl 2):ii4–10.Google Scholar