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Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States

Objectives: Since the US Supreme Court′s 1973 Roe v. Wade decision legalizing abortion, states have enacted laws restricting access to abortion services. Previous studies suggest that restricting access to abortion is a risk factor for adverse maternal and infant health. The objective of this invest...

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Autores principales: Pabayo, Roman, Ehntholt, Amy, Cook, Daniel M., Reynolds, Megan, Muennig, Peter, Liu, Sze Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312072/
https://www.ncbi.nlm.nih.gov/pubmed/32466506
http://dx.doi.org/10.3390/ijerph17113773
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author Pabayo, Roman
Ehntholt, Amy
Cook, Daniel M.
Reynolds, Megan
Muennig, Peter
Liu, Sze Y.
author_facet Pabayo, Roman
Ehntholt, Amy
Cook, Daniel M.
Reynolds, Megan
Muennig, Peter
Liu, Sze Y.
author_sort Pabayo, Roman
collection PubMed
description Objectives: Since the US Supreme Court′s 1973 Roe v. Wade decision legalizing abortion, states have enacted laws restricting access to abortion services. Previous studies suggest that restricting access to abortion is a risk factor for adverse maternal and infant health. The objective of this investigation is to study the relationship between the type and the number of state-level restrictive abortion laws and infant mortality risk. Methods: We used data on 11,972,629 infants and mothers from the US Cohort Linked Birth/Infant Death Data Files 2008–2010. State-level abortion laws included Medicaid funding restrictions, mandatory parental involvement, mandatory counseling, mandatory waiting period, and two-visit laws. Multilevel logistic regression was used to determine whether type or number of state-level restrictive abortion laws during year of birth were associated with odds of infant mortality. Results: Compared to infants living in states with no restrictive laws, infants living in states with one or two restrictive laws (adjusted odds ratio (AOR) = 1.08; 95% confidence interval [CI] = 0.99–1.18) and those living in states with 3 to 5 restrictive laws (AOR = 1.10; 95% CI = 1.01–1.20) were more likely to die. Separate analyses examining the relationship between parental involvement laws and infant mortality risk, stratified by maternal age, indicated that significant associations were observed among mothers aged ≤19 years (AOR = 1.09, 95% CI = 1.00–1.19), and 20 to 25 years (AOR = 1.10, 95% CI = 1.03–1.17). No significant association was observed among infants born to older mothers. Conclusion: Restricting access to abortion services may increase the risk for infant mortality.
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spelling pubmed-73120722020-06-25 Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States Pabayo, Roman Ehntholt, Amy Cook, Daniel M. Reynolds, Megan Muennig, Peter Liu, Sze Y. Int J Environ Res Public Health Article Objectives: Since the US Supreme Court′s 1973 Roe v. Wade decision legalizing abortion, states have enacted laws restricting access to abortion services. Previous studies suggest that restricting access to abortion is a risk factor for adverse maternal and infant health. The objective of this investigation is to study the relationship between the type and the number of state-level restrictive abortion laws and infant mortality risk. Methods: We used data on 11,972,629 infants and mothers from the US Cohort Linked Birth/Infant Death Data Files 2008–2010. State-level abortion laws included Medicaid funding restrictions, mandatory parental involvement, mandatory counseling, mandatory waiting period, and two-visit laws. Multilevel logistic regression was used to determine whether type or number of state-level restrictive abortion laws during year of birth were associated with odds of infant mortality. Results: Compared to infants living in states with no restrictive laws, infants living in states with one or two restrictive laws (adjusted odds ratio (AOR) = 1.08; 95% confidence interval [CI] = 0.99–1.18) and those living in states with 3 to 5 restrictive laws (AOR = 1.10; 95% CI = 1.01–1.20) were more likely to die. Separate analyses examining the relationship between parental involvement laws and infant mortality risk, stratified by maternal age, indicated that significant associations were observed among mothers aged ≤19 years (AOR = 1.09, 95% CI = 1.00–1.19), and 20 to 25 years (AOR = 1.10, 95% CI = 1.03–1.17). No significant association was observed among infants born to older mothers. Conclusion: Restricting access to abortion services may increase the risk for infant mortality. MDPI 2020-05-26 2020-06 /pmc/articles/PMC7312072/ /pubmed/32466506 http://dx.doi.org/10.3390/ijerph17113773 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pabayo, Roman
Ehntholt, Amy
Cook, Daniel M.
Reynolds, Megan
Muennig, Peter
Liu, Sze Y.
Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States
title Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States
title_full Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States
title_fullStr Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States
title_full_unstemmed Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States
title_short Laws Restricting Access to Abortion Services and Infant Mortality Risk in the United States
title_sort laws restricting access to abortion services and infant mortality risk in the united states
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312072/
https://www.ncbi.nlm.nih.gov/pubmed/32466506
http://dx.doi.org/10.3390/ijerph17113773
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