Siwan Song, Ariun Ishdorj, Jayna M Dave
Gender Differences in Nutritional Quality and Consumption of Lunches Brought from Home to School
International journal of environmental research and public health
supreme court decision dobbs v jackson womens health organization dobbs overturned federal protections abortion care altered reproductive health care landscape thus far aggregated statelevel data reveal increases number abortions states abortion still legal limited information delays care changes characteristics people accessing abortion states dobbs examine changes abortion provision delays care dobbs retrospective cohort study abortions performed independent highvolume reproductive health care clinic network washington state january 1 2017 july 31 2023 using interrupted time series study assessed changes abortion care dobbs abortion care obtained june 24 2022 july 31 2023 vs january 1 2017 june 23 2022 dobbs primary outcomes included weekly number abortions outofstate patients weekly average gestational duration days time appointment days among 18 379 abortions study period procedural 13 192 abortions 72 funded public insurance 11 412 abortions 62 mean sd age individuals receiving abortion care 285 644 years following dobbs number procedural abortions per week increased 635 95 ci 283986 trended back toward predobbs levels number outofstate patients per week increased 2 95 ci 1136 trends remained stable average gestational duration per week increased 69 95 ci 36102 days following dobbs primarily due increased gestations procedural abortions average gestational duration among outofstate patients change following dobbs increase 6 days instate patients 59 95 ci 3286 days significant changes time appointment findings provide detailed picture changes abortion provision delays care dobbs state bordering total ban state study people traveled state receive care instate patients sought care week later gestation findings inform interventions policies improve access seeking abortion care