Prevalence of Abortions Prior to and During the COVID‐19 Pandemic in a Large Health Care System

Introduction The coronavirus disease 2019 (COVID‐19) pandemic presented patients with numerous barriers to accessing health care, including access to reproductive health services. The goal of this study was to assess the prevalence of abortion prior to versus during the COVID‐19 pandemic within a la...

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Published inJournal of midwifery & women's health Vol. 68; no. 6; pp. 759 - 763
Main Authors Greiner, Karen S., Merchant, Maqdooda, Sackeim, Maryl G.
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.11.2023
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Abstract Introduction The coronavirus disease 2019 (COVID‐19) pandemic presented patients with numerous barriers to accessing health care, including access to reproductive health services. The goal of this study was to assess the prevalence of abortion prior to versus during the COVID‐19 pandemic within a large health care system to better understand if patients were able to access abortion care. Methods This was a retrospective, data‐only cohort study examining the prevalence of abortion among patients aged 15 to 44 within Kaiser Permanente Northern California (KPNC) in the first 6 months of the COVID‐19 stay‐at‐home order (April 1 to September 30, 2020) compared with a 6‐month period in the year prior to the COVID‐19 pandemic (April 1 to September 30, 2019). Analyses were conducted using χ2 and t tests, with a P value < .05 considered statistically significant. Results The prevalence of abortion among patients at risk of pregnancy in 2019 and 2020 was identical, at 0.04% (P = .93). Baseline characteristics were similar between the 2 periods. The prevalence of smoking among patients who had an abortion in 2019 was 11.24%, compared with 9.04% in 2020 (P = .0009). Additionally, 85.80% of patients had KPNC insurance 6 months after the abortion in 2019, compared with 89.53% in 2020 (P < .0001). Discussion The prevalence of abortion remained similar prior to and during the first 6 months of the COVID‐19 pandemic within KPNC. Patients seeking abortion were less likely to smoke and were more likely to have consistent insurance 6 months after their abortion in 2020 versus 2019, potentially suggesting the COVID‐19 pandemic resulted in healthier behaviors and more consistent access to health care. Despite stay‐at‐home orders and canceling of in‐person clinic visits, abortion services remained accessible to a diverse population within a large health care system.
AbstractList IntroductionThe coronavirus disease 2019 (COVID‐19) pandemic presented patients with numerous barriers to accessing health care, including access to reproductive health services. The goal of this study was to assess the prevalence of abortion prior to versus during the COVID‐19 pandemic within a large health care system to better understand if patients were able to access abortion care.MethodsThis was a retrospective, data‐only cohort study examining the prevalence of abortion among patients aged 15 to 44 within Kaiser Permanente Northern California (KPNC) in the first 6 months of the COVID‐19 stay‐at‐home order (April 1 to September 30, 2020) compared with a 6‐month period in the year prior to the COVID‐19 pandemic (April 1 to September 30, 2019). Analyses were conducted using χ2 and t tests, with a P value < .05 considered statistically significant.ResultsThe prevalence of abortion among patients at risk of pregnancy in 2019 and 2020 was identical, at 0.04% (P = .93). Baseline characteristics were similar between the 2 periods. The prevalence of smoking among patients who had an abortion in 2019 was 11.24%, compared with 9.04% in 2020 (P = .0009). Additionally, 85.80% of patients had KPNC insurance 6 months after the abortion in 2019, compared with 89.53% in 2020 (P < .0001).DiscussionThe prevalence of abortion remained similar prior to and during the first 6 months of the COVID‐19 pandemic within KPNC. Patients seeking abortion were less likely to smoke and were more likely to have consistent insurance 6 months after their abortion in 2020 versus 2019, potentially suggesting the COVID‐19 pandemic resulted in healthier behaviors and more consistent access to health care. Despite stay‐at‐home orders and canceling of in‐person clinic visits, abortion services remained accessible to a diverse population within a large health care system.
Introduction The coronavirus disease 2019 (COVID‐19) pandemic presented patients with numerous barriers to accessing health care, including access to reproductive health services. The goal of this study was to assess the prevalence of abortion prior to versus during the COVID‐19 pandemic within a large health care system to better understand if patients were able to access abortion care. Methods This was a retrospective, data‐only cohort study examining the prevalence of abortion among patients aged 15 to 44 within Kaiser Permanente Northern California (KPNC) in the first 6 months of the COVID‐19 stay‐at‐home order (April 1 to September 30, 2020) compared with a 6‐month period in the year prior to the COVID‐19 pandemic (April 1 to September 30, 2019). Analyses were conducted using χ2 and t tests, with a P value < .05 considered statistically significant. Results The prevalence of abortion among patients at risk of pregnancy in 2019 and 2020 was identical, at 0.04% (P = .93). Baseline characteristics were similar between the 2 periods. The prevalence of smoking among patients who had an abortion in 2019 was 11.24%, compared with 9.04% in 2020 (P = .0009). Additionally, 85.80% of patients had KPNC insurance 6 months after the abortion in 2019, compared with 89.53% in 2020 (P < .0001). Discussion The prevalence of abortion remained similar prior to and during the first 6 months of the COVID‐19 pandemic within KPNC. Patients seeking abortion were less likely to smoke and were more likely to have consistent insurance 6 months after their abortion in 2020 versus 2019, potentially suggesting the COVID‐19 pandemic resulted in healthier behaviors and more consistent access to health care. Despite stay‐at‐home orders and canceling of in‐person clinic visits, abortion services remained accessible to a diverse population within a large health care system.
The coronavirus disease 2019 (COVID-19) pandemic presented patients with numerous barriers to accessing health care, including access to reproductive health services. The goal of this study was to assess the prevalence of abortion prior to versus during the COVID-19 pandemic within a large health care system to better understand if patients were able to access abortion care. This was a retrospective, data-only cohort study examining the prevalence of abortion among patients aged 15 to 44 within Kaiser Permanente Northern California (KPNC) in the first 6 months of the COVID-19 stay-at-home order (April 1 to September 30, 2020) compared with a 6-month period in the year prior to the COVID-19 pandemic (April 1 to September 30, 2019). Analyses were conducted using χ and t tests, with a P value < .05 considered statistically significant. The prevalence of abortion among patients at risk of pregnancy in 2019 and 2020 was identical, at 0.04% (P = .93). Baseline characteristics were similar between the 2 periods. The prevalence of smoking among patients who had an abortion in 2019 was 11.24%, compared with 9.04% in 2020 (P = .0009). Additionally, 85.80% of patients had KPNC insurance 6 months after the abortion in 2019, compared with 89.53% in 2020 (P < .0001). The prevalence of abortion remained similar prior to and during the first 6 months of the COVID-19 pandemic within KPNC. Patients seeking abortion were less likely to smoke and were more likely to have consistent insurance 6 months after their abortion in 2020 versus 2019, potentially suggesting the COVID-19 pandemic resulted in healthier behaviors and more consistent access to health care. Despite stay-at-home orders and canceling of in-person clinic visits, abortion services remained accessible to a diverse population within a large health care system.
Author Greiner, Karen S.
Sackeim, Maryl G.
Merchant, Maqdooda
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Keywords COVID-19
abortion
access
pandemic
reproductive health
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Snippet Introduction The coronavirus disease 2019 (COVID‐19) pandemic presented patients with numerous barriers to accessing health care, including access to...
The coronavirus disease 2019 (COVID-19) pandemic presented patients with numerous barriers to accessing health care, including access to reproductive health...
IntroductionThe coronavirus disease 2019 (COVID‐19) pandemic presented patients with numerous barriers to accessing health care, including access to...
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StartPage 759
SubjectTerms Abortion
Abortion, Induced
access
Cohort analysis
Cohort Studies
COVID-19
COVID-19 - epidemiology
Female
Health care access
Health insurance
Health services
Health Services Accessibility
Home health care
Humans
pandemic
Pandemics
Pregnancy
Prevalence
Reproductive health
Retrospective Studies
Smoking
Title Prevalence of Abortions Prior to and During the COVID‐19 Pandemic in a Large Health Care System
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjmwh.13553
https://www.ncbi.nlm.nih.gov/pubmed/37496377
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