Abstract：
OBJECTIVES:To examine access and equity to induced abortion services in Australia, including factors associated with presenting beyond nine weeks gestation. METHODS:Cross-sectional survey of 2,326 women aged 16+ years attending for an abortion at 14 Dr Marie clinics. Associations with later presentation assessed using multivariate logistic regression. RESULTS:Over a third of eligible women opted for a medical abortion. More than one in 10 (11.2%) stayed overnight. The median Medicare rebated upfront cost of a medical abortion was $560, compared to $470 for a surgical abortion at ≤9 weeks. Beyond 12 weeks, costs rose considerably. More than two-thirds (68.1%) received financial assistance from one or more sources. Women who travelled ≥4 hours (AdjOR: 3.0, 95%CI 1.2-7.3), had no prior knowledge of the medical option (AdjOR: 2.1, 95%CI 1.4-3.1), had difficulty paying (AdjOR: 1.5, 95%CI 1.2-1.9) and identified as Aboriginal and/or Torres Strait Islander (AdjOR: 2.1, 95%CI 1.2-3.4) were more likely to present ≥9 weeks. CONCLUSIONS:Abortion costs are substantial, increase at later gestations, and are a financial strain for many women. Poor knowledge, geographical and financial barriers restrict method choice. Implications for public health: Policy reform should focus on reducing costs and enhancing early access.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
Shankar M,Black KI,Goldstone P,Hussainy S,Mazza D,Petersen K,Lucke J,Taft Adoi
10.1111/1753-6405.12641subject
Has Abstractpub_date
2017-06-01 00:00:00pages
309-314issue
3eissn
1326-0200issn
1753-6405journal_volume
41pub_type
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journal_title：Australian and New Zealand journal of public health
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journal_title：Australian and New Zealand journal of public health
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更新日期：1997-08-01 00:00:00
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