Evidence map›Paper›PMID 34022888›Full record

ArticleReproductive health2021

Cross-country abortion travel to England and Wales: results from a cross-sectional survey exploring people's experiences crossing borders to obtain care.

Camille Garnsey, Giulia Zanini, Silvia De Zordo, Joanna Mishtal, Alexandra Wollum, Caitlin Gerdts

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  4. [Dimensions of person-centeredness in abortion services-selected results of the CarePreg study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Camille GarnseyIbis Reproductive Health, 1736 Franklin St, Suite 600, Oakland, CA, 94612, USA.
Giulia ZaniniDepartment of Anthropology, University of Barcelona, Montalegre, 6-8 08001, Barcelona, Spain.
Silvia De ZordoDepartment of Anthropology, University of Barcelona, Montalegre, 6-8 08001, Barcelona, Spain.
Joanna MishtalDepartment of Anthropology, University of Central Florida, 4297 Andromeda Loop, Orlando, FL, 32816, USA.
Alexandra WollumIbis Reproductive Health, 1736 Franklin St, Suite 600, Oakland, CA, 94612, USA.
Caitlin GerdtsIbis Reproductive Health, 1736 Franklin St, Suite 600, Oakland, CA, 94612, USA. cgerdts@ibisreproductivehealth.org.ORCID http://orcid.org/0000-0002-2488-5072
Ibis Reproductive Health · USUniversitat de Barcelona · ESUniversity of Central Florida · US

Funding

H2020 European Research Council BAR2LEGAB, 680004
6 · The paper itself

Abstract

backgroundThe laws governing abortion access vary across Europe. Even in countries with relatively liberal laws, numerous barriers to abortion access exist. In response to these barriers, evidence suggests that people living in countries with both restrictive and liberal laws travel outside of their home country for abortion care. England and Wales are common destinations for those who travel to seek abortions, but little is known about the motivations and experiences of those who undertake cross-country travel to England or Wales to obtain care. This paper aims to describe the abortion seeking and travel experiences of women and pregnant people who traveled to England and Wales for an abortion between 2017 and 2019.

methodsWe recruited 97 participants who had traveled cross-country from both liberal and restrictive contexts to seek abortion care at three participating BPAS clinics in England and Wales. Participants completed an electronic survey about their reproductive histories, abortion decision-making, experiences seeking abortion care, and traveling. We conducted a descriptive analysis, and include comparisons between participants who traveled from liberal and restrictive contexts.

resultsOver a third of participants considered abortion four weeks or more before presenting for care at BPAS, and around two-thirds sought abortion services in their home country before traveling. The majority of participants indicated that they would have preferred to have obtained an abortion earlier and cited reasons including scheduling issues, a dearth of local services, delayed pregnancy recognition, and financial difficulties as causing their delay. About seventy percent of participants reported travel costs between €101-1000 and 75% of participants reported that the cost of the abortion procedure exceeded €500. About half of participants indicated that, overall, their travel was very or somewhat difficult.

conclusionsThis analysis documents the burdens associated with cross-country travel for abortion and provides insight into the factors that compel people to travel. Our findings highlight the need for expanded access to abortion care throughout Europe via the removal of legal impediments and other social or procedural barriers. Removing barriers would eliminate the need for cumbersome abortion travel, and ensure that all people can obtain necessary, high-quality healthcare in their own communities.

Indexed as

Abortion ApplicantsAbortion, InducedAbortion, LegalHealth Services AccessibilityMedical TourismAdolescentAdultCross-Sectional StudiesEnglandEuropeFemaleHealth PolicyHumansMarital StatusMiddle AgedPregnancyAbortion barriersAbortion travelEuropeInduced abortion

Identifiers

PMID34022888
PMCPMC8141157
OpenAlexW3165105526

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.