ArticleBMJ sexual & reproductive health2022
Travelling for abortion services in Mexico 2016-2019: community-level contexts of Mexico City public abortion clients.
Article in BMJ sexual & reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- COVID-19 pandemic exacerbation of disparities in access to public abortion services in Mexico.BMJ sexual & reproductive health · 2025Article
- The influence of feminist abortion accompaniment on emotions related to abortion: A longitudinal observational study in Mexico.SSM - population health · 2022Article
- Factors influencing abortion decisions, delays, and experiences with abortion accompaniment in Mexico among women living outside Mexico City: results from a cross-sectional study.Sexual and reproductive health matters · 2021Article
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Authors and funding
5 authors.
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Abstract
objectiveTo describe the community context of women who travel to access Mexico City's public sector abortion programme and identify factors associated with travelling from highly marginalised settings.
methodsWe used data from the Interrupción Legal de Embarazo (ILE) programme (2016-2019) and identified all abortion clients who travelled from outside Mexico City. We merged in contextual information at the municipality level and used descriptive statistics to describe ILE clients' individual characteristics and municipalities on several measures of vulnerability. We also compared municipalities that ILE clients travelled from with those where no one travelled from. We used logistic regression to identify factors associated with travelling to access ILE services from highly marginalised versus less marginalised municipalities.
resultsOur sample included 21 629 ILE clients who travelled to Mexico City from 491 municipalities within all 31 states outside Mexico City. The majority of clients travelled from the least marginalised (81.9%) and most populated (over 100 000 inhabitants; 91.3%) municipalities. Most (91.2%) ILE clients came from municipalities with adolescent fertility rates in the bottom three quintiles. Clients with a primary or secondary education (vs high school or more) and those from a municipality with a high adolescent fertility rate (top two quintiles) had higher odds of travelling from a highly marginalised (vs less) municipality (adjusted odds ratio (aOR) 1.46, 95% CI 1.35 to 1.58 and aOR 1.89, 95% CI 1.68 to 2.12, respectively).
conclusionILE clients travel from geographically and socioeconomically diverse communities. There is an unmet need for legal abortion across Mexico.
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