ArticleReproductive health2024
Barriers and delays in access to abortion care: a cross-sectional study of people traveling to obtain care in England and the Netherlands from European countries where abortion is legal on broad grounds.
Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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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.
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Who cites it
7 citing papers in PubMed.
- Interpretable machine learning for predicting delays in seeking abortion among reproductive-aged women in Ethiopia: A study using EDHS 2016 data.PLOS digital health · 2026Article
- Medical education and abortion care: evaluating an interdisciplinary learning module in Germany.Archives of gynecology and obstetrics · 2026Article
- Structural barriers to medically indicated abortion in Germany: A qualitative study of provider perspectives.Reproductive health · 2025Article
- Geographical Distance, Socioeconomic Deprivation, and Educational Level Shape Access to Voluntary Termination of Pregnancy in a Southern Region of Italy.Healthcare (Basel, Switzerland) · 2025Article
- "It Makes It More Real to You": Abortion Attitudes Following Experience and Contact With Abortion.Perspectives on sexual and reproductive health · 2025Article
- Expanding access to safe ambulatory manual vacuum aspiration abortion up to 14+6 weeks following Argentina's legal reform: an observational study in the public health sector.Reproductive health · 2025Observational
- Article
Corrections and comments
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Authors and funding
6 authors.
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Abstract
introductionThis study characterized the extent to which (1) financial barriers and (2) abortion care-seeking within a person's country of residence were associated with delays in abortion access among those travelling to England and the Netherlands for abortion care from European countries where abortion is legal on broad grounds in the first trimester but where access past the first trimester is limited to specific circumstances. METHODOLOGY: We drew on cross-sectional survey data collected at five abortion clinics in England and the Netherlands from 2017 to 2019 (n = 164). We assessed the relationship between difficulty paying for the abortion/travel, acute financial insecurity, and in-country care seeking on delays to abortion using multivariable discrete-time hazards models.
resultsParticipants who reported facing both difficulty paying for the abortion procedure and/or travel and difficulty covering basic living costs in the last month reported longer delays in accessing care than those who had no financial difficulty (adjusted hazard odds ratio: 0.39 95% CI 0.21-0.74). This group delayed paying other expenses (39%) or sold something of value (13%) to fund their abortion, resulting in ~ 60% of those with financial difficulty reporting it took them over a week to raise the funds needed for their abortion. Having contacted or visited an abortion provider in the country of residence was associated with delays in presenting abroad for an abortion. DISCUSSION: These findings point to inequities in access to timely abortion care based on socioeconomic status. Legal time limits on abortion may intersect with individuals' interactions with the health care system to delay care.
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Registered trials
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