2023-09-28 14:46:10 +00:00
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abstract: 'Background: At a time when most states are working to restrict abortion,
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Massachusetts stands out as one of the few states with multiple
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state-level policies in place that support abortion access for
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low-income women. In 2006, Massachusetts passed health care reform,
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which resulted in almost all residents having insurance. Also, almost
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all state-level public and subsidized insurance programs cover abortion
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and there are fewer restrictions on abortion in Massachusetts compared
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with other states.
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Methods: We explored low-income women''s experiences accessing abortion
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in Massachusetts through 27 in-depth telephone interviews with a
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racially diverse sample of low-income women who obtained abortions.
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Interviews were digitally recorded, transcribed, coded, and analyzed
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thematically.
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Results: Most women described having access to timely, conveniently
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located, affordable, and highly acceptable abortion care. However, a
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sizable minority of women had difficulty enrolling in or staying on
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insurance, making abortion expensive. A small minority of women said
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their abortion care could be improved by increasing emotional support
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and privacy, and decreasing appointment times. Some limited data also
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suggest that young women and immigrant women face specific barriers to
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care.
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Conclusion: This study provides important, novel information about the
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need for state-level policies that support access to health insurance
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and comprehensive abortion coverage. Such policies, along with a
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well-functioning health care environment, help to ensure that low-income
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women have access to abortion. However, not all abortion access
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challenges have been resolved in Massachusetts. More work is needed to
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ensure that all women can access affordable, confidential care that is
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responsive to their specific needs and preferences. Copyright (C) 2015
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by the Jacobs Institute of Women''s Health. Published by Elsevier Inc.'
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affiliation: 'Dennis, A (Corresponding Author), Ibis Reprod Hlth, 17 Dunster St,Suite
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201, Cambridge, MA 02138 USA.
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Dennis, Amanda; Manski, Ruth; Blanchard, Kelly, Ibis Reprod Hlth, Cambridge, MA
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02138 USA.'
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author: Dennis, Amanda and Manski, Ruth and Blanchard, Kelly
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author-email: adennis@ibisreproductivehealth.org
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author_list:
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- family: Dennis
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given: Amanda
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- family: Manski
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given: Ruth
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- family: Blanchard
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given: Kelly
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da: '2023-09-28'
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doi: 10.1016/j.whi.2015.04.004
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eissn: 1878-4321
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files: []
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issn: 1049-3867
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journal: WOMENS HEALTH ISSUES
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keywords-plus: HEALTH-CARE; UNDOCUMENTED IMMIGRANTS; REFORM; SERVICES
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language: English
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month: SEP-OCT
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number: '5'
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number-of-cited-references: '44'
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pages: 463-469
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papis_id: 54ac24320efeb0f18eeb8db3fe9f2a9c
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ref: Dennis2015qualitativeexplorati
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times-cited: '12'
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title: A Qualitative Exploration of Low-Income Women's Experiences Accessing Abortion
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in Massachusetts
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000361060400007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '10'
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volume: '25'
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web-of-science-categories: Public, Environmental \& Occupational Health; Women's Studies
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year: '2015'
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