Travel From Native Lands to US Abortion Facilities Before and After the Decision

How did geographic access from Native lands to abortion facilities change after the () decision?In this cross-sectional study of 650 Native lands, with an estimated 950 991 female residents of reproductive age, nearly half of Native lands were over 90 minutes from an abortion facility before , and the proportion increased after the decision; in the contiguous US, the minimum drive time to the nearest facility also increased significantly after . In Alaska and Hawaii, access remained especially limited, with most Native lands requiring long-distance or interisland travel.This study suggests that the decision was associated with significantly longer minimum drive times to an abortion facility from Native lands.

Corresponding Author: Rebecca Hailu Astatke, MPH, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115 (rastatke@g.harvard.edu).

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