State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals
ObjectivesIntimate partner violence (IPV) and non-intimate domestic violence (DV) during pregnancy may result in poor maternal and infant health outcomes. Whether state-level abortion restrictions, enacted by many states even prior to the 2022 Dobbs v. Jackson Women's Health Organization decisi...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Reproductive Health |
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| author | Katherine Neff Katherine Neff Katherine Neff Stephanie V. Hall Stephanie V. Hall Rieham Owda Rieham Owda Andrea Pangori Andrea Pangori Kara Zivin Kara Zivin Kara Zivin Kara Zivin Kara Zivin Kara Zivin Angela Montoya Angela Montoya Leila McDonnaugh-Eaddy Leila McDonnaugh-Eaddy Yasamin Kusunoki Yasamin Kusunoki Yasamin Kusunoki April M. Zeoli April M. Zeoli Kamilah Davis-Wilson Kamilah Davis-Wilson Anna Courant Vanessa K. Dalton Vanessa K. Dalton Vanessa K. Dalton |
| author_facet | Katherine Neff Katherine Neff Katherine Neff Stephanie V. Hall Stephanie V. Hall Rieham Owda Rieham Owda Andrea Pangori Andrea Pangori Kara Zivin Kara Zivin Kara Zivin Kara Zivin Kara Zivin Kara Zivin Angela Montoya Angela Montoya Leila McDonnaugh-Eaddy Leila McDonnaugh-Eaddy Yasamin Kusunoki Yasamin Kusunoki Yasamin Kusunoki April M. Zeoli April M. Zeoli Kamilah Davis-Wilson Kamilah Davis-Wilson Anna Courant Vanessa K. Dalton Vanessa K. Dalton Vanessa K. Dalton |
| author_sort | Katherine Neff |
| collection | DOAJ |
| description | ObjectivesIntimate partner violence (IPV) and non-intimate domestic violence (DV) during pregnancy may result in poor maternal and infant health outcomes. Whether state-level abortion restrictions, enacted by many states even prior to the 2022 Dobbs v. Jackson Women's Health Organization decision, are associated with IPV/DV remains unknown. This study aimed to investigate the relationship between IPV/DV during pregnancy and abortion restrictions among Black and White birthing people.Study designWe analyzed 2020 data from 36 states participating in the CDC Pregnancy Risk Assessment Monitoring System representing 1,931,458 deliveries of which 1,368,237 deliveries (70.84%) are from Black and White birthing individuals. We divided states into restrictive (N = 17) and less restrictive (N = 19) based on a modified Guttmacher Abortion Policy Hostility Index. We used weighted logistic regression to assess the relationship between state abortion restrictiveness and self-reported IPV/DV.ResultsOverall, birthing individuals in restrictive states had higher odds of reporting IPV/DV during pregnancy than those in less restrictive states (aOR: 1.36, 95% CI: 1.15–1.60). Within racial groups, we found that Black birthing individuals in restrictive states had higher odds of reporting IPV/DV than Black birthing individuals in less restrictive states (aOR:1.75, 95% CI: 1.24–2.47). We saw a similar relationship for White birthing individuals (aOR:1.50, 95% CI: 1.17–1.94).DiscussionEven when access to abortion was federally protected, individuals in restrictive states had higher odds of experiencing IPV/DV than those in less restrictive states, particularly among Black individuals. These findings suggest possible detrimental impacts of abortion restrictions and their potential to worsen existing health inequities. |
| format | Article |
| id | doaj-art-484f918810064583b6e0294d9f3e8d2f |
| institution | OA Journals |
| issn | 2673-3153 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Reproductive Health |
| spelling | doaj-art-484f918810064583b6e0294d9f3e8d2f2025-08-20T02:17:10ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532025-04-01710.3389/frph.2025.15358651535865State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individualsKatherine Neff0Katherine Neff1Katherine Neff2Stephanie V. Hall3Stephanie V. Hall4Rieham Owda5Rieham Owda6Andrea Pangori7Andrea Pangori8Kara Zivin9Kara Zivin10Kara Zivin11Kara Zivin12Kara Zivin13Kara Zivin14Angela Montoya15Angela Montoya16Leila McDonnaugh-Eaddy17Leila McDonnaugh-Eaddy18Yasamin Kusunoki19Yasamin Kusunoki20Yasamin Kusunoki21April M. Zeoli22April M. Zeoli23Kamilah Davis-Wilson24Kamilah Davis-Wilson25Anna Courant26Vanessa K. Dalton27Vanessa K. Dalton28Vanessa K. Dalton29Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Obstetrics and Gynecology, Corewell Health William Beaumont University Hospital, Royal Oak, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, United StatesDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, United StatesDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, United StatesCenter for Clinical Management Research (CCMR), VA Ann Arbor Healthcare System, Ann Arbor, MI, United StatesInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesCollege of Human Medicine, Michigan State University, East Lansing, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Biology, Spelman College, Atlanta, GA, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United States0Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, MI, United States1Population Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, United States2Institute for Firearm Injury Prevention, University of Michigan, Ann Arbor, MI, United StatesDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, United StatesDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesProgram on Women’s Healthcare Effectiveness Research, University of Michigan, Ann Arbor, MI, United StatesInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, United StatesObjectivesIntimate partner violence (IPV) and non-intimate domestic violence (DV) during pregnancy may result in poor maternal and infant health outcomes. Whether state-level abortion restrictions, enacted by many states even prior to the 2022 Dobbs v. Jackson Women's Health Organization decision, are associated with IPV/DV remains unknown. This study aimed to investigate the relationship between IPV/DV during pregnancy and abortion restrictions among Black and White birthing people.Study designWe analyzed 2020 data from 36 states participating in the CDC Pregnancy Risk Assessment Monitoring System representing 1,931,458 deliveries of which 1,368,237 deliveries (70.84%) are from Black and White birthing individuals. We divided states into restrictive (N = 17) and less restrictive (N = 19) based on a modified Guttmacher Abortion Policy Hostility Index. We used weighted logistic regression to assess the relationship between state abortion restrictiveness and self-reported IPV/DV.ResultsOverall, birthing individuals in restrictive states had higher odds of reporting IPV/DV during pregnancy than those in less restrictive states (aOR: 1.36, 95% CI: 1.15–1.60). Within racial groups, we found that Black birthing individuals in restrictive states had higher odds of reporting IPV/DV than Black birthing individuals in less restrictive states (aOR:1.75, 95% CI: 1.24–2.47). We saw a similar relationship for White birthing individuals (aOR:1.50, 95% CI: 1.17–1.94).DiscussionEven when access to abortion was federally protected, individuals in restrictive states had higher odds of experiencing IPV/DV than those in less restrictive states, particularly among Black individuals. These findings suggest possible detrimental impacts of abortion restrictions and their potential to worsen existing health inequities.https://www.frontiersin.org/articles/10.3389/frph.2025.1535865/fullintimate partner violencedomestic violenceabortionpolicyhealth disparities |
| spellingShingle | Katherine Neff Katherine Neff Katherine Neff Stephanie V. Hall Stephanie V. Hall Rieham Owda Rieham Owda Andrea Pangori Andrea Pangori Kara Zivin Kara Zivin Kara Zivin Kara Zivin Kara Zivin Kara Zivin Angela Montoya Angela Montoya Leila McDonnaugh-Eaddy Leila McDonnaugh-Eaddy Yasamin Kusunoki Yasamin Kusunoki Yasamin Kusunoki April M. Zeoli April M. Zeoli Kamilah Davis-Wilson Kamilah Davis-Wilson Anna Courant Vanessa K. Dalton Vanessa K. Dalton Vanessa K. Dalton State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals Frontiers in Reproductive Health intimate partner violence domestic violence abortion policy health disparities |
| title | State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals |
| title_full | State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals |
| title_fullStr | State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals |
| title_full_unstemmed | State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals |
| title_short | State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals |
| title_sort | state abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals |
| topic | intimate partner violence domestic violence abortion policy health disparities |
| url | https://www.frontiersin.org/articles/10.3389/frph.2025.1535865/full |
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