Diana Greene Foster and Katrina Kimport are professors in the Department of Obstetrics, Gynecology and Reproductive Sciences in the School of Medicine at the University of California in San Francisco. Between 2008 and 2010, Foster and Kimport studied the cases of 272 women who had received an abortion at or after 20 weeks of gestation, as well as of 169 women who received first-trimester abortions. These women were interviewed just one week after their abortions and asked a variety of questions including what led to the delay in their medical care....
The study found that young, low-income women are disproportionately more likely to seek abortions at or after 20 weeks. That’s partly because of the compounding circumstances young low-income women are more likely to face. Many in the study were either raising children alone, were depressed or using drugs or were experiencing domestic violence or tension. Half of the women having later-term abortions were unemployed, compared with just one-third of women having first-trimester procedures.
But the barriers to accessing abortion services weren’t limited to the conditions of these women’s lives but the context of medical access in their communities. Foster and Kimport found that first-trimester and later-term abortion seekers ranked roughly the same in terms of delays due to “not knowing about the pregnancy” or “trouble deciding about the abortion." But there were four barriers to abortion services that affected late-term abortion seekers twice as much as those who had first-term procedures:
1. Not knowing where to go for an abortion
2. Difficulty getting to the abortion facility
3. Raising money for procedure and related costs
4. Difficulty securing insurance coverage.