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Prevalence and experiences of Wisconsin women turned away from Catholic settings without receiving reproductive care.
Kramer, Renee D; Higgins, Jenny A; Burns, Marguerite E; Freedman, Lori R; Stulberg, Debra B.
Afiliación
  • Kramer RD; Department of Population Health Sciences, Collaborative for Reproductive Equity, University of Wisconsin-Madison, University of Wisconsin-Madison, Madison, WI United States; Department of Obstetrics and Gynecology, Department of Gender and Women's Studies, and Collaborative for Reproductive Health E
  • Higgins JA; Department of Obstetrics and Gynecology, Department of Gender and Women's Studies, and Collaborative for Reproductive Health Equity, University of Wisconsin-Madison, Madison, WI, United States; Department of Population Health Sciences, University of Wisconsin-Madison, University of Wisconsin-Madison
  • Burns ME; Department of Population Health Sciences, University of Wisconsin-Madison, University of Wisconsin-Madison, Madison, WI, United States.
  • Freedman LR; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, Oakland, CA, United States.
  • Stulberg DB; Department of Family Medicine, University of Chicago, IL, United States.
Contraception ; 104(4): 377-382, 2021 10.
Article en En | MEDLINE | ID: mdl-34023379
OBJECTIVE: To estimate prevalence of being turned away from a Catholic healthcare setting without receiving desired reproductive care among Wisconsin women and to document firsthand accounts of these experiences. STUDY DESIGN: Between October 2019 and April 2020, we fielded a two-stage survey to Wisconsin women aged 18-45, oversampling rural census tracts and rural counties served by Catholic sole community hospitals. We present prevalence of ever being turned away from a Catholic hospital or clinic without receiving desired contraceptive or fertility care and document accounts of referrals, perceived barriers, and wait times to acquire services elsewhere. RESULTS: The screener response rate was 37.6% (N = 828) and the survey response rate was 83.4% (N = 675). While only 23 (2.0%) of Wisconsin women had ever been turned away from a Catholic hospital or clinic without receiving desired contraceptive or fertility care (95% confidence interval: 1.2%-3.5%), these experiences were more common among women in counties served by Catholic sole community hospitals (n = 9, 8.1% [4.0%-15.6%]) compared to women in other rural census tracts (n = 6, 2.8% [1.3%-6.2%]) and urban census tracts (n = 8, 1.5% [0.7%-3.2%]). Sixteen (69.6%) cited religious restrictions as a barrier to accessing care. Some women - especially those denied tubal ligation - experienced long delays in acquiring time-sensitive care elsewhere. CONCLUSIONS: About 1-in-12 women in Wisconsin rural counties served by Catholic sole community hospitals reported ever being turned away from a Catholic healthcare setting without receiving desired reproductive care. After tubal ligation denials in Catholic facilities, many women faced long wait times to receive care elsewhere. IMPLICATIONS: Wisconsin women in rural counties served by Catholic sole community hospitals were about three times more likely than urban women to have ever been turned away from a Catholic facility. As Catholic healthcare expands nationally, it will be increasingly important to better understand how healthcare prohibitions influence patients' lives.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Esterilización Tubaria / Catolicismo Tipo de estudio: Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Contraception Año: 2021 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Esterilización Tubaria / Catolicismo Tipo de estudio: Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Contraception Año: 2021 Tipo del documento: Article