AUTHOR=Zhao Junying , Zahn Aaron , Pang Samuel C. , Quang Tony S. , Campbell Janis , Halkitis Perry N. 

TITLE=Early national trends in non-abortion reproductive care access after Roe

JOURNAL=Frontiers in Public Health

VOLUME=Volume 12 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1309068

DOI=10.3389/fpubh.2024.1309068

ISSN=2296-2565

ABSTRACT=BACKGROUND 
No peer-reviewed evidence exists for spillover effects of overturning Roe on non-abortion reproductive care access. 
METHODS 
National data include 2013-2023 Title X Directory, 2013-2020 Artificial Reproductive Technologies (ART) Surveillance and 2021-2023 manual collection. We reported changes in ART clinics and Title X entities, and their associations with abortions.
RESULTS
Post-Roe America witnessed national declines of 1.03% in ART clinics and 18.34% in Title X entities. Reducing 100 abortions was associated with defunding two Title X entities. 83.39% of defunded Title X entities were in states that voted Republican in 2020 presidential election, disproportionate to the 49.02% of states that voted Republican and 42.52% of US population residing in these states.
CONCLUSION 
Early evidence warns of worsening challenges of inequities and calls for policy actions.