{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T02:53:00Z","timestamp":1790650380833,"version":"4.1.0"},"reference-count":32,"publisher":"BMJ","issue":"e1","license":[{"start":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:00:00Z","timestamp":1627430400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Office of Population Affairs (OPA) Pregnancy Prevention Research Grants","award":["1 FPRPA006071-01-00"],"award-info":[{"award-number":["1 FPRPA006071-01-00"]}]},{"name":"Office of Population Affairs (OPA) Pregnancy Prevention Research Grants","award":["1 PHEPA000004-01-00"],"award-info":[{"award-number":["1 PHEPA000004-01-00"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2021,7,6]]},"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To describe the community context of women who travel to access Mexico City\u2019s public sector abortion programme and identify factors associated with travelling from highly marginalised settings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used data from the Interrupci\u00f3n Legal de Embarazo (ILE) programme (2016\u20132019) and identified all abortion clients who travelled from outside Mexico City. We merged in contextual information at the municipality level and used descriptive statistics to describe ILE clients\u2019 individual characteristics and municipalities on several measures of vulnerability. We also compared municipalities that ILE clients travelled from with those where no one travelled from. We used logistic regression to identify factors associated with travelling to access ILE services from highly marginalised versus less marginalised municipalities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Our sample included 21 629 ILE clients who travelled to Mexico City from 491 municipalities within all 31 states outside Mexico City. The majority of clients travelled from the least marginalised (81.9%) and most populated (over 100 000 inhabitants; 91.3%) municipalities. Most (91.2%) ILE clients came from municipalities with adolescent fertility rates in the bottom three quintiles. Clients with a primary or secondary education (vs high school or more) and those from a municipality with a high adolescent fertility rate (top two quintiles) had higher odds of travelling from a highly marginalised (vs less) municipality (adjusted odds ratio (aOR) 1.46, 95% CI 1.35 to 1.58 and aOR 1.89, 95% CI 1.68 to 2.12, respectively).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>ILE clients travel from geographically and socioeconomically diverse communities. There is an unmet need for legal abortion across Mexico.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2021-201079","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T13:22:26Z","timestamp":1627478546000},"page":"e81-e87","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Travelling for abortion services in Mexico 2016\u20132019: community-level contexts of Mexico City public abortion clients"],"prefix":"10.1136","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0996-7408","authenticated-orcid":false,"given":"Laura E","family":"Jacobson","sequence":"first","affiliation":[{"name":"Oregon Health and Science University-Portland State University (OHSU-PSU) School of Public Health, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2080-4458","authenticated-orcid":false,"given":"Biani","family":"Saavedra-Avendano","sequence":"additional","affiliation":[{"name":"Public Administration, Centro de Investigaci\u00f3n y Docencia Econ\u00f3micas (CIDE), Mexico, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5551-6133","authenticated-orcid":false,"given":"Evelyn","family":"Fuentes-Rivera","sequence":"additional","affiliation":[{"name":"Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaela","family":"Schiavon","sequence":"additional","affiliation":[{"name":"Independent Consultant, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8120-028X","authenticated-orcid":false,"given":"Blair G","family":"Darney","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,28]]},"reference":[{"key":"2025090510510398000_48.e1.e81.1","unstructured":"Grupo de Informaci\u00f3n en Reproducci\u00f3n Elegida, AC (GIRE) . GIRE website. Available: https:\/\/gire.org.mx\/. Published 2020 [Accessed 6 May 2020]."},{"key":"2025090510510398000_48.e1.e81.2","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1111\/j.1728-4465.2011.00277.x","article-title":"Patient characteristics and service trends following abortion legalization in Mexico City, 2007-10","volume":"42","author":"Mondrag\u00f3n y Kalb","year":"2011","journal-title":"Stud Fam Plann"},{"key":"2025090510510398000_48.e1.e81.3","unstructured":"Secretar\u00eda de Salud de la Ciudad de M\u00e9xico . Interrupci\u00f3n Legal del Embarazo (ILE), 2020. Available: http:\/\/ile.salud.cdmx.gob.mx\/ [Accessed 5 May 2020]."},{"key":"2025090510510398000_48.e1.e81.4","doi-asserted-by":"crossref","first-page":"S16","DOI":"10.1016\/j.whi.2011.02.009","article-title":"Sociodemographic factors associated with obstacles to abortion care: findings from a survey of abortion patients in Mexico City","volume":"21","author":"Becker","year":"2011","journal-title":"Womens Health Issues"},{"key":"2025090510510398000_48.e1.e81.5","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2018-200300"},{"key":"2025090510510398000_48.e1.e81.6","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1002\/ijgo.13077","article-title":"Con la ley y sin la ley\/With and without the law: utilization of abortion services and case fatality in Mexico, 2000\u20132016","volume":"148","author":"Darney","year":"2020","journal-title":"Int J Gynecol Obstet"},{"key":"2025090510510398000_48.e1.e81.7","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1363\/44e6318","article-title":"Education, place of residence and utilization of legal abortion services in Mexico City, 2013-2015","volume":"44","author":"Senderowicz","year":"2018","journal-title":"Int Perspect Sex Reprod Health"},{"key":"2025090510510398000_48.e1.e81.8","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.contraception.2018.11.012","article-title":"Quantifying disparities in access to public-sector abortion based on legislative differences within the Mexico City metropolitan area","volume":"99","author":"Friedman","year":"2019","journal-title":"Contraception"},{"key":"2025090510510398000_48.e1.e81.9","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-020-01262-9"},{"key":"2025090510510398000_48.e1.e81.10","unstructured":"Instituto Nacional de Estad\u00edstica Y Geograf\u00eda (INEGI) . 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Available: https:\/\/www.gob.mx\/conapo\/documentos\/indice-de-marginacion-por-entidad-federativa-y-municipio-2015 [Accessed 12 Jan 2021]."},{"key":"2025090510510398000_48.e1.e81.13","doi-asserted-by":"crossref","first-page":"e0192547","DOI":"10.1371\/journal.pone.0192547","article-title":"Who presents past the gestational age limit for first trimester abortion in the public sector in Mexico City?","volume":"13","author":"Saavedra-Avendano","year":"2018","journal-title":"PLoS One"},{"key":"2025090510510398000_48.e1.e81.14","unstructured":"B\u00e1sica SdeE , Mexico Gde , 2021. Available: https:\/\/educacionbasica.sep.gob.mx\/ [Accessed 21 Jan 2021]."},{"key":"2025090510510398000_48.e1.e81.15","unstructured":"Gobierno de Mexico . Servicios Amigables para Adolescentes Salud sexual Y Reproductiva de Adolescentes, 2020. 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