{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:25:41Z","timestamp":1789021541793,"version":"build-2803163510"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p><jats:italic>Roe<\/jats:italic> was overturned in 2022. No peer-reviewed evidence exists for the indirect spillover effects of overturning <jats:italic>Roe<\/jats:italic> on non-abortion reproductive care access for diverse patient populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>National data were from 2013\u20132023 HHS Title X Directory, 2013\u20132020 CDC Artificial Reproductive Technologies (ART) Surveillance and 2021\u20132023 manual collection, and Guttmacher Institute. Outcome measures included numbers of ART clinics and Title X entities. Title X entities are those that receive federal funds to establish and operate voluntary family planning projects, especially for low-income patients. We reported pre-and post-<jats:italic>Roe<\/jats:italic> changes, associations between changes in measures and abortions, and characteristics of changed measures by region and political geography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Post-<jats:italic>Roe<\/jats:italic> America witnessed national declines of 1.03% in ART clinics and 18.34% in Title X entities, and average state decreases of 0.08 ART clinics (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05) and 18 Title X entities (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). State-level ART clinic closures and abortion reductions had little association except for Texas, Oklahoma, Arizona, New York, and California. Plummets in Title X entities and abortions were positively associated: Reducing 100 abortions was associated with defunding two Title X entities (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). The South experienced the largest losses of both, while 83.39% of lost Title X entities were in states that voted Republican in the 2020 presidential election, disproportionate to the 49.02% of states that voted Republican and the 42.52% of US population residing in these states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We provide one of the first few evidence of spillover impacts of overturning <jats:italic>Roe<\/jats:italic> on non-abortion care access for diverse populations: low-income men and women, single parents by choice, and biologically and socially infertile patients. Early evidence warns of worsening challenges of inequities and calls for immediate policy actions.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1309068","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T04:35:29Z","timestamp":1709872529000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Early national trends in non-abortion reproductive care access after Roe"],"prefix":"10.3389","volume":"12","author":[{"given":"Junying","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Zahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel C.","family":"Pang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony S.","family":"Quang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janis","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perry N.","family":"Halkitis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"ref1","volume-title":"Privacy rights under the constitution: Procreation, child rearing, contraception, marriage, and sexual activity","author":"Santamaria","year":"2022"},{"key":"ref2","year":""},{"key":"ref3","volume-title":"State of Oklahoma, 316 U.S. 535","author":"Skinner","year":"1942"},{"key":"ref4","volume-title":"Jackson Women\u2019s health organization, 597 U.S","author":"Dobbs","year":"2022"},{"key":"ref5","year":"2022"},{"key":"ref6","author":"McNutt","year":"2022"},{"key":"ref7","volume-title":"United States senate committee on health, education, labor, and pensions. 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