Number of induced abortions, rates per 1,000 females aged 15 to 44, and ratios per 100 live births, by residence of patient (Canada, province or territory, non-resident of Canada, and abortions reported by American states), by type of facility (hospital or clinic), 1970 to 2000.

Number of induced abortions, by area of report (Canada, province or territory, and abortions reported by American states), by type of facility performing the abortion (hospital or clinic), 1970 to 2006.

ObjectiveTo determine which characteristics and circumstances were associated with very early and second-trimester abortion.MethodsPaper and pencil surveys were collected from a national sample of 8,380 non-hospital U.S. abortion patients in 2014 and 2015. We used self-reported LMP to calculate weeks gestation; when LMP was not provided we used self-reported weeks pregnant. We constructed two dependent variables: obtaining a very early abortion, defined as six weeks gestation or earlier, and obtaining second-trimester abortion, defined as occurring at 13 weeks gestation or later. We examined associations between the two measures of gestation and a range of characteristics and circumstances, including type of abortion waiting period in the patients’ state of residence.ResultsAmong first-trimester abortion patients, characteristics that decreased the likelihood of obtaining a very early abortion include being under the age of 20, relying on financial assistance to pay for the procedure, recent exposure to two or more disruptive events and living in a state that requires in-person counseling 24–72 hours prior to the procedure. Having a college degree and early recognition of pregnancy increased the likelihood of obtaining a very early abortion. Characteristics that increased the likelihood of obtaining a second-trimester abortion include being Black, having less than a high school degree, relying on financial assistance to pay for the procedure, living 25 or more miles from the facility and late recognition of pregnancy.ConclusionsWhile the availability of financial assistance may allow women to obtain abortions they would otherwise be unable to have, it may also result in delays in accessing care. If poor women had health insurance that covered abortion services, these delays could be alleviated. Since the study period, four additional states have started requiring that women obtain in-person counseling prior to obtaining an abortion, and the increase in these laws could slow down the trend in very early abortion.

On June 24, 2022, the United States Supreme Court overturned landmark rulings made in its 1973 verdict in Roe v. Wade. The justices by way of a majority vote in Dobbs v. Jackson Women's Health Organization, decided that abortion wasn't a constitutional right and returned the issue of abortion to the elected representatives. This decision triggered multiple protests and debates across the US, especially in the context of the midterm elections in November 2022. Given that many citizens use social media platforms to express their views and mobilize for collective action, and given that online debate provides tangible effects on public opinion, political participation, news media coverage, and the political decision-making, it is crucial to understand online discussions surrounding this topic. Toward this end, we present the first large-scale Twitter dataset collected on the abortion rights debate in the United States. We present a set of 74M tweets systematically collected over the course of one year from January 1, 2022 to January 6, 2023.