%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 5% P e186% T确定全国堕胎护理的可用性和与美国主要城市的距离:系统在线搜索%A Cartwright,Alice F %A Karunaratne,Mihiri %A Barr-Walker,Jill %A Johns,Nicole E %A Upadhyay,Ushma D %+生殖健康新标准推进，加州大学旧金山分校妇产科和生殖科学系，1330 Broadway, Suite 1100，加州奥克兰，94612，美国，1 510 986 8946，ushma.upadhyay@ucsf.edu %K堕胎寻求者%K生殖健康%K互联网%K信息获取%K信息寻求%K堕胎患者%K生殖健康服务%K信息寻求行为%D 2018 %7 14.05.2018 %9原始论文%J J医学互联网Res %G英文%X背景:堕胎是一种常见的医疗程序，但在过去十年中，堕胎在美国的可用性变得更加有限。不知道去哪里堕胎护理的妇女可以使用互联网找到堕胎机构的信息，在堕胎法律更严格的州，似乎有更多关于堕胎的在线搜索。虽然以前的研究调查了妇女到达堕胎服务提供者的距离，但据我们所知，还没有研究使用系统的在线搜索来记录堕胎设施的地理位置和服务。目的:我们研究的目的是从在线搜索的潜在患者的角度描述美国的堕胎设施和服务，并确定人们必须前往最远的地方才能获得堕胎护理的美国城市。方法:2017年初，我们对每个州的堕胎设施和每个州最大的城市进行了系统的在线搜索。我们记录了机构的位置，可用的堕胎服务类型，以及机构的妊娠限制。然后我们按地区和州总结了频率。如果在线信息不完整或不清楚，我们会使用神秘购物者方法打电话给该机构，这种方法模拟了寻求服务的患者的视角。 We also calculated distance to the closest abortion facility from all US cities with populations of 50,000 or more. Results: We identified 780 facilities through our online search, with the fewest in the Midwest and South. Over 30% (236/780, 30.3%) of all facilities advertised the provision of medication abortion services only; this proportion was close to 40% in the Northeast (89/233, 38.2%) and West (104/262, 39.7%). The lowest gestational limit at which services were provided was 12 weeks in Wyoming; the highest was 28 weeks in New Mexico. People in 27 US cities must travel over 100 miles (160 km) to reach an abortion facility; the state with the largest number of such cities is Texas (n=10). Conclusions: Online searches can provide detailed information about the location of abortion facilities and the types of services they provide. However, these facilities are not evenly distributed geographically, and many large US cities do not have an abortion facility. Long distances can push women to seek abortion in later gestations when care is even more limited. %M 29759954 %R 10.2196/jmir.9717 %U //www.mybigtv.com/2018/5/e186/ %U https://doi.org/10.2196/jmir.9717 %U http://www.ncbi.nlm.nih.gov/pubmed/29759954