TY - JOUR AU - Cartwright, Alice F AU - Karunaratne, Mihiri AU - Barr-Walker, Jill AU - Johns, Nicole E AU - Upadhyay, Ushma D PY - 2018 DA - 2018/05/14 TI -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KW -堕胎寻求者KW -生殖健康KW -互联网KW -信息获取KW -信息寻求KW -堕胎患者KW -生殖健康服务KW -信息寻求行为AB -背景:堕胎是一种常见的医疗程序，但在过去的十年中，堕胎在美国的可用性变得越来越有限。不知道去哪里寻求堕胎护理的妇女可以使用互联网查找堕胎设施的信息，在堕胎法律更严格的州，似乎有更多的在线堕胎搜索。虽然以前的研究已经调查了妇女到达堕胎提供者必须走的距离，但据我们所知，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潜在患者的角度描述美国可用的堕胎设施和服务，并确定人们必须最远旅行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。我们记录了设施位置、可提供的堕胎服务类型和设施妊娠限制。然后我们按区域和状态总结频率。如果网上的信息不完整或不清楚，我们使用神秘购物者的方法打电话给该机构，这种方法模拟了病人要求服务的视角。我们还计算了美国所有人口在5万以上的城市到最近的堕胎机构的距离。 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. SN - 1438-8871 UR - //www.mybigtv.com/2018/5/e186/ UR - https://doi.org/10.2196/jmir.9717 UR - http://www.ncbi.nlm.nih.gov/pubmed/29759954 DO - 10.2196/jmir.9717 ID - info:doi/10.2196/jmir.9717 ER -