Tuesday, June 16, 2020

Study Examines The Lasting Effects Of Having — Or Being Denied — An Abortion

In The Turnaway Study, Diana Greene Foster shares research conducted over 10 years with about 1,000 women who had or were denied abortions, tracking impacts on mental, physical and economic health. (...)

This is FRESH AIR. I'm Terry Gross. When Mike Pence was running for vice president, he said, if we appoint strict constructionists to the Supreme Court, as Donald Trump intends to do, I believe we will see Roe v. Wade consigned to the ash heap of history where it belongs. Since then, Trump has appointed two conservative justices. The arguments used against abortion often refer to the medical risks of the procedure and the guilt and loss of self-esteem suffered by women who have abortions.

In order to explore what the impact of abortion is on women's health and women's lives, my guest, Diana Greene Foster, became the principal investigator of a 10-year study comparing women who had abortions at the end of the deadline allowed by the clinic and those who just missed the deadline and were turned away. The study focuses on the emotional health and socioeconomic outcomes for women who received a wanted abortion and those who were denied one.

Her goal is for judges and policymakers to understand what banning abortion would mean for women and children. The results of the study are published in Foster's new book "The Turnaway Study: Ten Years, A Thousand Women, And The Consequences Of Having - Or Being Denied - An Abortion." Turnaway refers to the women who were turned away from having an abortion. Foster is a professor at the University of California, San Francisco in the department of obstetrics, gynecology and reproductive sciences.

Diana Greene Foster, welcome to FRESH AIR. Before we get to the results of the study, what impact do you think the pandemic is having on access to abortion?

DIANA GREENE FOSTER: Thank you for having me. The pandemic has definitely made abortion a lot harder for women to access in certain states. There were a handful of states that tried to declare that abortion wasn't an essential service. And that shut down clinics. And then a judge would put a hold on that. And they would open. But then they would have too many people waiting. And they couldn't see everyone. It was, I think, particularly a nightmare in Texas, with a lot of people unable to be seen and people traveling hundreds of miles at a time when they should've been able to shelter in place.

GROSS: So why did you want to do this study comparing women who had abortions at the end of the deadline allowed by the clinic and women who just missed the deadline and were turned away?

FOSTER: The idea that abortion hurts women has been put forth by people who are opposed to abortion. And it really has resonated. So state governments have imposed restrictions in response to the idea that abortion hurts women, so telling clinics that they have to counsel women on the harms of abortion. And that idea made it all the way up to the Supreme Court so that Justice Kennedy, in 2007, used the idea that abortion hurts women as an excuse - or as a reason - for banning one procedure.

And what he said in 2007 was that while we find no reliable data to measure the phenomenon, it seems unexceptionable to conclude that some women come to regret their choice to abort the infant life they once created and sustained. Severe depression and loss of esteem can follow. And critics of this statement have said this is patronizing that women would need to be protected from their own decisions.

But the one thing I like about this quote is that he admits that there aren't reliable data. And so my goal with the Turnaway Study was to create reliable data, so have a scientific study where the two groups of women are similar. But their outcomes are different because one group received an abortion and one was denied.

by Terry Gross, NPR |  Read more:
Image: The Turnaway Study