scholarly journals Sociodemographic and Service Use Characteristics of Abortion Fund Cases from Six States in the U.S. Southeast

Author(s):  
Whitney S. Rice ◽  
Katie Labgold ◽  
Quita Tinsley Peterson ◽  
Megan Higdon ◽  
Oriaku Njoku

Abortion funds are key actors in mitigating barriers to abortion access, particularly in contexts where state-level abortion access restrictions are concentrated. Using 2017–2019 case management data from a regional abortion fund in the southeastern U.S., we described the sociodemographic and service use characteristics of cases overall (n = 9585) and stratified by state of residence (Alabama, Florida, Georgia, Mississippi, South Carolina, and Tennessee). Overall, cases represented people seeking abortion fund assistance who predominately identified as non-Hispanic Black (81%), 18–34 years of age (84%), publicly or uninsured (87%), having completed a high school degree or some college (70%), having one or more children (77%), and as Christian (58%). Most cases involved an in-state clinic (81%), clinic travel distance under 50 miles (63%), surgical abortion (66%), and pregnancy under 13 weeks’ gestation (73%), with variation across states. The median abortion fund contribution pledge was $75 (interquartile range (IQR): 60–100), supplementing median caller contributions of $200 (IQR: 40–300). These data provide a unique snapshot of a population navigating disproportionate, intersecting barriers to abortion access, and abortion fund capacity for social care and science. Findings can inform abortion fund development, data quality improvement efforts, as well as reproductive health, rights and justice advocacy, policy, and research.

Land ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 309
Author(s):  
Elena A. Mikhailova ◽  
Hamdi A. Zurqani ◽  
Christopher J. Post ◽  
Mark A. Schlautman ◽  
Gregory C. Post ◽  
...  

Sustainable management of soil carbon (C) at the state level requires valuation of soil C regulating ecosystem services (ES) and disservices (ED). The objective of this study was to assess the value of regulating ES from soil organic carbon (SOC), soil inorganic carbon (SIC), and total soil carbon (TSC) stocks, based on the concept of the avoided social cost of carbon dioxide (CO2) emissions for the state of South Carolina (SC) in the United States of America (U.S.A.) by soil order, soil depth (0–200 cm), region and county using information from the State Soil Geographic (STATSGO) database. The total estimated monetary mid-point value for TSC in the state of South Carolina was $124.36B (i.e., $124.36 billion U.S. dollars, where B = billion = 109), $107.14B for SOC, and $17.22B for SIC. Soil orders with the highest midpoint value for SOC were: Ultisols ($64.35B), Histosols ($11.22B), and Inceptisols ($10.31B). Soil orders with the highest midpoint value for SIC were: Inceptisols ($5.91B), Entisols ($5.53B), and Alfisols ($5.0B). Soil orders with the highest midpoint value for TSC were: Ultisols ($64.35B), Inceptisols ($16.22B), and Entisols ($14.65B). The regions with the highest midpoint SOC values were: Pee Dee ($34.24B), Low Country ($32.17B), and Midlands ($29.24B). The regions with the highest midpoint SIC values were: Low Country ($5.69B), Midlands ($5.55B), and Pee Dee ($4.67B). The regions with the highest midpoint TSC values were: Low Country ($37.86B), Pee Dee ($36.91B), and Midlands ($34.79B). The counties with the highest midpoint SOC values were Colleton ($5.44B), Horry ($5.37B), and Berkeley ($4.12B). The counties with the highest midpoint SIC values were Charleston ($1.46B), Georgetown ($852.81M, where M = million = 106), and Horry ($843.18M). The counties with the highest midpoint TSC values were Horry ($6.22B), Colleton ($6.02B), and Georgetown ($4.87B). Administrative areas (e.g., counties, regions) combined with pedodiversity concepts can provide useful information to design cost-efficient policies to manage soil carbon regulating ES at the state level.


2010 ◽  
Vol 6 (1) ◽  
pp. 970868 ◽  
Author(s):  
G. W. Eidson ◽  
S. T. Esswein ◽  
J. B. Gemmill ◽  
J. O. Hallstrom ◽  
T. R. Howard ◽  
...  

Water resources are under unprecedented strain. The combined effects of population growth, climate change, and rural industrialization have led to greater demand for an increasingly scarce resource. Ensuring that communities have adequate access to water—an essential requirement for community health and prosperity—requires finegrained management policies based on real-time in situ data, both environmental and hydrological. To address this requirement at the state level, we have developed the South Carolina Digital Watershed, an end-to-end system for monitoring water resources. In this paper, we describe the design and implementation of the core system components: (i) in situ sensing hardware, (ii) collection and uplink facilities, (iii) data streaming middleware, and (iv) back-end repository and presentation services. We conclude by discussing key organizational and technical challenges encountered during the development process.


2017 ◽  
Vol 22 (2) ◽  
pp. 109-115 ◽  
Author(s):  
Chris Hatton

Purpose The purpose of this paper is to compare data from national social care statistics on day services and home care for people with learning disabilities across England, Scotland, Wales and Northern Ireland. Design/methodology/approach National social care statistics (England, Scotland, Wales and Northern Ireland) reporting the number of adults with learning disabilities accessing day services and home care were reviewed, with data extracted on trends over time and rate of service use. Findings Regarding day services, despite some variations in definitions, the number of adults with learning disabilities in England, Scotland and Wales (but not Northern Ireland) using building-based day services decreased over time. Data from Scotland also indicate that adults with learning disabilities are spending less time in building-based day services, with alternative day opportunities not wholly compensating for the reduction in building-based day services. Regarding home care, there are broadly similar rates of usage across the four parts of the UK, with the number of adults with learning disabilities using home care now staying static or decreasing. Social implications Similar policy ambitions across the four parts of the UK have resulted (with the exception of Northern Ireland) in similar trends in access to day services and home care. Originality/value This paper is a first attempt to compare national social care statistics concerning day services and home care for adults with learning disabilities across the UK. With increasing divergence of health and social service systems, further comparative analyses of services for people with learning disabilities are needed.


2017 ◽  
Vol 32 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Caroline Shulman ◽  
Briony F Hudson ◽  
Joseph Low ◽  
Nigel Hewett ◽  
Julian Daley ◽  
...  

Background: Being homeless or vulnerably housed is associated with death at a young age, frequently related to medical problems complicated by drug or alcohol dependence. Homeless people experience high symptom burden at the end of life, yet palliative care service use is limited. Aim: To explore the views and experiences of current and formerly homeless people, frontline homelessness staff (from hostels, day centres and outreach teams) and health- and social-care providers, regarding challenges to supporting homeless people with advanced ill health, and to make suggestions for improving care. Design: Thematic analysis of data collected using focus groups and interviews. Participants: Single homeless people ( n = 28), formerly homeless people ( n = 10), health- and social-care providers ( n = 48), hostel staff ( n = 30) and outreach staff ( n = 10). Results: This research documents growing concern that many homeless people are dying in unsupported, unacceptable situations. It highlights the complexities of identifying who is palliative and lack of appropriate places of care for people who are homeless with high support needs, particularly in combination with substance misuse issues. Conclusion: Due to the lack of alternatives, homeless people with advanced ill health often remain in hostels. Conflict between the recovery-focused nature of many services and the realities of health and illness for often young homeless people result in a lack of person-centred care. Greater multidisciplinary working, extended in-reach into hostels from health and social services and training for all professional groups along with more access to appropriate supported accommodation are required to improve care for homeless people with advanced ill health.


1999 ◽  
Vol 14 (4) ◽  
pp. 186-188 ◽  
Author(s):  
S. Priebe ◽  
P. Huxley ◽  
T. Burns

SummaryThe idea of assessing needs both in individuals and in populations is popular in health and social care, but has serious conceptual shortcomings. The concept of needs does not distinguish between the identification of a problem and its solution. It inhibits a consideration of the probabilities as to how effective various interventions may be in any given case — nor does it reflect the iterative process that is the reality of most health and social care. It does not specify goals and oversimplifies evaluation of outcome because it does not take into account different degrees of change. In assessing population needs, there is the special risk of equating service use with service need, thereby entrenching the status quo. Instead of assessing needs, it is proposed that we identify problems, specify goals and choose interventions on the basis of probabilities of effectiveness. The outcome of any given intervention can be repeatedly reviewed with respect to its goals, and priorities may be reset accordingly.


2020 ◽  
Author(s):  
Paiheng Xu ◽  
Mark Dredze ◽  
David A Broniatowski

BACKGROUND Social distancing is an important component of the response to the COVID-19 pandemic. Minimizing social interactions and travel reduces the rate at which the infection spreads and “flattens the curve” so that the medical system is better equipped to treat infected individuals. However, it remains unclear how the public will respond to these policies as the pandemic continues. OBJECTIVE The aim of this study is to present the Twitter Social Mobility Index, a measure of social distancing and travel derived from Twitter data. We used public geolocated Twitter data to measure how much users travel in a given week. METHODS We collected 469,669,925 tweets geotagged in the United States from January 1, 2019, to April 27, 2020. We analyzed the aggregated mobility variance of a total of 3,768,959 Twitter users at the city and state level from the start of the COVID-19 pandemic. RESULTS We found a large reduction (61.83%) in travel in the United States after the implementation of social distancing policies. However, the variance by state was high, ranging from 38.54% to 76.80%. The eight states that had not issued statewide social distancing orders as of the start of April ranked poorly in terms of travel reduction: Arkansas (45), Iowa (37), Nebraska (35), North Dakota (22), South Carolina (38), South Dakota (46), Oklahoma (50), Utah (14), and Wyoming (53). We are presenting our findings on the internet and will continue to update our analysis during the pandemic. CONCLUSIONS We observed larger travel reductions in states that were early adopters of social distancing policies and smaller changes in states without such policies. The results were also consistent with those based on other mobility data to a certain extent. Therefore, geolocated tweets are an effective way to track social distancing practices using a public resource, and this tracking may be useful as part of ongoing pandemic response planning.


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