Work

The effect of post-Dobbs abortion bans on abortion access among American Indian and Alaska native women

Year: 2026

Type: article

Abstract: Background American Indian and Alaska Native (AI/AN) women have faced more restricted access to abortion care relative to other women for decades. The Supreme Court's decision in Dobbs v. Jackson Women's Health Organization likely further restricted their access. Data and Methods Using 2021–2023 data from Caitlin Myers' Abortion Access Dashboard, I estimate the effect of post-Dobbs abortion bans on abortion access for AI/AN women by census tract urbanicity. Results Before post-Dobbs abortion bans, rural AI/AN women had an average 1-way travel time to the nearest abortion facility of 129 minutes, significantly greater than the average 1-way travel time for rural non-Hispanic White women (99 minutes; P-value < 0.05). After post-Dobbs abortion bans, the average 1-way travel time for rural AI/AN women increased by 97 minutes (P-value < 0.10). Urban AI/AN women had a shorter travel time at baseline but experienced a larger increase in travel time after Dobbs. Conclusion Post-Dobbs abortion bans further reduced access to abortion care for AI/AN women. While additional research is needed to determine the impact of abortion bans on abortion and birth rates among AI/AN women, the findings presented here may be helpful to Tribal Nations concerned about their citizens' access to abortion care and may inform public policy decisions for this historically underserved population.

Source: Health Affairs Scholar

DOI: 10.1093/haschl/qxag266

Author: Jessica N Monnet

Institution: University of New Mexico

Language: English

Topic: Reproductive Health and Contraception

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Reduced inequalities, Good health and well-being, Gender equality

Open Access status: gold

Estimated APC paid: $3,150