The impact of abortion bans on short-term housing needs

OBJECTIVES

State-level abortion bans in the United States have created a complex legal landscape that forces many prospective patients to travel long distances to access abortion care. The financial strain and logistical difficulties associated with travelling out of state for abortion care may present an insurmountable barrier to some individuals, especially to those with limited resources. Tracking the impact of these abortion bans on travel and housing is crucial for understanding abortion access and economic changes following the Dobbs U.S. Supreme Court decision.

STUDY DESIGN

This study used occupancy data from an average of 2,349,635 (standard deviation = 111,578) U.S. Airbnb listings each month from October 1st, 2020, through April 30th, 2023, to measure the impact of abortion bans on travel for abortion care and the resulting economic effects on regional economies.

METHODS

The study used a synthetic difference-in-differences design to compare monthly-level occupancy rate data from 1-bedroom entire-place Airbnb rentals within a 30-min driving distance of abortion clinics in states with and without abortion bans.

RESULTS

The study found a 1.4 percentage point decrease in occupancy rates of Airbnbs around abortion clinics in states where abortion bans were in effect, demonstrating reductions in Airbnb use in states with bans. In the 6-month period post Dobbs, this decrease translates to 16,548 fewer renters and a $1.87 million loss in revenue for 1-bedroom entire-place Airbnbs within a 30-min catchment area of abortion facilities in states with abortion restrictions.

CONCLUSION

This novel use of Airbnb data provides a unique perspective on measuring demand for abortion and healthcare services and demonstrates the value of this data stream as a tool for understanding economic impacts of health policies.

Implications for women of Louisiana's law requiring abortion providers to have hospital admitting privileges

BACKGROUND

In 2014, Louisiana passed a law requiring abortion providers to have hospital admitting privileges. This law is temporarily on hold while a court case challenging it continues. We aimed to describe the population who would be affected if the law goes into effect and how closures of between three and five Louisiana abortion facilities would affect the distance Louisiana women would need to travel for an abortion.

STUDY DESIGN

We abstracted patient data from three of the five Louisiana abortion care facilities in the year before the law was scheduled to take effect. We then estimated distance traveled and distances women would need to travel if clinics close.

FINDINGS

Half (53%) of women who had an abortion had no education beyond high school, most were black (62%) or white (30%), three fourths (73%) had a previous live birth, and most (89%) were having a first-trimester abortion. Seventy-nine percent resided in Louisiana and 15% in Texas. The parishes in which abortion patients resided had lower median income and higher percentage poverty than the Louisiana average. Abortion patients residing in Louisiana traveled a mean distance of 58 miles each way for an abortion. If all Louisiana facilities close, the mean distance women would need to travel would more than triple to 208 miles, and the proportion of Louisiana women of reproductive age who live more than 150 miles from an abortion facility would increase from 1% to 72%.

CONCLUSION

The admitting privileges law will likely significantly increase the distance Louisiana women need to travel for an abortion. This burden is likely to disproportionately affect Louisiana's more vulnerable residents.

IMPLICATIONS

If all Louisiana abortion facilities close due to Louisiana's hospital admitting privileges law, the mean distance women would need to travel for an abortion would more than triple from 58 to 208 miles. Louisiana's law would thus present a considerable burden on many Louisiana women, particularly those who are more vulnerable.

MST responses to pursuit across optic flow with motion parallax

Self-movement creates the patterned visual motion of optic flow with a focus of expansion (FOE) that indicates heading direction. During pursuit eye movements, depth cues create a retinal flow field that contains multiple FOEs, potentially complicating heading perception. Paradoxically, human heading perception during pursuit is improved by depth cues. We have studied medial superior temporal (MST) neurons to see whether their heading selectivity is also improved under these conditions. The responses of 134 MST neurons were recorded during the presentation of optic flow stimuli containing one or three speed-defined depth planes. During pursuit, multiple depth-plane stimuli evoked larger responses (71% of neurons) and stronger heading selectivity (70% of neurons). Responses to the three speed-defined depth-planes presented separately showed that most neurons (54%) preferred one of the planes. Responses to multiple depth-plane stimuli were larger than the averaged responses to the three component planes, suggesting enhancing interactions between depth-planes. Thus speed preferences create selective responses to one of many depth-planes in the retinal flow field. The presence of multiple depth-planes enhances those responses. These properties might improve heading perception during pursuit and contribute to relative depth perception.