Clinic Adaptations and Changes in Abortion Use After Dobbs in Illinois, July 2021–June 2023

Bibliographic Data

ID11020429
AuthorsMikaela H Smith (0000-0001-5658-4808, Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Danielle Young (0009-0005-8051-5892, Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Hanz Dismer (0009-0000-5089-6288, Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Valla Diskin (Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Lee Hasselbacher (0000-0002-6634-8996, Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Katherine Rivlin (0000-0002-0454-3534, Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Danielle Bessett (0000-0002-8743-368X, Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Alison H Norris (Mikaela H. Smith and Alison H. Norris are with the Division of Epidemiology, College of Public Health, The Ohio State University, Columbus. At the time of the study, Danielle Young was with Planned Parenthood of Illinois, Chicago. Hanz Dismer and Valla Diskin are with Hope Clinic, Granite City, IL. Lee Hasselbacher and Katherine Rivlin are with the Department of Obstetrics & Gynecology, University of Chicago Medicine, Chicago, IL. Danielle Bessett is with the Sociology Department, University of Cincinnati), Alison Norris (Planned Parenthood)
Year2025
Volume116
Issue3
Pagese1-e9
Publication date2025-10-16
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2025.308273
PMID41100803
OpenAlexW4415252411
LanguageEN
References cited13

Objectives. To assess changes in abortion service delivery in Illinois after the Dobbs v Jackson Women’s Health Organization decision. Methods. We used data from a monthly survey of 2 Illinois abortion providers that provide half of Illinois’s abortions. We collected data from 2021 to 2023 on abortion counts, overall and stratified by method, gestation duration, and patient state. We compared pre- and post- Dobbs findings. Results. A total of 24 071 abortions took place from July 2021 to June 2022 and 32 579 from July 2022 to June 2023. This 35% increase was driven by a 191% increase in out-of-state patients. Medication abortions increased by 22%, procedural abortions by 53%, and abortions occurring at 12 weeks or later by 75%. Conclusions. After Dobbs, 2 large Illinois abortion providers increasingly offered care to out-of-state patients and patients presenting at later gestations while maintaining in-state abortion rates. Public Health Implications. Policymakers in states where abortion remains legal can anticipate increased demand for care when other states restrict abortion. By passing legislation to protect access to medication and procedural abortions and abortions later in pregnancy, they can support facilities in meeting patient needs. ( Am J Public Health. Published online ahead of print October 16, 2025:e1–e9. https://doi.org/10.2105/AJPH.2025.308273 )

Abortion · Family planning · Gestation · Induced Abortions · Legislation · Pregnancy · Public health · Reproductive health · Assisted Reproductive Technology and Twin Pregnancy · Reproductive Health and Contraception · Reproductive Health and Technologies

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