Structural and social determinants of abortion care in Washington state before and after Dobbs
Abortion
Awarded 2024
Emerging Scholars in Family Planning
Taylor Riley, PhD, MPH
University of North Carolina
$5,113

“Taylor (she/her) is a postdoctoral trainee at the Carolina Population Center at the University of North Carolina. She uses community-engaged and mixed methods research approaches to examine structural and policy determinants of reproductive health inequities. She received her PhD in epidemiology with a certificate in demography from the University of Washington and her MPH from Columbia University Mailman School of Public Health. She previously worked at the Guttmacher Institute conducting global research on abortion, unintended pregnancy, contraception, and maternal health.

Taylor’s project will utilize spatial linkages of clinical and administrative data to characterize the structural and social determinants of abortion care in Washington state before and after the Supreme Court Dobbs decision. While structural and social determinants of health (SSDOH) are recognized as important factors influencing reproductive health outcomes, there is little empirical evidence on the role of these factors in abortion care both before and after Dobbs. In collaboration with a high-volume reproductive health care clinic network in Washington, this project proposes integrating area-level SSDOH data with individual-level clinical data on abortion care. We will develop measures characterizing neighborhood-level SSDOH for all individuals seeking abortion care at this clinic network in order to examine the multilevel contextual factors influencing abortion timing and type of care received and how this might be changing after Dobbs. This proposed project will contribute crucial information on the multilevel structural and socioeconomic determinants of abortion care which will help inform programmatic and policy strategies to improve abortion access in the post-Dobbs context.”