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Dryad

Abortion changes among residents of an abortion rights protective state

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Jan 21, 2026 version files 3.18 KB

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Abstract

We sought to study the association of Texas' SB8 and changes to abortion for Colorado residents using data from the Colorado Department of Public Health and Environment Generalized linear Quasi-Poisson regression was used in interrupted time series models, adjusting for time using both a linear term for long term trends and a harmonic term for seasonality, setting the interruption point for each model where significant changes in legal access occurred. The interruption point for the Texas analysis is set at September 2021 plus a 3-month lag-to-effect.

After Texas implemented a 6 week ban, Colorado residents experienced increased demand for procedures in the second trimester and were 83% more likely to have procedures in that trimester when compared to the time period before the change in Texas law. Rate Ratio (RR):1.83, 95% confidence interval (CI): 1.55-2.17. 

This study found changes in in-state resident demand for abortion was associated with Texas SB8.  from restrictions on abortion access may stretch across jurisdictional boundaries and affect residents’ abortion access even in protective states such as Colorado. A likely explanation for this impact on Colorado residents is that the increased demand for procedures from out-of-state residents resulted in delayed appointments. Potential consequences of delayed procedures for in-state residents may include increased cost, increased complexity of the procedure with shift to surgical abortion versus medication abortion, the emotional toll of waiting longer, and the potential for having a pregnancy revealed that otherwise would not have been, which may be dangerous for those in abusive relationships.