1 00:00:02,910 --> 00:00:04,960 Hi guys, my name is 2 00:00:04,960 --> 00:00:06,325 Juliana and then spend ALL. 3 00:00:06,325 --> 00:00:08,500 And my research title is a compared to stay 4 00:00:08,500 --> 00:00:09,820 policy analysis of 5 00:00:09,820 --> 00:00:11,950 sexual health bills concerning abortion, 6 00:00:11,950 --> 00:00:13,900 maternal mortality, postpartum depression, 7 00:00:13,900 --> 00:00:16,150 and Medicaid in the US. 8 00:00:16,150 --> 00:00:18,280 So first off, I would like 9 00:00:18,280 --> 00:00:19,780 to start off with an acknowledgment. 10 00:00:19,780 --> 00:00:21,850 I would like to express my special thanks 11 00:00:21,850 --> 00:00:23,620 to Dr. city less than OLS gives us man, 12 00:00:23,620 --> 00:00:25,180 who's now an assistant professor 13 00:00:25,180 --> 00:00:26,860 in the Department of Family Medicine at all. 14 00:00:26,860 --> 00:00:28,450 I assume she give 15 00:00:28,450 --> 00:00:29,900 me a support and guidance I needed 16 00:00:29,900 --> 00:00:31,450 to continue and be on the right track 17 00:00:31,450 --> 00:00:34,015 to finish this research project. 18 00:00:34,015 --> 00:00:36,430 So the first thing I would like 19 00:00:36,430 --> 00:00:37,660 Taobao is a purpose 20 00:00:37,660 --> 00:00:39,070 second, research question. 21 00:00:39,070 --> 00:00:40,555 Third, methods or 22 00:00:40,555 --> 00:00:43,315 preliminary results and discussion. 23 00:00:43,315 --> 00:00:45,250 So first off, his purpose. 24 00:00:45,250 --> 00:00:47,420 So why is this topic important? 25 00:00:47,520 --> 00:00:51,265 So we know that where you live matters. 26 00:00:51,265 --> 00:00:52,960 Woman of color have faced 27 00:00:52,960 --> 00:00:55,435 a long history of sexual health injustices. 28 00:00:55,435 --> 00:00:57,430 Racial inferiority exacerbates 29 00:00:57,430 --> 00:00:59,590 discriminatory health care practices. 30 00:00:59,590 --> 00:01:01,450 Woman of color face additional barriers 31 00:01:01,450 --> 00:01:02,605 and accessing 32 00:01:02,605 --> 00:01:04,645 high-quality reproductive health care free 33 00:01:04,645 --> 00:01:07,135 from race bias and discriminatory policies. 34 00:01:07,135 --> 00:01:08,860 We know from research that where 35 00:01:08,860 --> 00:01:12,310 you impacts birth outcomes, 36 00:01:12,310 --> 00:01:14,620 state policies impact access, 37 00:01:14,620 --> 00:01:17,140 eligibility and resources. 38 00:01:17,140 --> 00:01:22,465 So these are four categories of interests. 39 00:01:22,465 --> 00:01:25,360 And there are, these categories are the 40 00:01:25,360 --> 00:01:27,290 most and how the most policies 41 00:01:27,290 --> 00:01:28,220 created about them and this 42 00:01:28,220 --> 00:01:29,735 is why we focus on them. 43 00:01:29,735 --> 00:01:32,660 The biggest one, the biggest one 44 00:01:32,660 --> 00:01:34,940 that these states focus on would be abortion. 45 00:01:34,940 --> 00:01:38,840 So abortion is the deliberate termination of 46 00:01:38,840 --> 00:01:41,030 a human pregnancy most often performed during 47 00:01:41,030 --> 00:01:43,520 the first 28 weeks of pregnancy. 48 00:01:43,520 --> 00:01:44,900 Maternal mortality is 49 00:01:44,900 --> 00:01:46,910 the pregnancy related death of 50 00:01:46,910 --> 00:01:48,920 a woman while pregnant 51 00:01:48,920 --> 00:01:50,540 or within one year of the end, 52 00:01:50,540 --> 00:01:52,400 a pregnancy from any cause related 53 00:01:52,400 --> 00:01:55,385 to or aggravated by the pregnancy. 54 00:01:55,385 --> 00:01:57,320 Third is postpartum depression. 55 00:01:57,320 --> 00:01:59,420 This is a complex mix up physical, emotional, 56 00:01:59,420 --> 00:02:00,800 and behavioral changes that happen 57 00:02:00,800 --> 00:02:02,810 in some women after giving birth. 58 00:02:02,810 --> 00:02:04,730 Fourth is Medicaid, 59 00:02:04,730 --> 00:02:07,070 created in 960 for Medicaid is 60 00:02:07,070 --> 00:02:08,270 a public insurance program 61 00:02:08,270 --> 00:02:09,650 that provides health coverage to 62 00:02:09,650 --> 00:02:11,315 low income families 63 00:02:11,315 --> 00:02:13,550 and individuals including children, 64 00:02:13,550 --> 00:02:15,320 parents, pregnant women, seniors, 65 00:02:15,320 --> 00:02:17,015 and people with disabilities. 66 00:02:17,015 --> 00:02:20,600 So research question. So what does our focus? 67 00:02:20,600 --> 00:02:24,125 So our focus, we have two research questions. 68 00:02:24,125 --> 00:02:25,010 So the first one and 69 00:02:25,010 --> 00:02:26,255 what bills are being introduced 70 00:02:26,255 --> 00:02:27,590 pass and what are 71 00:02:27,590 --> 00:02:29,240 the four categories of interests, 72 00:02:29,240 --> 00:02:31,310 which is a portion I'm torn to mortality, 73 00:02:31,310 --> 00:02:32,855 paternal depression, and Medicaid. 74 00:02:32,855 --> 00:02:34,985 And our second is what builds use Rachel, 75 00:02:34,985 --> 00:02:35,690 I think language to 76 00:02:35,690 --> 00:02:37,700 address women's sexual health. 77 00:02:37,700 --> 00:02:40,580 So background information. 78 00:02:40,580 --> 00:02:43,115 What else do you need to know? 79 00:02:43,115 --> 00:02:47,270 So abortion, abortion, access to abortion 80 00:02:47,270 --> 00:02:48,740 as fundamentally linked to 81 00:02:48,740 --> 00:02:49,940 protecting and upholding 82 00:02:49,940 --> 00:02:51,020 the human rights of women, 83 00:02:51,020 --> 00:02:51,920 girls, and others who 84 00:02:51,920 --> 00:02:53,030 can become pregnant and thus 85 00:02:53,030 --> 00:02:55,460 achieving social and gender justice. 86 00:02:55,460 --> 00:02:57,770 Human rights law clearly spells out that 87 00:02:57,770 --> 00:03:00,215 decisions about your body are yours alone. 88 00:03:00,215 --> 00:03:02,345 This is known as bodily autonomy. 89 00:03:02,345 --> 00:03:03,860 So forcing someone to carry on 90 00:03:03,860 --> 00:03:05,690 an unwanted pregnancy or forcing them in 91 00:03:05,690 --> 00:03:07,145 the stucco and unsafe abortion 92 00:03:07,145 --> 00:03:09,035 is a violation of their human rights, 93 00:03:09,035 --> 00:03:10,580 including the right to privacy 94 00:03:10,580 --> 00:03:12,440 and bodily autonomy. 95 00:03:12,440 --> 00:03:14,629 The World Health Organization, 96 00:03:14,629 --> 00:03:16,190 WHO estimates that 97 00:03:16,190 --> 00:03:17,810 25 million unsafe abortions 98 00:03:17,810 --> 00:03:19,550 take place each year. 99 00:03:19,550 --> 00:03:21,140 And these unsafe abortion 100 00:03:21,140 --> 00:03:23,135 can have fatal consequences. 101 00:03:23,135 --> 00:03:25,010 Um, according to WHO, unsafe abortions 102 00:03:25,010 --> 00:03:25,130 are 103 00:03:25,130 --> 00:03:26,720 the third leading cause of maternal deaths 104 00:03:26,720 --> 00:03:28,340 worldwide and lead to an additional 5 105 00:03:28,340 --> 00:03:31,475 million largely preventable disability. 106 00:03:31,475 --> 00:03:33,740 So much for mortality, that 107 00:03:33,740 --> 00:03:35,480 pregnancy-related mortality ratio, 108 00:03:35,480 --> 00:03:36,395 PR and more, 109 00:03:36,395 --> 00:03:39,785 and 2007 to 2016, according to the CDC, 110 00:03:39,785 --> 00:03:41,630 was significantly higher related to women of 111 00:03:41,630 --> 00:03:44,390 color compared to that of white women. 112 00:03:44,390 --> 00:03:46,100 These numbers are rising quickly with 113 00:03:46,100 --> 00:03:47,825 the growing population of women of color. 114 00:03:47,825 --> 00:03:49,760 And the most recent study by 115 00:03:49,760 --> 00:03:51,170 the catalyst one in five 116 00:03:51,170 --> 00:03:53,180 Americans is a woman of color. 117 00:03:53,180 --> 00:03:54,380 Not only that, but it is 118 00:03:54,380 --> 00:03:55,700 predicted that one we'll call would be 119 00:03:55,700 --> 00:03:58,040 the majority of all women by the year 2060, 120 00:03:58,040 --> 00:03:59,330 which only supports some more 121 00:03:59,330 --> 00:04:01,010 research needs to be conducted 122 00:04:01,010 --> 00:04:02,450 for these women because there's 123 00:04:02,450 --> 00:04:05,370 such a big part of our society. 124 00:04:05,560 --> 00:04:08,710 So Medicaid is just a, 125 00:04:08,710 --> 00:04:11,315 just a across 18% to 37 percent 126 00:04:11,315 --> 00:04:12,890 of Medicaid eligible woman 127 00:04:12,890 --> 00:04:14,750 continue unwanted pregnancy to 128 00:04:14,750 --> 00:04:15,560 term when use of 129 00:04:15,560 --> 00:04:16,610 Medicaid funding for 130 00:04:16,610 --> 00:04:18,395 an abortion was restricted. 131 00:04:18,395 --> 00:04:19,760 It is funded jointly by 132 00:04:19,760 --> 00:04:21,860 the federal government and the states. 133 00:04:21,860 --> 00:04:24,140 States have a great deal of flexibility in 134 00:04:24,140 --> 00:04:26,224 designing and a mist strain their programs. 135 00:04:26,224 --> 00:04:28,940 Each state operates its own Medicaid program 136 00:04:28,940 --> 00:04:30,665 with within federal guidelines. 137 00:04:30,665 --> 00:04:31,430 As a result, 138 00:04:31,430 --> 00:04:33,830 Medicaid eligibility and benefits 139 00:04:33,830 --> 00:04:36,155 can and often do 140 00:04:36,155 --> 00:04:38,630 widely vary from state to state. 141 00:04:38,630 --> 00:04:40,790 And this is very important. 142 00:04:40,790 --> 00:04:44,090 So postpartum depression, this is, 143 00:04:44,090 --> 00:04:46,700 this depression is a common serious illness. 144 00:04:46,700 --> 00:04:47,990 Cdc research shows that 145 00:04:47,990 --> 00:04:49,460 nationally about one in eight women 146 00:04:49,460 --> 00:04:50,750 experience these symptoms 147 00:04:50,750 --> 00:04:52,220 of postpartum depression. 148 00:04:52,220 --> 00:04:54,170 Estimates of the number of women affected by 149 00:04:54,170 --> 00:04:56,345 post-war depression differ by age, 150 00:04:56,345 --> 00:04:59,300 race, ethnicity, and race and ethnicity. 151 00:04:59,300 --> 00:04:59,900 Additionally, 152 00:04:59,900 --> 00:05:02,120 postpartum depression estimates vary by 153 00:05:02,120 --> 00:05:03,350 state and can be as 154 00:05:03,350 --> 00:05:06,200 high as one in five women. 155 00:05:06,200 --> 00:05:09,110 And again, they all vary by state. 156 00:05:09,110 --> 00:05:11,945 So methods, how did we study this? 157 00:05:11,945 --> 00:05:14,600 So we examined official state 158 00:05:14,600 --> 00:05:17,360 legislative websites for all 50 US states, 159 00:05:17,360 --> 00:05:19,160 excluding US territories. 160 00:05:19,160 --> 00:05:20,420 So and these pictures 161 00:05:20,420 --> 00:05:21,830 shows like all the states that we looked at, 162 00:05:21,830 --> 00:05:23,660 the policies, all of 163 00:05:23,660 --> 00:05:25,055 the state legislative website. 164 00:05:25,055 --> 00:05:26,675 For each one individually. 165 00:05:26,675 --> 00:05:29,630 So we look that to the sorry, 166 00:05:29,630 --> 00:05:33,800 we looked at the year 2019 to 2020, 167 00:05:33,800 --> 00:05:36,140 which is mostly we say complete a record. 168 00:05:36,140 --> 00:05:38,570 So it goes like kinda before COVID like this, 169 00:05:38,570 --> 00:05:39,770 we'll still like normal time. 170 00:05:39,770 --> 00:05:42,020 Do you know? And how do we do this? 171 00:05:42,020 --> 00:05:43,355 We use key terms 172 00:05:43,355 --> 00:05:45,290 such as abortion and maternal mortality. 173 00:05:45,290 --> 00:05:46,310 Post-war depression, 174 00:05:46,310 --> 00:05:47,825 Medicaid is sexual health, 175 00:05:47,825 --> 00:05:50,075 pregnancy, women of color and health. 176 00:05:50,075 --> 00:05:52,010 We try bills introduced that were 177 00:05:52,010 --> 00:05:53,150 introduced pass in or we took 178 00:05:53,150 --> 00:05:55,470 for all four categories. 179 00:05:56,410 --> 00:05:59,195 Okay? And so next, 180 00:05:59,195 --> 00:06:01,490 this is I got data table of the number of 181 00:06:01,490 --> 00:06:02,960 policies and the four categories 182 00:06:02,960 --> 00:06:04,325 in each of the 50, 183 00:06:04,325 --> 00:06:06,230 in each of the 50 US states. 184 00:06:06,230 --> 00:06:09,320 So so it's a little hard to read, 185 00:06:09,320 --> 00:06:11,420 but the total number of policies 186 00:06:11,420 --> 00:06:14,105 created for all 50 states or abortion, 187 00:06:14,105 --> 00:06:15,650 I did up to a total of 300 188 00:06:15,650 --> 00:06:17,270 and a maternal mortality, 189 00:06:17,270 --> 00:06:19,340 96, Medicaid 28, 190 00:06:19,340 --> 00:06:21,410 and postpartum depression 45. 191 00:06:21,410 --> 00:06:25,070 So this is like crazy because for 192 00:06:25,070 --> 00:06:28,370 some states like New Hampshire, 193 00:06:28,370 --> 00:06:29,630 Rhode Island, South Carolina, 194 00:06:29,630 --> 00:06:32,450 and Kentucky, there was no pos is created. 195 00:06:32,450 --> 00:06:35,780 And for Illinois, there 196 00:06:35,780 --> 00:06:39,365 was a 103 abortion policies, 197 00:06:39,365 --> 00:06:41,390 which is the most out of 198 00:06:41,390 --> 00:06:43,145 any of these categories. 199 00:06:43,145 --> 00:06:45,440 This is very surprising. 200 00:06:45,440 --> 00:06:47,000 So on next we are going to 201 00:06:47,000 --> 00:06:48,410 talk about preliminary results. 202 00:06:48,410 --> 00:06:49,910 What I'm going to talk about all the results 203 00:06:49,910 --> 00:06:51,800 just because each state 204 00:06:51,800 --> 00:06:54,275 has very different and 205 00:06:54,275 --> 00:06:55,820 it's going to be really time-consuming. 206 00:06:55,820 --> 00:06:56,690 Go every single, 207 00:06:56,690 --> 00:06:57,710 go through every single one of them. 208 00:06:57,710 --> 00:06:58,400 So I only picked 209 00:06:58,400 --> 00:06:59,870 for the most interesting ones. 210 00:06:59,870 --> 00:07:00,890 So California has 211 00:07:00,890 --> 00:07:02,195 one abortion bill that died, 212 00:07:02,195 --> 00:07:03,770 that was declared the state are productive 213 00:07:03,770 --> 00:07:05,405 Freedom State for all. 214 00:07:05,405 --> 00:07:07,985 Delaware has one Medicaid bill that passed. 215 00:07:07,985 --> 00:07:09,650 It extends coverage through the first year 216 00:07:09,650 --> 00:07:11,180 postpartum because they believe that 217 00:07:11,180 --> 00:07:12,800 it's a key to close the disparity and 218 00:07:12,800 --> 00:07:14,255 the maternal mortality rate among 219 00:07:14,255 --> 00:07:16,310 black women and women of other races. 220 00:07:16,310 --> 00:07:17,915 This is important to point out, 221 00:07:17,915 --> 00:07:19,430 just because for states, 222 00:07:19,430 --> 00:07:21,020 only four states address women of 223 00:07:21,020 --> 00:07:22,985 color and de, was one of them. 224 00:07:22,985 --> 00:07:23,930 Kansas has 225 00:07:23,930 --> 00:07:25,565 one abortion bill that was introduced, 226 00:07:25,565 --> 00:07:27,710 require notification to patients that 227 00:07:27,710 --> 00:07:28,910 the effects of medication 228 00:07:28,910 --> 00:07:30,320 abortion may be reversible, 229 00:07:30,320 --> 00:07:33,650 but it was vetoed, which can be unethical, 230 00:07:33,650 --> 00:07:35,750 which can be seen as unethical. 231 00:07:35,750 --> 00:07:37,970 Vermont has one abortion bill that passed and 232 00:07:37,970 --> 00:07:39,050 was really into preserving 233 00:07:39,050 --> 00:07:40,415 the right to abortion. 234 00:07:40,415 --> 00:07:43,850 So discussion, what can we take away? 235 00:07:43,850 --> 00:07:45,155 What are the key takeaways? 236 00:07:45,155 --> 00:07:47,195 So, so much appears research, 237 00:07:47,195 --> 00:07:48,740 we found a higher number of 238 00:07:48,740 --> 00:07:49,670 abortion bowls that are 239 00:07:49,670 --> 00:07:51,170 restrictive and punitive. 240 00:07:51,170 --> 00:07:52,580 Um, there's an opportunity for 241 00:07:52,580 --> 00:07:54,380 greater number of states use facial, 242 00:07:54,380 --> 00:07:56,375 I think language given strong evidence 243 00:07:56,375 --> 00:07:58,250 documenting racial disparities 244 00:07:58,250 --> 00:08:00,320 among BIPOC women, overall, 245 00:08:00,320 --> 00:08:01,445 there was a lack of attention to 246 00:08:01,445 --> 00:08:03,140 immigrants, LGBTQ, 247 00:08:03,140 --> 00:08:04,550 socioeconomic factors, 248 00:08:04,550 --> 00:08:07,144 and women who suffer from disability. 249 00:08:07,144 --> 00:08:09,320 Government officials have a long way 250 00:08:09,320 --> 00:08:09,860 to go in order to 251 00:08:09,860 --> 00:08:10,190 develop 252 00:08:10,190 --> 00:08:11,690 more inclusive sexual health boats and 253 00:08:11,690 --> 00:08:13,730 ultimately pass policies on 254 00:08:13,730 --> 00:08:16,145 that addresses the needs of all women. 255 00:08:16,145 --> 00:08:18,920 So immigrant women bills 256 00:08:18,920 --> 00:08:20,870 did not at all talk or touch on 257 00:08:20,870 --> 00:08:23,030 immigration or even undocumented women 258 00:08:23,030 --> 00:08:24,860 as it related to women, Women's Health, 259 00:08:24,860 --> 00:08:26,000 which is a major gap in 260 00:08:26,000 --> 00:08:27,950 the literature as we know, 261 00:08:27,950 --> 00:08:31,175 because there's a lot more immigrants 262 00:08:31,175 --> 00:08:33,455 coming through and being like, 263 00:08:33,455 --> 00:08:34,910 you can see like more or less 264 00:08:34,910 --> 00:08:37,070 here, you know, passwords, 265 00:08:37,070 --> 00:08:38,600 your tests shown that 266 00:08:38,600 --> 00:08:39,230 it was really hard to get 267 00:08:39,230 --> 00:08:40,790 information on them because 268 00:08:40,790 --> 00:08:42,170 of the camps that they are in. 269 00:08:42,170 --> 00:08:43,130 This for other demands. 270 00:08:43,130 --> 00:08:44,030 So I'll at least have some bills. 271 00:08:44,030 --> 00:08:45,530 I select Study communities to 272 00:08:45,530 --> 00:08:47,030 better understand the unique challenges 273 00:08:47,030 --> 00:08:48,950 and needs amongst populations to then form 274 00:08:48,950 --> 00:08:51,380 progressive bills that's still supports them. 275 00:08:51,380 --> 00:08:54,620 So the mutations, it is possible that 276 00:08:54,620 --> 00:08:56,060 legislative website may not be up to 277 00:08:56,060 --> 00:08:58,865 date because like we were saying, 278 00:08:58,865 --> 00:08:59,990 like to Hampshire, Rhode Island, 279 00:08:59,990 --> 00:09:01,205 South Carolina, Kentucky, 280 00:09:01,205 --> 00:09:02,675 just don't have any bills 281 00:09:02,675 --> 00:09:04,880 at all in our focus areas. 282 00:09:04,880 --> 00:09:06,890 Each they had its own manner 283 00:09:06,890 --> 00:09:08,300 of organizing, presenting information. 284 00:09:08,300 --> 00:09:10,280 This made it really difficult sometimes to 285 00:09:10,280 --> 00:09:13,550 even look like see any policies. 286 00:09:13,550 --> 00:09:15,200 So it may be possible that because 287 00:09:15,200 --> 00:09:15,980 of these differences, we 288 00:09:15,980 --> 00:09:17,850 could have missed something. 289 00:09:17,950 --> 00:09:20,420 We recommend for future research 290 00:09:20,420 --> 00:09:21,860 is also investigate and add 291 00:09:21,860 --> 00:09:23,390 qualitative components to the study that 292 00:09:23,390 --> 00:09:24,980 would enter key stakeholders to 293 00:09:24,980 --> 00:09:26,765 ensure we capture the state of the fields 294 00:09:26,765 --> 00:09:29,600 as it pertains to bills on women's health. 295 00:09:29,600 --> 00:09:31,280 Thank you for listening, please. 296 00:09:31,280 --> 00:09:32,180 If you have any questions, 297 00:09:32,180 --> 00:09:33,455 if you have any import, 298 00:09:33,455 --> 00:09:36,080 we would love to hear at this my e-mail. 299 00:09:36,080 --> 00:09:38,360 And thank you for listening. 300 00:09:38,360 --> 00:09:40,580 And these are my citations. 301 00:09:40,580 --> 00:09:42,380 Hope everybody has a great day 302 00:09:42,380 --> 00:09:45,240 and enjoy the break right after this.