Editor’s Note: This post is from our data newsletter, the Rural Index, headed by Sarah Melotte, the Daily Yonder’s data reporter. We will be taking the next edition off as we head into Christmas. Subscribe to stay in touch with us during the New Year.
Compared to their urban and suburban counterparts, a greater share of the rural population lives in states with the most restrictive abortion legislation, according to my analysis of data from the Guttmacher Institute, a research organization that focuses on reproductive rights. After the Supreme Court overturned Roe v. Wade in June of 2022, it became harder for women to access reproductive care, but the burden often disproportionately hurt rural women.
About 46% of nonmetropolitan, or rural, Americans live in states with either ‘most restrictive’ or ‘very restrictive’ abortion legislation, representing 21.3 million people. Approximately 35% of metro Americans live in these states, representing roughly 99.1 million people.
State-level abortion legislation is complex; it’s rarely as simple as an outright ban or permit. Abortion policies can include stipulations like waiting periods, ultrasound requirements, gestational duration bans, insurance coverage bans, telehealth bans, and more. To deal with some of this complexity, the Guttmacher dataset groups states into one of seven categories that broadly captures the state’s access to abortion:
Most Restrictive
Very Restrictive
Restrictive
Some restrictions/protections
Protective
Very Protective
Most Protective
Click here for the interactive map.
Seventeen states make up the ‘Most Restrictive’ category, and 13 of those states have enacted full bans with few exceptions. Those states include Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, Mississippi, Oklahoma, South Dakota, North Dakota, Tennessee, Texas, and West Virginia. The rural population in those states equals about 15.8 million people.
Rurality Exacerbates Access Challenges
In the Post-Roe landscape, pre-existing rural challenges are exacerbated by restrictive abortion legislation, a change that has led to increased maternal mortality, particularly for women of color. The new state of abortion in America means people often have to travel much further to get the care they need, often out of state.
An ABC special that featured women who had to travel for abortions highlighted the story of Idaho resident Jennifer Adkins, who was excited when she found out she was pregnant with her first baby. But a 12-week ultrasound showed that continuing her pregnancy would put her life in danger. With financial help from family and friends, Adkins had to travel to the nearest clinic in Oregon to receive the care she needed.
My previous analysis of abortion data showed that rural travel to abortion clinics increased from 103 miles on average in 2021 to 159 miles on average after Roe v. Wade was overturned. But travel distance varies by state, with women in parts of rural South Texas having to travel up to almost 800 miles to receive care.
In rural Louisiana, where all the bordering states have also issued abortion bans, the distance to a clinic has increased by almost 400 miles since Roe was overturned. The average rural Louisianan is about 492 miles away from the nearest abortion clinic. The data for that analysis came from the Myers Abortion Facility Database.
In 2024, approximately 12,000 Texans traveled to New Mexico to receive an abortion, according to the Guttmacher Institute data. Nearly 7,000 Texans traveled to Kansas, and another 4,000 traveled to Colorado. Texas enacted a near total ban on abortions in July of 2022.In Idaho, which enacted an abortion ban in August of 2022, 440 people travel to Washington and 140 travel to Oregon for abortions in 2024. (Visit the Guttmacher’s interactive map of abortion travel by state to explore the topic in more detail.)
Abortion and Rural Voters: More Complex Than You Might Think
Every time I write something about how rural people suffer from GOP policies, I get comments and emails from readers saying some version of, “They voted for this.” I take issue with this response for many reasons. It’s unkind, and it erases the thousands of rural voters who don’t support these policies. While some people are going to say you get what you deserve, here’s another way to look at it.
In a previous analysis of voting data from the nine states that had abortion on a ballot measure in 2024, I found that support for Trump didn’t always line up with support for abortion restriction. In 2024, approximately 73% of rural voters supported Trump, but only 61% voted to restrict abortion access.
While 61% is still a majority vote, the 12-point gap between support for Trump and support for abortion restriction demonstrates that abortion access is a complicated issue for many Americans across the geographic spectrum. This data shows a rural voting base that is willing to split with the broader Republican platform on key issues.
“All voters are complex,” said Nicholas Jacobs, rural sociologist. “People voted for [Trump], even if they wanted more access to reproductive care or were disappointed that a national standard was lifted by the courts.”
The post The Stats on Abortion Access in Rural America appeared first on The Daily Yonder.
