ドブス の 妊娠 中絶 の 決定 後 の 不安 と 鬱 の 症状
Benjamin Thornburg1, Alene Kennedy-Hendricks1,2,3, Joanne D Rosen1,4,5
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
JAMA
|January 23, 2024
まとめ
ドブスの決定に続いて,中絶の引き金となる法律を持つ州の人々は,不安とうつ病の症状の有意な増加を経験しました. この効果は特に18~45歳の女性で顕著でした.
科学分野:
- 公衆衛生
- 精神 的 な 健康
- 法律の社会的影響
背景:
- 米国最高裁判所の2022年ドブス対ジャクソン婦人保健機関判決は,中絶に対する連邦の権利を撤廃した.
- この判決は13州で 妊娠中絶を禁止する法律を 立即発効させたのです
研究 の 目的:
- ドブスの決定後の不安とうつ症状の変化を評価するために
- これらの変化をトリガー法と比べてみましょう
主な方法:
- 全国代表的な世帯パルス調査 (2021年12月-2023年1月) を利用した.
- 13のトリガー状態と37の非トリガー状態を比較した差異のモデルを使用した.
- 患者健康アンケート-4 (PHQ-4) を用いて,全患者と18~45歳の男性を別々に分析した.
主要な成果:
- トリガー状態と非トリガー状態の間で,統計的に有意な不安やうつ症状の増加 (PHQ-4スコア) がドブス決定後に観察された (増加0. 11; P < . 001).
- 18歳から45歳の女性では,トリガー状態での症状の増加が著しく増加しました (0. 23増加; P = . 002).
- ドブスの意見の草案が漏れた後も,最終決定後の18歳から45歳の男性でも,症状の変化の有意な違いは見つかりませんでした.
結論:
- 妊娠中絶を禁ずる法律がある州に住むと ドブス裁判後の不安やうつ病の症状が 大きく増加することが分かりました
- この調査結果は,中絶禁止が特に若い女性に与える 精神的健康への影響を強調しています.
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