米国における生殖上の強制と虐待に関連する要因の体系的検討
Alexandria L Hahn1, Sarah Elizabeth Harkins1, Susan M-I Maloney1
1Columbia University School of Nursing, New York, USA.
Trauma, violence & abuse
|August 30, 2025
まとめ
生殖の強制と虐待 (RCA) は,米国人の重要な部分に影響します. RCAの流行と関連因子を理解することは極めて重要ですが,現在の証拠には限界があります.
科学分野:
- 公衆衛生
- 生殖 健康
- 社会学
背景:
- 生殖への強制と虐待 (RCA) は 生殖の自律性を損なう行動を含む.
- RCAの理解は,米国の最近の立法上の変化を考慮して時宜です.
研究 の 目的:
- 米国におけるRCAの流行と関連因子に関する証拠を体系的に検討し評価する.
主な方法:
- PRISMAのガイドラインに従って体系的なレビューを行う.
- 2024年4月までの定量的な研究を 5つの主要なデータベースで検索しました
- ジョアンナ・ブリッグス研究所のツールを使って 偏見のリスクを評価しました
主要な成果:
- 生涯におけるRCAの流行率は7. 8%から37. 8%であった.
- 避妊サボテージの発生率は1.1%〜25.3%で,妊娠強制は6.4%〜19%でした.
- RCAと親密なパートナーによる暴力の強い関連性が見出され,人口統計学的な要因は異なっています.
結論:
- RCAの流行と相関に関する現在の証拠は,中等から高いバイアスのリスクによって制限されています.
- 検証されたツールと意図の評価がないことがデータの信頼性に影響します.
- より良い介入と政策のために 将来の研究には 概念の明確さと測定の改善が必要です
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