在美国产科和妇科住院计划中的堕胎培训,是在多布斯后的时代
Kavita Vinekar1, Aishwarya Karlapudi2, Callie Cox Bauer3
1Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, 833 Chestnut Street, Philadelphia, PA 19107, United States.
Contraception
|September 20, 2023
概括
在多布斯决定之后,14%的产科和妇科住院计划失去了堕胎培训. 在合法堕胎的州中,近一半的计划仍然缺乏这一关键培训,这表明需要扩展.
科学领域:
- 医学教育 医学教育
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
背景情况:
- 研究生医学教育认证委员会要求对妇产科医生进行堕胎培训.
- 多布斯决定对堕胎培训可访问性的影响尚不清楚.
- 了解堕胎培训的风景对于居民教育和未来的实践至关重要.
研究的目的:
- 评估堕胎禁令对居住计划的影响.
- 为了识别缺乏堕胎培训的项目,尽管国家法律宽容.
- 分析人口统计学对代表性不足的居民的影响.
主要方法:
- 从居住数据库和网站中抽取的数据.
- 通过瑞安计划或确认识别的提供常规堕胎培训的计划.
- 自2022年12月起,堕胎禁令定义为完全禁令或6周禁令的国家.
- 使用奇平方和学生t测试进行描述性分析;用于调整分析的逻辑回归.
主要成果:
- 在286个 (49%) 计划中,有140个提供了Dobbs前的例行堕胎培训.
- 其中19个项目 (14%) 失去了多布斯后的州内培训.
- 在合法堕胎州的223个 (46%) 计划中,有102个缺乏例行培训.
- 缺乏培训的项目更有可能是基于社区的;居民人口统计数据没有因州堕胎合法性而有所不同.
结论:
- 在合法堕胎的州,近一半的妇产科医生住院项目没有提供常规堕胎培训.
- 需要进一步的研究来了解这种培训差距,并改善法律允许的访问.
- 扩大堕胎培训在社区和混合居住计划中尤其可行.
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