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External Cephalic Version: Is it an Effective and Safe Procedure?
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对提供者的信任和在第二个三个月堕胎期间的耻辱感
Arina E Chesnokova1, Divyah Nagendra1, Eshani Dixit2
1Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd., Philadelphia, PA 19104, USA.
概括
对医疗保健提供者的信任和心理健康状况与堕胎耻辱有关. 改善提供者信任可能有助于减少接受第二季度堕胎护理的患者的耻辱感.
科学领域:
- 医学社会学 医学社会学
- 生殖健康 生殖健康
- 心理健康研究 心理健康研究
背景情况:
- 堕胎耻辱仍然是获得生殖健康护理的重大障碍.
- 了解与个人层面的堕胎耻辱相关的因素对于开发有效的干预措施至关重要.
- 之前的研究已经探讨了各种堕胎耻辱的相关性,但在第二个三个月堕胎的背景下,与提供者信任和心理健康的具体关联需要进一步调查.
研究的目的:
- 调查对医疗保健提供者的信任,社会人口统计学因素和个人层面的堕胎耻辱之间的联系.
- 检查心理健康指标 (焦虑和抑郁) 与堕胎耻辱之间的关系.
- 确定旨在减少堕胎污名化的干预措施的潜在目标.
主要方法:
- 来自一项随机试验的基线数据的二次分析,该试验涉及70名参与者,他们接受了第二个三个月的堕胎.
- 使用了个人堕胎污名度 (ILAS) 尺度,对医生的信任度,以及焦虑和抑郁的措施.
- 采用多重线性回归,由单变协会提供信息,以分析耻辱 (ILAS得分) 和其他变量之间的关系.
主要成果:
- 平均堕胎耻辱评分很低 (0-4级) (1.21分).
- 对医疗保健提供者更高的信任与更低的堕胎耻辱显著相关 (p=0.013).
- 对焦虑或抑郁的阳性查与较高的耻辱评分相关 (p=0.015),而同居与较低的耻辱评分相关 (p=0.025). 社会人口统计学因素与耻辱没有显著的关联.
结论:
- 对堕胎提供者的信任,焦虑或抑郁的存在,以及同居状态与寻求第二个三个月堕胎的个人中堕胎耻辱有关.
- 专注于增强提供者信任的干预措施可能有效地减轻堕胎耻辱.
- 建议对更大,更多样化的群体进行进一步的研究,并进行定性研究,以探索患者在堕胎护理遭遇中感知到的建立信任的因素.
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