"我没想到这个问题":对大学生健康中心对堕胎转诊请求的回应
Priyanka Anand1, Licia Bravo2, Sarah Gutman3
1Department of Medicine, University of Washington School of Medicine, Seattle, Washington.
概括
大学生健康中心往往缺乏提供堕胎转诊的知识和舒适性. 工作人员可能会使用强制性语言或引用机构政策,阻碍获得必要的生殖健康保健服务.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 18-24岁的年轻女性的意外怀孕率最高.
- 以前的研究表明,只有一半的大学健康中心提供适当的堕胎转诊.
- 了解堕胎转诊的障碍对于这一群体至关重要.
研究的目的:
- 在大学生健康中心调查与堕胎转诊相关的经验和障碍.
- 识别堕胎推过程中的促进者和障碍者.
主要方法:
- 在宾夕法尼亚州的四年制大学进行了一项"秘密通话者"研究.
- 一个结构化的脚本被用来请求堕胎转介.
- 对于涉及转介障碍和促进者的主题,分析了成绩单.
主要成果:
- 202个成绩单揭示了包括工作人员知识,舒适度和堕胎转诊经验在内的主题.
- 一些员工使用了支持性的语言,而另一些员工则采用了强迫策略或误导信息.
- 机构政策,特别是宗教异议,经常被视为障碍.
结论:
- 在大学卫生中心的堕胎转诊不一致,往往不充分.
- 工作人员经常缺乏知识和舒适度,通过强制性或逃避性语言来维持耻辱.
- 需要加强培训和资源,以确保优质的堕胎转诊护理.
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