在多布斯堕胎决定后的焦虑和抑郁症状
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
概括
在多布斯的决定之后, 堕胎触发法律的个体在焦虑和抑郁症的症状显著增加. 在这些州的18至45岁女性中,这种影响尤为明显.
科学领域:
- 公共卫生
- 心理健康
- 法律对社会的影响
背景情况:
- 美国最高法院的2022年多布斯诉杰克逊妇女健康组织的裁决取消了联邦对堕胎的权利.
- 这一裁决导致13个州立即禁止堕胎,
研究的目的:
- 评估多布斯决定后焦虑和抑郁症状的变化.
- 为了比较这些状态的变化与触发法则的状态.
主要方法:
- 使用了全国代表性的家庭脉冲调查 (2021年12月至2023年1月).
- 使用差异模型将13个触发状态与37个非触发状态进行比较.
- 用患者健康问卷-4 (PHQ-4) 测量症状,分析了全人口的数据,并分别对18至45岁的女性和男性进行分析.
主要成果:
- 在多布斯决定后,与非触发状态相比,焦虑和抑郁症状的统计显著增加 (PHQ-4分数) (0. 11增加;P<. 001).
- 在18至45岁的女性中,症状的增加在触发状态下显著增加 (0.23增加;P=.002).
- 在多布斯意见稿泄露后,在症状变化方面没有发现显著差异,在最终决定后,18-45岁的男性也没有发现.
结论:
- 在多布斯的决定之后, 生活在堕胎触发法律的州与焦虑和抑郁症状的增加有关.
- 这些发现突显出禁止堕胎对心理健康的影响,
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