限制性堕胎立法和在怀孕期间和分娩后对心理健康的不利影响
Sarah McKetta1, Payal Chakraborty1, Catherine Gimbrone2
1Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States.
Annals of epidemiology
|March 3, 2024
概括
限制性堕胎法律与更多的意外怀孕有关,增加了怀孕期间的压力和抑郁风险. 在怀孕期间,但没有在怀孕后观察到心理健康影响.
科学领域:
- 生殖健康 生殖健康
- 心理健康研究 心理健康研究
- 立法对社会的影响.
背景情况:
- 堕胎立法对生殖选择和母亲的福祉产生了重大影响.
- 了解堕胎限制对心理健康的影响对于公共卫生至关重要.
- 怀孕的意图是母亲心理健康结果的关键因素.
研究的目的:
- 研究限制性堕胎立法与怀孕期间和分娩后的心理健康结果之间的关联.
- 确定怀孕意图是否调解了堕胎法律与母亲心理健康之间的关系.
- 量化堕胎法律对压力和抑郁症症状和诊断的影响.
主要方法:
- 来自护士健康研究3 (2010-2017) 的纵向数据分析了来自4091名参与者的4988例怀孕.
- 用重复测量的结构方程模型来量化关联.
- 对社会人口统计学,以前的条以及州级的经济和社会政治因素进行控制的分析.
主要成果:
- 限制性堕胎立法与意外怀孕的可能性增加显著相关 (β=0.127,p=0.02).
- 意外怀孕与怀孕期间更高的压力和抑郁症状风险相关 (间接影响:分别为β=0.035,p=0.03和β=0.029,p=0.03).
- 这些心理健康影响在分娩后没有观察到.
结论:
- 堕胎限制导致了更多的意外怀孕.
- 意外怀孕与孕期孕产妇压力和抑郁症的风险增加有关.
- 调查结果强调了堕胎立法通过怀孕意图对心理健康的间接影响.
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