在Roe之后,非堕胎生殖护理获得的早期国家趋势
Junying Zhao1, Aaron Zahn1, Samuel C Pang2
1Department of Health Administration and Policy, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States.
推翻罗伊诉韦德案导致生殖保健的机会下降,特别是低收入人群. 减少的堕胎与更少的第十条计划生育诊所相关,加剧了健康不平等.
科学领域:
- 生殖健康政策 生殖健康政策
- 公共卫生 公共卫生
- 社会经济学 社会经济学
背景情况:
- 2022年罗伊诉韦德案的推翻消除了联邦堕胎权利.
- 有限证据表明,这一决定对不同人群的非堕胎生殖保健服务的间接影响有限.
研究的目的:
- 调查推翻罗伊诉韦德案对获得人工生殖技术 (ART) 和X章节计划生育服务的溢出效应.
- 分析堕胎率变化与ART诊所和X条款实体的变化之间的关联.
主要方法:
- 采用了2013-2023年国家数据,用于HHS第十章目录和CDCART监测.
- 包括Guttmacher研究所对2021-2023年的数据和手动收集.
- 分析了Roe前后的变化,与堕胎率的关联以及区域/政治地理特征.
主要成果:
- 观察到的国家下降:在ART诊所中为1.03%,在Roe后的X标题实体中为18.34%.
- 在ART诊所 (p<0.05) 和标题X实体 (p<0.001) 中,州级显著下降.
- 100例堕胎的减少与两个标题X实体的退出相关 (p<0.05).
结论:
- 提供了早期证据,表明推翻罗伊诉韦德案对非堕胎生殖保健的重要溢出影响.
- 突出了低收入,单亲和不育患者的不平等情况的恶化.
- 迫切需要采取政策行动来应对这些挑战.
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