在华盛顿州的一个诊所网络中提供堕胎服务和延迟护理后,多布斯在华盛顿州的一个诊所网络中提供堕胎服务和延迟护理
Taylor Riley1, Anna E Fiastro2, Lyndsey S Benson3
1Department of Epidemiology, University of Washington, Seattle.
JAMA network open
|May 29, 2024
概括
在多布斯决定之后,堕胎护理的州外患者增加,州内患者的妊娠持续时间更长,预约等待时间没有变化.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 对医疗保健的法律影响
背景情况:
- 最高法院的多布斯诉杰克逊妇女卫生组织判决取消了联邦堕胎保护,大大改变了生殖健康护理格局.
- 虽然州级数据显示,堕胎在仍然合法州的堕胎数量增加,但关于护理延迟和Dobbs后患者人口统计数据的信息有限.
研究的目的:
- 分析在多布斯决定后华盛顿州一个大量的诊所网络中堕胎提供和护理延迟的变化.
- 评估堕胎数量,患者来源,妊娠时间和预约时间的变化.
主要方法:
- 一项回顾性队列研究分析了2017年1月1日至2023年7月31日的堕胎数据,该数据来自独立的生殖健康诊所网络.
- 使用中断时间序列分析来评估在多布斯裁决 (2022年6月24日) 之前和之后堕胎护理指标的变化.
主要成果:
- 程序性堕胎的每周数量在多布斯后增加,但又回到了多布斯前的水平;州外患者数量增加并保持稳定.
- 平均妊娠时间在多布斯治疗后增加了6.9天,这是由于手术性堕胎和住院患者的妊娠时间更长所致.
- 在预约堕胎护理的时间内没有观察到任何显著的变化.
结论:
- 该研究强调,在多布斯决定之后,华盛顿州的堕胎护理和延迟治疗患者的旅行增加.
- 调查结果强调,需要采取干预措施和政策,确保公平获得堕胎护理,特别是在与禁止堕胎的国家接壤的国家.
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