婴儿死亡 德克萨斯州2021年禁止早孕堕胎后的婴儿死亡
Alison Gemmill1, Claire E Margerison2, Elizabeth A Stuart3
1Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.
JAMA pediatrics
|June 24, 2024
概括
美国德克萨斯州德克萨斯州
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 生殖健康 生殖健康
背景情况:
- 以前的研究表明,堕胎限制与婴儿死亡率之间存在相关性.
- 最近,美国严格的堕胎禁令对婴儿死亡率的影响仍未得到充分研究.
研究的目的:
- 调查德克萨斯州参议院第8号法案 (SB8) 与德克萨斯州婴儿死亡率之间的关联,禁止在胚胎心脏活动后进行堕胎,而不包括先天性异常的例外.
主要方法:
- 使用国家出生证明数据 (2018-2022) 进行基于人口的队列研究.
- 采用了比较性中断时间序列分析与增强合成控制方法.
- 在SB8实施后,分析了德克萨斯州每月的婴儿和新生儿死亡率.
主要成果:
- 德克萨斯州在2021年至2022年间婴儿死亡人数增加了12.9% (增加了255例),而全国为1.8%.
- 一项反事实分析估计,从2022年3月到12月,德克萨斯州的婴儿死亡人数超过216人 (12.7%高于预期).
- 由于先天性异常的婴儿死亡率在2022年在德克萨斯州增加了22.9%,与全国范围内3.1%的下降形成鲜明对比.
结论:
- 德克萨斯州2021年早孕堕胎禁令与婴儿和新生儿死亡率的增加有关.
- 由于先天性异常导致的死亡人数的增加表明,限制性堕胎政策可能会产生意想不到的后果.
- 调查结果强调需要进一步研究堕胎禁令对婴儿死亡率和公共卫生的机制和更广泛的影响.
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