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当堕胎护理由医疗补助计划覆盖时,终身堕胎发生率:马里兰州与五个比较州相比
Heide M Jackson1, Michael S Rendall2
1Maryland Population Research Center, University of Maryland at College Park, College Park, Maryland, USA.
堕胎护理的医疗补助覆盖与医疗补助保险妇女终身堕胎的显著增加有关. 这表明,当保险提供时,低收入人群的堕胎可获得性得到改善.
科学领域:
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 了解保险覆盖对生殖健康决策的影响对于公共卫生政策至关重要.
- 医疗补助计划是美国低收入妇女医疗保险的主要来源.
- 之前的研究已经探讨了堕胎准入障碍,但医疗补助覆盖范围对终身堕胎发生率的具体影响需要进一步估计.
研究的目的:
- 估计医疗补助计划对堕胎护理的覆盖范围与医疗补助计划保险的妇女的累积终身堕胎发生率之间的关联.
- 为了比较一个州的堕胎发生率与医疗补助堕胎覆盖 (马里兰州) 与没有此类覆盖的州.
主要方法:
- 利用来自女性调查的2016-2019年数据,代表美国六个州的18-44岁女性.
- 采用双列表实验,一种间接调查方法,以确定累积终身堕胎发生率.
- 进行多变量回归分析,控制保险状况和居住状态 (医疗补助保险政策).
主要成果:
- 马里兰州的堕胎护理的医疗补助覆盖率与医疗补助保险妇女的累计终身堕胎发生率比未保险妇女高37.0个百分点.
- 这种关联明显高于在医疗补助不涵盖堕胎护理的州观察到的差异.
- 这些发现突出了保险覆盖政策与堕胎发生率之间的重要联系.
结论:
- 堕胎护理的医疗补助覆盖与医疗补助保险人群中的终身堕胎发生率大幅增加有关.
- 这些发现推断,医疗补助计划对堕胎护理费用的覆盖显著影响低收入妇女堕胎的可获得性.
- 政策影响表明,全面的医疗补助覆盖可能会提高弱势群体的生殖保健服务.
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