在堕胎敌意日益增加的时期,药物和手术性堕胎的吸收
Karim Sariahmed1, Paul J Christine2, Jiayi Wang1
1Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.
Social science & medicine (1982)
|July 28, 2024
概括
国家对堕胎的限制与获得生殖健康保健相关. 较高的敌意分数与更少的药物堕胎申请和更慢的程序性堕胎下降有关.
科学领域:
- 生殖健康 生殖健康
- 卫生政策研究 卫生政策研究
- 公共卫生 公共卫生
背景情况:
- 从2010年到2020年,美国颁布了数百项州级堕胎限制.
- 药物流产在这个时期得到了广泛的应用.
- 了解政策影响对于获得生殖健康护理至关重要.
研究的目的:
- 测量国家对堕胎的敌意与药物 (米费普里斯顿) 和程序性堕胎率之间的关联.
- 评估国家对堕胎的敌意如何改变堕胎索赔的时间趋势.
主要方法:
- 以2010-2020年雇主赞助的保险索赔数据进行国家一级重复的横截面研究.
- 曝光:根据与访问相关的政策,国家堕胎敌意得分为13分.
- 结果:每10万名注册人每年的米费普里斯顿和手术性堕胎索赔;使用线性混合模型进行分析.
主要成果:
- 中位数mifepristone索赔增加了 (每10万人中有20至37人),而程序性堕胎索赔减少了 (每10万人中有69至20人).
- 较高的基线堕胎敌意与较少的mifepristone索赔和程序性堕胎的较慢下降有关.
- 增加的国家敌意与2010年每10万人中减少7.5个mifepristone索赔有关;每个敌意单位的变化都改变了时间趋势,每年减少0.5个索赔.
结论:
- 堕胎敌意较高的国家总体堕胎较少,米费普里斯顿摄入量较低.
- 虽然新的限制没有显著改变索赔,但整体政治气候和基线敌意影响了堕胎趋势.
- 倡导者需要考虑具体的政策和更广泛的政治气候,以获得生殖健康保健.
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