堕胎回报率和等待时间在德克萨斯州行政命令之前和之后禁止在COVID-19期间堕胎
Brooke Whitfield1, Gracia Sierra1, Klaira Lerma1
1Brooke Whitfield, Gracia Sierra, Klaira Lerma, Vinita Goyal, and Kari White are with the Population Research Center, University of Texas at Austin. Lauren Thaxton is with Dell Medical School, University of Texas at Austin. Bhavik Kumar is with Planned Parenthood Gulf Coast, Houston, TX. Allison Gilbert is with Southwestern Women's Surgery Center, Dallas, TX.
American journal of public health
|August 15, 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
- 生殖健康 生殖健康
- 卫生政策 卫生政策
背景情况:
- 德克萨斯州于2020年3月发布了一项行政命令,推迟非紧急医疗程序.
- 这一命令在COVID-19大流行期间影响了堕胎护理的准入.
- 对于生殖健康政策来说,了解该命令对堕胎准入的影响至关重要.
研究的目的:
- 评估德克萨斯州行政命令对堕胎护理准入的影响.
- 检查订单和患者堕胎回报率之间的关联.
- 分析超声波和堕胎访问之间的等待时间的差异.
主要方法:
- 利用了来自德克萨斯州13个堕胎设施的个体级患者记录.
- 对2019年和2020年相匹配时期的数据进行比较.
- 分析了超声波后的返回率和中位等待时间.
主要成果:
- 在行政命令期间,患者不太可能返回堕胎护理 (82.8%vs90.4%).
- 怀孕10周以上的患者面临更高的不返回或经历更长的等待时间的可能性.
- 没有返回的调整后几率比为2.06 (95% CI:1.12,3.81).
结论:
- 德克萨斯州的行政命令严重破坏了堕胎护理的准入.
- 该命令不成比例地影响了怀孕10周以后的患者.
- 在公共卫生危机期间的政策干预可能会对获得生殖健康护理的机会产生负面影响.
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