美国护理青少年的临床医生对堕胎咨询的信仰和行为
Danielle G Tsevat1, Brooke W Bullington2, Kavita S Arora3
1Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina; University of North Carolina Gillings School of Public Health, Chapel Hill, North Carolina.
Journal of pediatric and adolescent gynecology
|December 9, 2024
概括
性别和个人信仰等临床因素会影响青少年的堕胎讨论和转诊. 了解这些障碍是改善获得生殖健康保健选择的关键.
科学领域:
- 生殖健康 生殖健康
- 青少年医学 青少年医学
- 医学伦理 医学伦理
背景情况:
- 青少年需要全面的怀孕选择咨询.
- 获得堕胎信息和转诊的机会可以受到医疗保健提供者的影响.
研究的目的:
- 为了确定与讨论妊娠期间堕胎有关的临床医生特征,为青少年提供妊娠期选择咨询.
- 探索临床医生的人口统计,信仰和实践环境如何影响堕胎咨询和转诊.
主要方法:
- 调查了146名为孕青少年提供护理的美国临床医生.
- 分析了使用千平方测试的数据,以评估临床医师因素与堕胎咨询/转诊实践之间的关联.
- 通过全国会议,列表服务器和医生邮件列表招募临床医生.
主要成果:
- 57%的临床医生经常讨论堕胎,58%提供转诊,76%不建议堕胎.
- 女性性别,儿科专业和学术实践设置与堕胎转诊的增加和对终止治疗的咨询减少有关.
- 对堕胎的个人反对或对其危害的信念与讨论和提及堕胎有负面联系.
结论:
- 临床医生的人口统计和个人信仰显著影响了青少年的堕胎咨询和转诊实践.
- 调查结果表明,临床医生层面的障碍可能会阻碍青少年获得堕胎咨询和护理.
- 需要进一步的研究来解决这些障碍,并确保公平获得生殖健康服务.
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