美国堕胎禁令和婴儿死亡率
Alison Gemmill1, Alexander M Franks2, Selena Anjur-Dietrich1
1Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
JAMA
|February 13, 2025
概括
最近的堕胎禁令与婴儿死亡率的增加有关, 这项研究强调了对脆弱群体和与先天性异常相关的死亡造成的不成比例的影响.
科学领域:
- 公共卫生
- 生殖健康
- 人口统计
背景情况:
- 禁止堕胎对婴儿死亡率的影响仍未得到充分研究.
- 现有研究对禁止堕胎如何加剧婴儿健康的种族和民族差异提供了有限的洞察力.
研究的目的:
- 调查堕胎禁令与婴儿死亡率的变化之间的关系.
- 为了比较不同种族和族群之间的这些协会,在国家内部和国家之间.
主要方法:
- 一个基于人口的,连续的,横截面研究,利用贝叶斯面板模型.
- 来自美国50个州和华盛顿特区的婴儿死亡数据分析 (2012-2023年).
- 对14个完全或6周禁止堕胎的州进行检查,比较观察到的和预测到的婴儿死亡率,按种族,种族和死亡原因分层.
主要成果:
- 禁止堕胎的国家的婴儿死亡率高于预期 (相对增加5.60%).
- 估计有478例婴儿死亡与这些禁令有关.
- 在非西班牙裔黑人婴儿 (10.98%的相对增加) 和因先天性异常而导致的死亡 (10.87%的相对增加) 中,增加更为明显.
结论:
- 美国实施堕胎禁令的州在禁令后婴儿死亡率上升.
- 在黑人婴儿和南方州观察到不成比例的增加.
- 由于先天性异常导致的婴儿死亡人数在堕胎禁令之后显著增加.
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