美国的堕胎禁令和生育问题
Suzanne O Bell1, Alexander M Franks2, David Arbour3
1Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
JAMA
|February 13, 2025
概括
禁止堕胎导致出生率上升,尤其是在弱势群体中. 这些政策不成比例地影响边缘化社区,
科学领域:
- 生殖健康
- 卫生政策
- 人口统计
背景情况:
- 禁止堕胎可能会增加那些面临护理障碍的人的出生率.
- 堕胎禁令在人口层面的影响和差异性影响尚不清楚.
研究的目的:
- 评估堕胎禁令如何影响美国不同州和亚人口的生育率.
- 检查堕胎禁令与生育率变化之间的异质性.
主要方法:
- 用于所有50个州和华盛顿特区的出生证明和美国人口普查局数据 (2012-2023年).
- 使用贝叶斯面板数据模型分析与完全或6周堕胎禁令相关的生育变化.
- 按年龄,种族/族裔,婚姻状况,教育程度和保险缴纳者的估计生育率变化.
主要成果:
- 禁止堕胎的州的生育率估计增加了1.7%,总数超过22,000例.
- 在种族少数群体,未婚,年轻人 (35岁以下),医疗补助入学者和受教育程度较低的人群中观察到不成比例的增加.
- 各州的种族/种族和教育水平的差异对观察到的生育率变化有很大影响.
结论:
- 禁止堕胎的州的生育率高于预期,
- 这些发现强调了禁止堕胎对不同人口群体的影响不平等.
- 这些结果对母亲和儿童健康状况较差的国家尤为重要.
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