在多米尼加共和国限制堕胎后的新生儿死亡率和避孕使用:差异分析差异分析
Foluso Ishola1, Britt McKinnon2, Seungmi Yang3
1Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, 2001 McGill College Avenue, Montreal, QC, H3A 17Y, Canada; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 5Z3, Canada.
Social science & medicine (1982)
|March 21, 2025
概括
2009年多米尼加共和国的堕胎禁令使新生儿死亡率每1000例出生增加6.3%,现代避孕药的使用量减少9.6%. 这项研究强调了限制性堕胎政策对母亲和儿童健康结果的影响.
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:
- 堕胎政策显著影响生殖和新生儿健康服务,结果和公平.
- 2009年,多米尼加共和国实施了全面的堕胎禁令,禁止在任何情况下进行该程序.
研究的目的:
- 评估多米尼加共和国2009年堕胎改革与新生儿死亡率变化之间的关联.
- 评估堕胎禁令对现代避孕方法使用的影响.
主要方法:
- 采用差异差异方法,使用1999-2019年人口和健康调查 (DHS) 和多指标集群调查 (MICS) 的协调数据.
- 分析包括17个国家的792,165名活产儿新生儿死亡率和8个国家的417,110名妇女 (15-49岁) 避孕使用.
- 多米尼加共和国的结果与没有政策变化的对照国家进行了比较,对国家和年有固定的影响.
主要成果:
- 堕胎限制与每1000个活产婴儿新生儿死亡人数增加6.3个 (95% CI:2.1,10.5).
- 现代避孕药的使用减少了9.6个百分点 (95% CI:4.2,15.0).
- 在对各种个人,家庭和国家一级特征进行调整后,调查结果仍然强.
结论:
- 2009年多米尼加共和国的堕胎禁令与新生儿健康不良结果和减少避孕药的使用有关.
- 限制性堕胎政策可能会加剧现有的种族,种族和社会经济不平等.
- 需要进一步的研究来了解限制性堕胎政策对健康差异的复合效应.
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