财务障碍与印第安纳州的自主流产有关:2021-2022年混合方法研究的结果
Heidi Moseson1, Caitlin McKenna1, Bria Goode1
1Ibis Reproductive Health, Oakland, California, USA.
Perspectives on sexual and reproductive health
|April 4, 2025
概括
在多布斯决定之前,经济困难促使印第安纳州的一些居民自我管理堕胎. 在后多布斯时代,可访问的信息和财政支持对于安全堕胎的准入至关重要.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 医疗保健的社会影响 获得医疗保健的社会影响
背景情况:
- 了解自我管理的堕胎 (SMA) 是至关重要的,特别是在堕胎机会不断发展的地区.
- 在多布斯诉杰克逊妇女健康组织决定之前,寻求堕胎的印第安纳州居民面临着不同程度的SMA知识和经验.
研究的目的:
- 评估在印第安纳州寻求堕胎者中自我管理堕胎的知识和经验的普遍性.
- 确定多布斯决定之前与自我管理的堕胎尝试相关的因素.
主要方法:
- 在2021年6月至2022年4月期间,通过在线广告,堕胎基金和诊所传单招募了434名考虑堕胎的印第安纳州居民的非概率样本.
- 参与者完成了在线调查,一小部分参与了深入采访,以探索SMA的特征,方法,动机和知识.
- 用描述性和回归分析来检查数据.
主要成果:
- 7.6%的参与者报告说曾尝试过自我管理的堕胎;这些人年轻,不太可能成为父母,更有可能被认定为性/性别少数群体.
- 尝试SMA的主要原因是无法负担临床医生支持的堕胎护理 (49%).
- 金融障碍与尝试SMA的可能性增加了三倍 (aRR:3.0). 采访显示,人们对药物堕胎选择的认识有限.
结论:
- 财务困境显著激励印第安纳州居民进行自我管理的堕胎,他们面临临临床护理障碍.
- 在多布斯后,为临床堕胎提供财政援助以及关于安全的SMA方法的可访问,可靠的信息对于居民获得与他们的偏好一致的护理至关重要.
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