限制堕胎准入与母亲和婴儿健康的关联:根据母亲的出生时间进行差异差异分析
Savannah Adkins1, Noa Talmor2, Tenzin Dechen2
1Department of Economics, Bentley University, Waltham, Massachusetts, USA.
概括
针对性限制堕胎提供者 (TRAP) 法律与外国出生的个体的孕产妇发病率增加有关,但与美国出生的个体无关. 这些发现强调了堕胎限制如何加剧移民人口的健康差异.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 孕产妇和婴儿的健康
背景情况:
- 获得生殖健康保健是孕产妇和婴儿健康结果的关键决定因素.
- 现有研究表明,社会经济和移民状况可以影响健康结果.
- 了解堕胎限制对不同人口的影响对于公共卫生政策至关重要.
研究的目的:
- 调查州级堕胎限制与母亲和婴儿健康结果之间的关联.
- 检查这些协会,按母亲的出生分层 (美国出生的与外国出生的).
主要方法:
- 一项基于观测的,基于人口的,回顾性队列研究,使用2011-2019年美国出生数据 (N=33,663,837).
- 使用疾病控制和预防中心 (CDC) 期间链接的出生/婴儿死亡数据文件.
- 采用三重差异框架来分析州一级的堕胎限制 (针对性限制堕胎提供者 - TRAP法律) 和母亲的出生.
主要成果:
- 对于美国出生的个人来说,没有观察到TRAP法律对孕产妇死亡率的重大影响.
- 与没有TRAP法律的州的美国出生的个人相比,在TRAP法律的州的外国出生的个人患母病率高15% (aOR=1.15;CI=1.00-1.31) .
- 二次分析探讨了分娩间隔,出生体重,第一季度护理和妊娠年龄.
结论:
- 反堕胎立法可能会加剧现有的健康不平等.
- 调查结果强调,需要制定政策,确保移民人群获得公平的生殖健康服务.
- 需要进一步的研究来探索这些差异背后的机制.
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