根据性取向在3个国家队列中堕胎使用的差异
Payal Chakraborty1,2, Sarah McKetta1,2, Colleen A Reynolds1,2
1Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
JAMA network open
|May 6, 2025
概括
性少数群体的人与异性恋人相比,堕胎的使用率更高. 鉴于美国目前对堕胎准入的限制,这一发现至关重要.
科学领域:
- 生殖健康 生殖健康
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 性少数群体在获得生殖健康保健方面面临差异,意外怀孕率更高.
- 关于性少数群体中堕胎使用模式的研究有限.
研究的目的:
- 量化和比较性少数群体和异性恋个体之间的堕胎使用情况.
- 为了识别各种性少数群体中堕胎使用的差异.
主要方法:
- 分析了来自北美三个纵向队列的数据:护士健康研究II (NHS2),今天成长研究 (GUTS) 和护士健康研究3 (NHS3).
- 包括1959年至2024年之间的怀孕,以性取向和怀孕结果 (诱导堕胎与其他) 为关键变量.
- 使用风险比率 (RR) 与95%置信区间 (CI) 的堕胎率的比较.
主要成果:
- 总共分析了来自85,640名参与者的235,948例怀孕;10.5%的怀孕是性少数群体参与者的.
- 总体而言,8.6%的怀孕导致人工流产.
- 与完全异性恋的个人相比,性少数群体的人更有可能进行人工流产 (RR, 1.93;95% CI, 1.85-2.02).
- 在性少数群体中观察到异质性堕胎使用,双性恋 (RR, 2.84) 和女同性恋或同性恋 (RR, 2.52) 参与者显示的最高率.
结论:
- 与完全异性恋个体相比,所有性少数群体的堕胎使用率都增加.
- 性少数群体中更高的堕胎使用率表明,他们可能会因近期堕胎机会减少而受到不成比例的影响.
- 需要进一步的研究,以了解寻求堕胎护理的性少数群体的具体需求,以确保提供足够的支持.
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