性少数群体和异性恋者寻求堕胎护理所面临的挑战
Marta Bornstein1, Abigail Norris Turner2, Katherine Rivlin3
1Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
LGBT health
|June 9, 2025
概括
性少数群体在寻求堕胎护理时面临更多的挑战和经济障碍. 这项研究强调了需要有针对性的支持,以改善获得生殖健康服务的机会.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
背景情况:
- 获得堕胎护理受到各种社会经济和后勤因素的影响.
- 性少数群体的人在医疗保健机构中可能会遇到独特的障碍.
- 了解这些差异对于公平的生殖保健服务至关重要.
研究的目的:
- 为了比较性少数群体和异性恋个体之间获得堕胎护理的挑战和费用延迟的数量和类型.
- 量化基于性认同的这些障碍的差异.
主要方法:
- 分析了来自美国五个州1953名寻求堕胎护理的个人的横截面调查数据 (2020年4月至2023年2月).
- 评估12种类型的挑战和4种类型的费用延迟.
- 使用负二项式和逻辑回归来分析性别认同差异.
主要成果:
- 与异性恋参与者相比,性少数群体的参与者报告了更高的挑战中位数 (4对3),并且更有可能推迟支付费用 (40%对28%).
- 调整后的分析证实,性少数群体的挑战显著增加 (aIRR=1.2) 和延迟开支的可能性更大 (aOR=1.6).
- 90%的参与者在获得堕胎护理方面遇到了至少一个挑战.
结论:
- 性少数群体在获得堕胎护理方面面临着不成比例的更高的挑战和经济障碍.
- 针对性支持,包括财政援助,交通和心理社会支持,对于性少数群体个人来说至关重要.
- 解决生殖健康保健中的系统不平等是必要的,以确保公平的堕胎机会.
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