在州级堕胎禁令后的孕产妇死亡率和婴儿结果的变化:一个比较的中断时间序列研究研究
1Division of Pharmaceutical Evaluation and Policy, Department of Pharmacy Practice, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
BMC public health
|July 3, 2025
概括
最高法院的多布斯裁决对美国各州的出生结果产生了不同的影响. 虽然没有禁止堕胎的州出现的先天性异常较少,但禁止堕胎的州在不良分娩结果中没有显著变化,因此需要进一步研究.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 法律对社会的影响.
背景情况:
- 最高法院的多布斯诉杰克逊妇女健康组织的决定推翻了罗伊诉韦德,结束了联邦堕胎权利.
- 这一裁决允许各州对堕胎进行监管或禁止,这对全国范围内获得生殖保健的机会产生了重大影响.
- 这项研究调查了这些不同州的堕胎法律对出生结果的潜在影响.
研究的目的:
- 评估多布斯决定对出生结果的影响.
- 为了比较美国有和没有堕胎的州的不良分娩结果,禁止后多布斯.
- 分析非活产生的变化,先天性异常和孕产妇疾病.
主要方法:
- 用比较性中断时间序列进行回顾性队列分析.
- 使用了来自CDC WONDER数据库的出生数据 (2021年1月 - 2024年2月).
- 根据2022年6月24日的堕胎禁令状态分类的州.
主要成果:
- 在有和没有堕胎禁令的州之间,非活胎出生没有显著差异.
- 没有禁令的国家的先天性异常减少 (p < 0.001),而禁令国家没有显著变化.
- 没有禁令的国家在孕产妇发病率上升 (p < 0.001),与禁令国家形成鲜明对比.
结论:
- 多布斯决定导致基于州堕胎政策的分歧出生结果趋势.
- 虽然没有确立直接因果关系,但先天性异常的不同趋势表明不平等的潜在恶化.
- 需要进一步的研究才能充分了解堕胎禁令对母亲和婴儿健康的长期影响.
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