在堕胎后避孕中的"问题表述":英国文献的批判性回顾
Marie Larsson1, Jeni Harden2, John Joseph Reynolds-Wright3,4
1Centre for Biomedicine, Self and Society, The University of Edinburgh Usher Institute, Edinburgh, UK mlarsson@ed.ac.uk.
BMJ sexual & reproductive health
|August 27, 2025
概括
在堕胎后的避孕文献中, 经常把重复堕胎作为主要问题, 对于以人为中心的生殖保健需要对语言进行批判性反思.
科学领域:
- 生殖健康
- 公共卫生政策
- 健康社会学
背景情况:
- 堕胎后的避孕对妇女的生殖健康至关重要.
- 现有的文献以各种方式阐述了堕胎的"问题".
- 英国对堕胎后护理的背景需要进行批判性审查.
研究的目的:
- 批判性地审查英国堕胎后的避孕文献.
- 通过巴基的"问题代表是什么"来分析问题表示. (WPR) 的方法.
主要方法:
- 在六个电子数据库中进行系统的文献搜索.
- 包括灰色文献 (报告,政策文件,政府出版物).
- 分析了31个已识别的出版物 (19个同行评审,12个灰色文献).
主要成果:
- 确定了六个共存的"问题表征":堕胎率,重复堕胎",风险群体",服务用户需求,组织能力和堕胎耻辱感.
- 主要关注的是堕胎率,尤其是后续的堕胎.
- 堕胎通常被视为个人避孕失败,
结论:
- 堕胎后的避孕措施的主流框架可能会给个人带来负担,并加剧堕胎的耻辱感.
- 术语上的概念错误 (例如"未计划"",未计划"",不想要的怀孕") 误导了经验.
- 建议对语言和假设进行批判性反思,以确保以人为中心,以证据为基础的护理符合生殖正义原则.
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