在多布斯决定之后,学术医疗中心的女性永久避孕措施的变化
Sarah J Pogge1, Alice Y Cai2, Amelia Llerena3
1Department of Obstetrics and Gynecology, Albany Medical Center, Albany, NY, United States.
Contraception
|September 14, 2025
概括
在多布斯决定之后,女性永久避孕程序的数量显著增加,特别是在年轻的患者中. 这一趋势凸显了政治因素如何影响生殖健康决策和患者自主权.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 法律对社会的影响.
背景情况:
- 最高法院的多布斯裁决改变了美国的生殖权利格局.
- 了解这一决定对避孕选择的影响至关重要.
研究的目的:
- 为了比较多布斯决定之前和之后女性永久避孕程序的数量.
- 评估政治因素对患者避孕决策的影响.
主要方法:
- 一项多中心的回顾性研究分析了女性永久避孕程序.
- 来自纽约,宾夕法尼亚州,佛罗里达州和特尼桑德州的四个学术医疗中心的数据与Dobbs 之前 (2021 年 7 月至 2022 年 6 月) 和后 (2022 年 7 月至 2023 年 6 月) 的数据进行了比较.
- 统计分析包括描述性统计,学生t测试和千平方测试.
主要成果:
- 程序量从多布斯前的445个增加到多布斯后的674个,平均每月增加从9.3到14.0 (p < 0.001).
- 后多布斯患者的年龄较小 (37.0%vs30.3%,p=0.024) 并且更常见于无双 (21.2%vs10.2%,p<0.001).
- 大约47%的患者在决策中考虑了当前的政治事件.
结论:
- 在多布斯后,观察到女性永久避孕程序的增加,特别是在年轻人和未婚人群中.
- 害怕失去未来的生殖选择影响患者的决策,这表明政治干预对自主权的影响.
- 患者正在主动寻求永久避孕,抵制产妇政策,并强调对生殖正义的威胁.
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