国家生殖权利政策环境:来自2022年国家生命统计数据出生数据的调查结果
Simrun Varshney1, Emily Lauren Lam1, Madeline Perry2
1Northwestern University Program in Public Health, Chicago, Illinois.
概括
国家生殖权利政策与更高的早产率有关. 限制性政策与早产率的增加有关,影响到母亲和婴儿的健康结果.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会对健康的影响.
背景情况:
- 过早分娩仍然是一个重要的公共卫生问题,在美国各州的不同率.
- 现有的研究突出了许多个体早产风险因素.
- 国家一级生殖权利政策对早产率的影响不太清楚.
研究的目的:
- 分析国家生殖权利政策与早产率之间的关联.
- 为了确定这种关联是否在对单个孕产妇风险因素进行控制后仍然存在.
- 调查政策限制对早产概率的影响.
主要方法:
- 对2022年国家生命统计系统出生档案的分析 (3,530,543名出生).
- 利用妇女政策研究研究所 (IWPR) 生殖权利指数得分,分为最限制性,有点限制性和最不限制性状态.
- 采用后勤回归来评估早产概率,调整母亲的社会人口统计学和临床因素,并对其他状态特征进行敏感性分析.
主要成果:
- 较为严格的州 (11.2%) 的平均早产率高于最不严格的州 (9.4%).
- 在最有限制的州的出生率比较高20%;在一些有限制的州的早产率比较高16%,即使经过风险因素调整.
- 在国家政策限制性和早产率之间观察到显著的正相关性 (r = .54,p < .001).
结论:
- 限制生殖权利的政策可能与早产率的增加有关.
- 潜在的机制包括在限制性政策环境中更高的意外怀孕率和更高的孕产妇并发病率.
- 这些发现有助于理解与州级生殖权利立法相关的健康差异.
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