在阿根廷自我管理堕胎的患病率估计:基于网络的受访者驱动的抽样研究
Amanda Cleeve1,2, Xin Lu3, Mart Stein4
1Department of Womens and Childrens Health, Karolinska Institute, Stockholm, Sweden amanda.cleeve@ki.se.
BMJ sexual & reproductive health
|January 9, 2026
概括
阿根廷有很大比例的妇女选择在正式医疗保健之外进行自我管理的堕胎 (SMA),即使在合法化后也是如此. 基于网络的受访者驱动抽样 (RDS) 有效地估计了这种患病率,突出了访问差距.
科学领域:
- 生殖健康 生殖健康
- 公共卫生监督 公共卫生监督
- 社会流行病学 社会流行病学
背景情况:
- 阿根廷的堕胎准入在2020年合法化后仍然不均.
- 正式医疗保健系统之外的自主堕胎 (SMA) 是一个重要的公共卫生问题.
- 受访者驱动采样 (RDS) 是研究隐藏人群和行为的一个有价值的工具.
研究的目的:
- 估计阿根廷正式医疗保健系统之外的自我管理堕胎 (SMA) 的流行率.
- 评估SMA在2020年堕胎合法化之前和之后的利用情况.
- 探索经历SMA的个体的经验和偏好.
主要方法:
- 从2024年2月到5月,使用受访者驱动抽样 (webRDS) 进行了一项跨部门的基于网络的调查.
- 参与者包括16-49岁的个人,曾经怀孕过,居住在阿根廷.
- 使用RDS II估计器生成SMA在正式医疗保健系统之外的流行率估计.
主要成果:
- 这项研究通过7个RDS链接招募了1340名参与者.
- 据估计,17.1%的参与者报告说曾经进行过堕胎.
- 在那些有堕胎经验的人中,估计有20.7%的人报告了正式医疗保健系统之外的SMA,其中24.7%发生在合法化后.
结论:
- 阿根廷的大量堕胎发生在正式医疗保健系统之外,在法律改革后仍然存在.
- 调查结果强调,需要解决各种需求和偏好,以管理意外怀孕.
- 基于网络的RDS是一种可行且有效的方法,用于研究自我管理堕胎的流行率.
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