国家堕胎限制与美国出生的和外国出生的妇女使用避孕药之间的关联
Comfort Z Olorunsaiye1, Hannah M Degge2, Subasri Narasimhan3
1Department of Public Health, Arcadia University, Glenside, PA, USA.
Midwifery
|February 20, 2026
概括
国家对堕胎的限制与避孕方法使用的变化有关,外国出生的妇女在获得生殖健康服务方面面临更大的差异. 解决这些不平等问题至关重要.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 社会学 社会学 社会学
背景情况:
- 堕胎限制会对包括避孕在内的生殖健康服务产生负面影响.
- 出生在国外的妇女在获得生殖健康保健方面可能会遇到独特的脆弱性.
- 关于堕胎限制对外国出生的人口使用避孕药的影响的研究有限.
研究的目的:
- 调查州级堕胎限制与美国妇女选择避孕方法之间的联系.
- 分析出生地 (美国出生的与外国出生的) 如何影响这些关联.
- 识别与堕胎政策相关的避孕措施获取方面的差异.
主要方法:
- 657名妇女的横截面调查数据,分析的重点是562名非怀孕的性活跃女性.
- 使用多项回归模型来估计州堕胎限制与避孕药使用之间的关联.
- 分析进行了整体和按出生阶层进行的分析,调整了社会人口统计学因素.
主要成果:
- 与保护性州相比,堕胎限制的州的妇女更有可能使用长效可逆避孕 (LARC) /永久方法,短效荷尔蒙方法和"其他"避孕方法.
- 在限制性状态下的美国出生的妇女使用LARC/永久方法的增加,但使用短效荷尔蒙方法的减少.
- 在限制性国家出生在国外的女性显著使用"其他"方法,使用LARC/永久性和短效激素方法较少.
结论:
- 堕胎限制加剧了现有的避孕措施获取差异,不成比例地影响了出生在国外的妇女.
- 这些发现凸显了解决风险人群获得不平等待遇的需要.
- 确保公平获得生殖健康保健是减轻堕胎限制广泛影响的关键.
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