在多布斯决定之后,寻求跨州堕胎护理
Alia Cornell1,2, Brianna Keefe-Oates3, Olivia Thornton1,4,5
1Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA network open
|March 9, 2026
概括
国家对堕胎的限制加剧了不平等现象,迫使许多人为了获得护理而旅行. 导航这些旅程涉及显著的延误,突出需要更好的信息,资金和支持堕胎访问.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 生殖健康 生殖健康
背景情况:
- 在多布斯诉杰克逊妇女健康组织之后颁布的州级堕胎限制加剧了堕胎准入现有的不平等.
- 出国进行堕胎护理的个人面临重大障碍,需要对他们的经历进行调查.
研究的目的:
- 为寻求州外堕胎护理的个人确定障碍和促进者.
- 为那些禁止或严格限制的州提供改善堕胎机会的建议.
主要方法:
- 对来自伊利诺伊州堕胎诊所的33名州外参与者的数据进行了定性分析.
- 在2023年9月至11月期间,通过自我管理的调查和半结构面试收集的数据.
主要成果:
- 从决定到任命,参与者经历了14天 (平均29.6天) 的中位延迟.
- 关键的挑战包括收集信息,导航复杂的州法律,以及财务/旅行规划.
- 促进者包括经济保障,社会支持和接近堕胎合法的国家.
结论:
- 州际堕胎旅程是由本州的政策,耻辱,信息获取和支持系统所塑造的.
- 改善访问需要政策变化,提高准确信息的可见性,资金,减少耻辱和加强社会支持服务.
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