Reasons for past abortions among women in treatment for opioid use disorder.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology of Addictive Behaviors Pub Date : 2024-03-01 Epub Date: 2023-09-14 DOI:10.1037/adb0000959

Roxanne F Harfmann, Sarah H Heil, Lindsay M Cannon, Vanessa K Dalton, Yasamin Kusunoki, Loren S Kock, Lauren K MacAfee

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引用次数: 0

Abstract

Objective: The main reasons women in the general population seek abortion are financial, timing, and partner-related reasons. While women with opioid use disorder (OUD) appear to use abortion services more than women in the general population, reasons for abortion in this group have not been examined to our knowledge.

Method: Female patients aged 18-50 years in OUD treatment at 22 randomly selected facilities in Michigan were surveyed. The survey included items assessing reproductive health history. Women who reported having one or more abortions were asked to think back to that time and their reasons for choosing abortion. Twenty potential reasons and a write-in option were offered; women could endorse as many as applied.

Results: Of 260 women surveyed, 84 reported having an abortion. Of these, most (77.4%) reported multiple reasons for having an abortion. The most common reasons for having an abortion were not having money to take care of a baby (54.8%), feeling too young to have a child and not feeling ready to be a mother (both 42.9%), not loving the father and other partner-related concerns (25.0%-32.1%), and having concerns about the effects of their drug use (28.6%). No combination of reasons for abortion emerged as more prevalent than any other.

Conclusions: Like women in the general population, women in treatment for OUD had not only abortions because of financial, timing, and partner-related reasons but also concerns about the effects of their drug use. These results underscore the multiple and often interrelated reasons that lead women to seek abortion. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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接受阿片类药物使用障碍治疗的妇女过去堕胎的原因。

目的:一般人群中妇女寻求堕胎的主要原因是经济、时机和与伴侣有关的原因。虽然患有阿片类药物使用障碍(OUD)的妇女似乎比一般人群中的妇女更多地使用堕胎服务，但据我们所知，这一群体中堕胎的原因尚未得到调查。方法:随机选取密歇根州22家医院18-50岁接受OUD治疗的女性患者进行调查。该调查包括评估生殖健康史的项目。报告有过一次或多次堕胎的妇女被要求回想当时的情况以及她们选择堕胎的原因。给出了20个可能的原因和一个减记选项;女性可以尽可能多地支持。结果:在接受调查的260名妇女中，有84人报告堕胎。其中，大多数(77.4%)报告有多种堕胎原因。堕胎最常见的原因是没有钱照顾孩子(54.8%)、觉得自己太年轻，还没有准备好做母亲(均为42.9%)、不爱父亲和其他与伴侣有关的问题(25.0%-32.1%)，以及担心吸毒的影响(28.6%)。没有任何一种堕胎原因的组合比其他任何一种都更为普遍。结论:与一般人群中的妇女一样，接受OUD治疗的妇女不仅由于经济、时间和伴侣相关原因而堕胎，而且还担心其药物使用的影响。这些结果强调了导致妇女寻求堕胎的多重且往往相互关联的原因。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.