LIMITS OF PUBLIC POLICY TO CHANGE INDIVIDUALS’ CONSIDERATION OF ABORTION IN THE US SOUTHWEST

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110591

DG Foster, E Gonzalez, LJ Ralph, CH Rocca

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引用次数: 0

Abstract

Objectives

We aimed to understand abortion decision making and the extent to which unsupportive social/economic policies might contribute to people having abortions who might otherwise choose childbearing

Methods

As part of a longitudinal cohort study in the US Southwest, we prospectively followed 2,015 participants aged 15-34 years, recruited between 2019-2022 from 23 healthcare facilities, for one year until incident pregnancy (n=382) and through pregnancy decision-making. Participants having abortions reported the circumstances under which they might have decided to continue the pregnancy and raise the child.

Results

Among the 95 people who had an abortion, only 15% said nothing would have led them to decide to carry the pregnancy to term. About 71% indicated at least one circumstance related to social/economic status. For instance, 58% might have chosen to give birth if they had more money, of whom 1 in 5 said they would need less than $5,000. Housing was a major consideration, with 47% of women reconsidering abortion if they had their own or a better place to live. However, the vast majority (90%) also indicated circumstances that are immutable to social/economic policy such as if they were older (39%), finished with school (28%), married (27%), in better health (26%), or if their other children did not need their attention (21%). Only one participant exclusively indicated circumstances that could be addressed with economic policies, such as housing, childcare, and financial support.

Conclusions

Results suggest that more supportive social/economic policies could help improve reproductive autonomy but would unlikely significantly reduce need for abortion.

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在美国西南部，公共政策在改变个人堕胎考虑方面的局限性

方法作为美国西南部纵向队列研究的一部分，我们对 2019-2022 年间从 23 家医疗机构招募的 2,015 名 15-34 岁的参与者进行了为期一年的前瞻性跟踪调查，直至发生妊娠事件（人数=382）并完成妊娠决策。结果在 95 名人工流产者中，只有 15%的人表示没有任何情况会导致他们决定继续妊娠。约 71% 的人表示至少有一种情况与社会/经济地位有关。例如，如果她们有更多的钱，58%的人可能会选择分娩，其中五分之一的人表示她们需要的钱少于 5000 美元。住房也是一个重要的考虑因素，47% 的妇女如果有自己的住房或更好的住房，会重新考虑堕胎。然而，绝大多数人（90%）也表示了社会/经济政策不可改变的情况，如年龄较大（39%）、完成学业（28%）、已婚（27%）、健康状况较好（26%）或其他孩子不需要她们照顾（21%）。结果表明，更加支持性的社会/经济政策有助于提高生育自主权，但不太可能显著减少堕胎需求。

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

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.