COVID-19, health care, and abortion exceptionalism in the United States.

IF 3.4 2区医学 Q1 DEMOGRAPHY

Perspectives on Sexual and Reproductive Health Pub Date : 2021-03-01 Epub Date: 2021-08-26 DOI:10.1363/psrh.12182

Carole Joffe, Rosalyn Schroeder

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引用次数: 9

Abstract

Context: Few qualitative findings have been published that explore and identify the challenges experienced by independent abortion providers during the COVID-19 pandemic in the United States (US). In this paper, we explore these themes while expanding the concept of "abortion exceptionalism" beyond its original legal meaning to address the impact of abortion stigma.

Methods: Twenty abortion providers from independent abortion clinics throughout the US South and Midwest participated in semi-structured interviews in June and July 2020. Interviews explored the challenges of providing abortion care in the wake of the COVID-19 pandemic and sought to identify how clinics strategized and amended their clinical practices to continue providing abortion care during this time.

Results: All providers we spoke to noted significant challenges to providing abortion care in the early days of COVID-19. In addition to experiencing the same concerns as other health care institutions, abortion clinics also faced additional, unique burdens that can only be attributed to the politics of abortion exceptionalism. Examples of this abortion exceptionalism include abrupt orders to close clinics, the need to rely on traveling physicians, legislature-imposed limits on telemedicine, heightened activities of protesters, and non-evidence-based regulation of medication abortion.

Conclusion: Despite major challenges and differential treatment, independent abortion clinics in the US persevered to continue to provide abortion care throughout the COVID-19 pandemic.

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美国的COVID-19、医疗保健和堕胎例外论。

背景:很少发表定性研究结果，探讨和确定美国(US) COVID-19大流行期间独立堕胎提供者所面临的挑战。在本文中，我们在探讨这些主题的同时，将“堕胎例外论”的概念扩展到其原始的法律含义之外，以解决堕胎耻辱的影响。方法:来自美国南部和中西部独立堕胎诊所的20名堕胎提供者于2020年6月和7月参加了半结构化访谈。访谈探讨了在COVID-19大流行之后提供堕胎护理的挑战，并试图确定诊所如何制定战略并修改其临床实践，以在此期间继续提供堕胎护理。结果:与我们交谈的所有提供者都指出，在COVID-19早期提供堕胎护理面临重大挑战。堕胎诊所除了面临与其他保健机构相同的关切之外，还面临着额外的、独特的负担，这只能归因于堕胎例外论的政治。这种堕胎例外主义的例子包括突然下令关闭诊所，需要依靠旅行医生，立法机构对远程医疗施加限制，抗议者活动加剧，以及对药物流产的无证据监管。结论:尽管面临重大挑战和差别待遇，美国的独立堕胎诊所在COVID-19大流行期间仍坚持继续提供堕胎护理。

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

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.