墨西哥城合法终止妊娠妇女的社会心理概况

IF 0.9 4区 医学 Q4 PSYCHIATRY
Karla Flores-Celis, Martha Cordero Oropeza, L. Ramos-Lira
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引用次数: 0

摘要

导言。生殖自主权使人们能够自由决定自己的生活计划,包括性健康和生殖健康。然而,其行使可能会受到健康决定因素和其他结构性条件的限制。了解接受合法中断妊娠(LIP)的妇女的背景有助于确定不平等的模式及其对行使生殖自主权的影响。目的分析墨西哥城合法中止妊娠妇女的概况。方法。对 274 名在公共机构终止头三个月妊娠的妇女进行潜类分析。结果。建立了两个潜类模型:成年妇女(68.34%)和年轻妇女(31.65%)。耻辱感是预测等级的变量;得分越高,属于成年组的概率越低(p = .019)。成年女性的特点是受教育程度较低、从事无偿活动、至少有一个孩子、曾有过堕胎经历、在过去 12 个月中遭受过亲密伴侣暴力,以及报告其伴侣不同意中止妊娠。年轻女性都是学生,有伴侣,并称其伴侣同意她们要求堕胎。讨论和结论。尽管法律发生了变化,但在堕胎需求和堕胎机会方面仍然存在耻辱感,特别是对具有某些特征的妇女而言。利用基于以往经验的方法,在咨询中纳入减少成见的干预措施将是有益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosocial profiles of women who legally terminated a pregnancy in Mexico City
Introduction. Reproductive autonomy enables a person to freely decide their life plan, including sexual and reproductive health. However, its exercise can be constrained by health determinants and other structural conditions. Knowing the background of women who undergo a Legal Interruption of Pregnancy (LIP) helps identify patterns of inequality and their impact on the exercise of reproductive autonomy. Objective. To analyze the profile of women who legally terminate a pregnancy in Mexico City. Method. Latent class analysis, with the participation of 274 women who terminated a first trimester pregnancy at a public facility. Results. Model of two latent classes: adult (68.34%) and young women (31.65%). Stigma was the predictor variable for class; the higher the score, the lower the probability of belonging to the adult group (p = .019). Adult women were characterized by having lower educational attainment, engaging in unpaid activities, having at least one child, and having had previous abortions, having experienced intimate partner violence in the past twelve months and reporting that their partners did not agree with the interruption of their pregnancy. Young women were students, partnered and reported that their partners had agreed with them to request an abortion. Discussion and conclusion. Despite the legal changes effected, stigma is still present in the abortion demand and access, particularly for women with certain characteristics. It would be useful to include interventions to reduce stigma in counseling, using an approach based on previous experience.
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来源期刊
Salud Mental
Salud Mental PSYCHIATRY-
CiteScore
1.60
自引率
7.70%
发文量
32
期刊介绍: Salud Mental receives original manuscripts dealing with various mental health-related topics (such as psychiatry, neurosciences, psychology, epidemiology, and addictions). The submission of a manuscript must be exclusively carried out through this website.
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