多布斯案判决后俄亥俄州对自我管理人工流产的认识和信念

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110599

KV McFarland

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引用次数: 0

摘要

目标我们旨在分析在多布斯诉杰克逊妇女健康组织案之后与自我管理人工流产相关的意识和信念。方法利用 2022 年 9 月至 2023 年 8 月收集的具有人口代表性的俄亥俄州成年育龄妇女样本（n=2,473），我们计算了三种结果的流行率：(1) 对自我管理药物流产（SMMA）的认识，通过问题 "您是否听说过无需去诊所或咨询医生即可在家中购买和使用药片进行流产？"；（2）对 "自我管理人工流产 "一词含义的理解；（3）如果受访者或其身边的人需要在俄亥俄州进行不合法的人工流产时的假设行动。我们使用卡方检验来确定与 SMMA 意识相关的因素。在统计学上，意识与种族和民族（p=0.01）和社会经济地位（p<0.01）有显著相关性，非西班牙裔黑人妇女和拥有一些大学或更少和<7.5万美元收入的妇女报告的意识水平最低。妇女选择了一系列答案来描述自我管理人工流产对她们的意义，其中包括事后避孕药（30.3%）。很少有妇女（6.1%）在回答假设问题时会在网上购买堕胎药。事后避孕药通常被视为一种自我管理的人工流产方法。这些调查结果表明，有必要开展更多有关 SMMA 的教育，针对特定人群开展教育，并将其与紧急避孕区分开来。

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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AWARENESS AND BELIEFS RELATED TO SELF-MANAGED ABORTION IN OHIO AFTER THE DOBBS DECISION

Objectives

We aimed to analyze the awareness and beliefs related to self-managed abortion after Dobbs v Jackson Women’s Health Organization.

Methods

Utilizing a population-representative sample of adult, reproductive-age women in Ohio collected in September 2022 to August 2023 (n=2,473), we calculated the prevalence of three outcomes: (1) awareness of self-managed medication abortion (SMMA) measured with the question, “Have you heard of pills that you can buy and use at home to conduct an abortion without going to a clinic or consulting a doctor?”, (2) perceived meaning of term “self-managed abortion,” and (3) hypothetical actions if the respondent or someone close to them needed an abortion that was not legal in Ohio. We used chi-square tests to identify factors associated with SMMA awareness.

Results

About 41.6% of women reported being aware of SMMA. Awareness was statistically significantly associated with race and ethnicity (p=0.01) and socioeconomic status (p<0.01), with non-Hispanic Black women and women with some college or less and <$75K income reporting the lowest levels of awareness. Women selected a range of responses to describe what self-managed abortion means to them, including the morning after pill (30.3%). Few women (6.1%) would buy abortion pills online in response to the hypothetical question.

Conclusions

A minority of adult, reproductive-age women in Ohio are aware of SMMA, and awareness varies by race and socioeconomic status. The morning after pill was commonly indicated as a method of self-managed abortion. These findings highlight the need for more education about SMMA, to tailor education to specific populations, and distinguish it from emergency contraception.

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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.