在全国代表性样本中，关于信任妇女自行做出堕胎决定的信念以及对自我管理的药物流产的惩罚情况

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110613

A Becker, R Schroeder, L Ralph, S Kaller, MA Biggs

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引用次数: 0

摘要

目标鉴于美国在多布斯诉杰克逊妇女健康组织案之后，由于设施内堕胎的机会减少，自我管理的药物流产预计会增加，我们研究了非专业人士对于信任孕妇自己做出堕胎决定的态度，以及信任女性是否与自我管理药物流产的惩罚信念相关。调查要求参与者回答是否同意 "大多数女性有能力为自己做出堕胎的最佳决定"。我们计算了 "信任女性 "的平均得分（1-5，5=信任度更高）。我们进行了多变量回归，以评估与信任女性相关的因素，以及信任女性是否与支持向儿童保护服务机构或警方举报、让她们支付罚款或监禁自行管理药物流产者相关。受访者对女性的信任度各占一半（50.36% 表示同意/非常同意，49.64% 表示不同意、非常不同意或既不同意也不不同意）。性别或性少数群体、民主党人、非西班牙裔黑人以及支持合法获得诊所内堕胎服务的受访者信任女性做出堕胎决定的几率较高。信任妇女与减少对自行管理药物流产的各种形式惩罚的支持有关。结论信任妇女的信念是两极分化的，只有一半的非洲裔美国人报告说信任妇女能做出自己的流产决定；这些态度与惩罚自行管理药物流产者的信念有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

BELIEFS ABOUT TRUSTING WOMEN TO MAKE THEIR OWN ABORTION DECISIONS AND PUNISHMENT FOR SELF-MANAGED MEDICATION ABORTION IN A NATIONALLY REPRESENTATIVE SAMPLE

Objectives

Given the anticipated increase in self-managed medication abortion due to decreased access to facility-based abortion in the US after Dobbs v Jackson Women’s Health Organization, we examined lay attitudes regarding trusting pregnant people to make their own abortion decisions and whether trusting women is associated with beliefs about punishment for self-managed medication abortion.

Methods

We conducted a nationally representative cross-sectional survey of 7,148 people assigned female at birth (AFAB), aged 15–49 from May to July 2023, using a probability-based panel. Participants were asked to indicate whether they agree or disagree that “Most women are capable of making the best decision on abortion for themselves.” We calculated a mean Trust women score (1–5, 5=higher trust). We conducted multivariable regression to assess factors associated with trusting women and whether trusting women was associated with support for reporting people to Child Protective Services or the police, having them pay a fine, or jailing those who self-managed a medication abortion.

Results

The mean Trust Women score was 2.6 (SD= 1.24). Respondents were evenly split between trusting women (50.36% agreed/strongly agreed, 49.64% disagreed, strongly disagreed, or neither agreed nor disagreed). Identifying as a gender or sexual minority, as Democrat, as non-Hispanic Black, and supportive of legal access to in-clinic abortion were associated with higher odds in trusting women to make abortion decisions. Trusting women was associated with decreased support for all forms of punishment for self-managed medication abortion.

Conclusions

Beliefs about trusting women are polarized, with only half of AFAB people reporting trusting women to make their own abortion decisions; these attitudes are associated with beliefs about punishing those who self-manage a medication abortion.

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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.