终生亲密伴侣暴力对堕胎方式选择的影响》（The Impact of Lifetime Intimate Partner Violence on Abortion Method Choice）。

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-11-05 DOI:10.1016/j.contraception.2024.110732

Lauren Sobel , Madison Bernstein , Namita Arunkumar , Jennifer Fortin , Isabel Fulcher , Youri Hwang , Alisa B. Goldberg

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引用次数: 0

摘要

目的：评估有亲密伴侣暴力史（IPV）的患者与无 IPV 史的患者在选择堕胎类型时是否有所不同：研究设计：研究设计：在妊娠 11 周或 11 周以内寻求人工流产的患者中，我们比较了有终生 IPV 史者和无 IPV 史者对药物流产和手术流产的选择。其次，我们还比较了首选流产特征并评估了生殖自主权。2021 年 9 月至 2022 年 8 月期间，我们在马萨诸塞州计划生育联盟波士顿健康中心招募了接受人工流产护理的个人，进行匿名横断面调查研究。我们需要 336 名受试者，才能检测出一生中有过 IPV 史的受试者与没有 IPV 史的受试者在人工流产方法上 20% 的差异，功率为 80%：我们招募了 342 名参与者，并排除了 6 名数据缺失者。共有 71 人（21%）报告其一生中有过 IPV 史。大多数有终生 IPV 史的人选择了程序性人工流产，尽管他们对人工流产方法的选择与没有 IPV 史的人没有显著差异（56.3% 对 47.2%，P=.244）。有终生 IPV 史的人比没有终生 IPV 史的人更经常使用人工流产基金（8.5% 对 1.5%，P=.047）。在个人认为对其选择的人工流产类型或生殖自主权至关重要的方面，有和无终生 IPV 史的个人之间没有统计学差异：结论：获得程序性人工流产服务和人工流产基金对于满足有 IPV 终生史的患者的人工流产需求非常重要。

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The impact of lifetime intimate partner violence on abortion method choice

Objective(s)

To evaluate if the type of abortion patients prefer differs for those with a history of intimate partner violence (IPV) compared to those without a history of IPV.

Study design

We compared choice of medication versus procedural abortion between those with a history of lifetime IPV and those without a history of IPV among patients seeking abortion at 11 weeks’ gestation or less. Secondarily, we compared preferred abortion characteristics and assessed reproductive autonomy. Individuals presenting for abortion care were recruited for an anonymous, cross-sectional survey study at Planned Parenthood League of Massachusetts, Boston Health Center from September 2021 to August 2022. We required 336 subjects to detect a 20% difference in abortion method between those with a lifetime history of IPV and those without, with 80% power.

Results

We enrolled 342 participants and excluded six with missing data. A total of 71 individuals (21%) reported a lifetime history of IPV. A majority of individuals with a lifetime history of IPV chose procedural abortion, although their abortion method choice did not differ significantly from individuals with no history of IPV (56.3% vs 47.2%, p = 0.244). Individuals with a lifetime IPV history used abortion funds more frequently than those without a history of lifetime IPV (8.5% vs 1.5%, p = 0.047). There was no statistical difference between individuals with and without a lifetime history of IPV regarding what individuals considered important for the type of abortion they chose or reproductive autonomy.

Conclusion(s)

Access to procedural abortion services and abortion funds are important to meet the abortion needs of patients with a lifetime history of IPV.

Implications

Providing both medication and procedural abortion and creating a trauma-informed environment are central to supporting individuals with a history of IPV. Safeguarding abortion fund access is important individuals with a history of IPV.

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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.