国家对堕胎的限制和最近分娩的黑人和白人中亲密伴侣暴力和家庭暴力的流行。

IF 2.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Frontiers in reproductive health Pub Date : 2025-04-14 eCollection Date: 2025-01-01 DOI:10.3389/frph.2025.1535865
Katherine Neff, Stephanie V Hall, Rieham Owda, Andrea Pangori, Kara Zivin, Angela Montoya, Leila McDonnaugh-Eaddy, Yasamin Kusunoki, April M Zeoli, Kamilah Davis-Wilson, Anna Courant, Vanessa K Dalton
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引用次数: 0

摘要

目的:怀孕期间的亲密伴侣暴力(IPV)和非亲密家庭暴力(DV)可能导致孕产妇和婴儿健康状况不佳。许多州甚至在2022年多布斯诉杰克逊妇女健康组织(Dobbs v. Jackson Women Health Organization)的裁决之前就颁布了州一级的堕胎限制,但这是否与IPV/DV有关仍不得而知。本研究旨在探讨黑人和白人产妇怀孕期间IPV/DV与堕胎限制的关系。研究设计:我们分析了参与疾病预防控制中心妊娠风险评估监测系统的36个州的2020年数据,代表1,931,458例分娩,其中1,368,237例分娩(70.84%)来自黑人和白人分娩个体。我们根据修改后的Guttmacher堕胎政策敌意指数将各州分为限制性州(N = 17)和限制性州(N = 19)。我们使用加权逻辑回归来评估国家堕胎限制与自我报告的IPV/DV之间的关系。结果:总体而言,限制州的分娩个体在怀孕期间报告IPV/DV的几率高于限制较少的州(aOR: 1.36, 95% CI: 1.15-1.60)。在种族群体中,我们发现限制州的黑人出生个体报告IPV/DV的几率高于限制较少州的黑人出生个体(aOR:1.75, 95% CI: 1.24-2.47)。我们在白人个体中看到了类似的关系(aOR:1.50, 95% CI: 1.17-1.94)。讨论:即使在联邦政府保护堕胎权的情况下,限制州的个人经历IPV/DV的几率也高于限制较少的州,尤其是黑人。这些发现表明,限制堕胎可能产生有害影响,并有可能加剧现有的卫生不公平现象。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
State abortion restrictiveness and prevalence of intimate partner violence and domestic violence among recently birthing black and white individuals.

Objectives: Intimate partner violence (IPV) and non-intimate domestic violence (DV) during pregnancy may result in poor maternal and infant health outcomes. Whether state-level abortion restrictions, enacted by many states even prior to the 2022 Dobbs v. Jackson Women's Health Organization decision, are associated with IPV/DV remains unknown. This study aimed to investigate the relationship between IPV/DV during pregnancy and abortion restrictions among Black and White birthing people.

Study design: We analyzed 2020 data from 36 states participating in the CDC Pregnancy Risk Assessment Monitoring System representing 1,931,458 deliveries of which 1,368,237 deliveries (70.84%) are from Black and White birthing individuals. We divided states into restrictive (N = 17) and less restrictive (N = 19) based on a modified Guttmacher Abortion Policy Hostility Index. We used weighted logistic regression to assess the relationship between state abortion restrictiveness and self-reported IPV/DV.

Results: Overall, birthing individuals in restrictive states had higher odds of reporting IPV/DV during pregnancy than those in less restrictive states (aOR: 1.36, 95% CI: 1.15-1.60). Within racial groups, we found that Black birthing individuals in restrictive states had higher odds of reporting IPV/DV than Black birthing individuals in less restrictive states (aOR:1.75, 95% CI: 1.24-2.47). We saw a similar relationship for White birthing individuals (aOR:1.50, 95% CI: 1.17-1.94).

Discussion: Even when access to abortion was federally protected, individuals in restrictive states had higher odds of experiencing IPV/DV than those in less restrictive states, particularly among Black individuals. These findings suggest possible detrimental impacts of abortion restrictions and their potential to worsen existing health inequities.

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