堕胎后寻求机构堕胎护理的人的犯罪化问题

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111059

R Schroeder, LJ Ralph, S Kaller, M Antonia Biggs

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引用次数: 0

摘要

在多布斯诉杰克逊妇女健康组织之后，将与怀孕有关的医疗保健定为刑事犯罪的努力有所增加。这项研究描述了人们对寻求基于设施的堕胎的犯罪化的担忧。方法负担研究旨在招募800名年龄≥15岁的人，他们在三个支持堕胎的州（加利福尼亚州，伊利诺伊州和新墨西哥州）的六个机构寻求堕胎，这些机构为许多州外患者提供服务。我们对前来堕胎护理的人进行了调查，了解他们对“触犯法律”的担忧，包括个人和支持他们的人（提示：“[我]/[帮助我获得护理的人]可能会因为寻求终止妊娠的护理而触犯法律”）。使用描述性统计和逻辑回归，我们检查了对刑事定罪和州外护理旅行的关注之间的关联。结果从2025年1月到4月，我们在5个机构招募了557人；539人填写了有关法律问题的问题。参与者的年龄中位数为26岁；34%的人有医疗补助/其他州保险；62%的人到州外堕胎。15%的参与者报告说，他们“非常”或“有些”担心在寻求堕胎护理时遇到法律上的麻烦，这一比例在州外的参与者中更高（21%对5%，p<0.001）。较少的参与者（10%）担心支持人员会惹上法律麻烦，尽管州外参与者的担忧也更高（12%对5%，p=0.004）。结论：在多布斯事件后寻求堕胎的人群中，对与堕胎相关的刑事定罪的担忧普遍存在，尤其是那些来自外州的人，这可能会影响人们的求医行为和心理健康。

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CRIMINALIZATION CONCERNS AMONG PEOPLE SEEKING FACILITY-BASED ABORTION CARE POST-DOBBS

Objectives

Following Dobbs v Jackson Women’s Health Organization, efforts to criminalize pregnancy-related healthcare have increased. This study describes concerns around criminalization among people seeking facility-based abortion.

Methods

The Burden Study aims to recruit 800 people aged ≥15 seeking abortion at six facilities in three abortion-supportive states (California, Illinois, and New Mexico) that serve many out-of-state patients. We surveyed people presenting for abortion care regarding their concerns about “getting into trouble with the law,” both personally and for their support people (prompts: “[I]/ [Someone who helped me get care] might get in trouble with the law for seeking care to end this pregnancy”). Using descriptive statistics and logistic regressions, we examined associations between concerns about criminalization and out-of-state travel for care.

Results

From January to April 2025, we recruited 557 people at five facilities; 539 completed questions about legal concerns. Participants’ median age was 26; 34% had Medicaid/other state insurance coverage; and 62% traveled out-of-state for their abortion. While 15% of participants reported that they were “very” or “somewhat” worried about getting into trouble with the law for seeking abortion care, this proportion was higher for out-of-state participants (21% vs. 5%, p<0.001). Fewer participants (10%) were worried about a support person getting in trouble with the law, although concerns were also higher among out-of-state participants (12% vs. 5%, p=0.004).

Conclusions

Concerns about criminalization related to abortion are prevalent among people seeking abortion post-Dobbs, particularly among those traveling from out-of-state, and may impact people’s care-seeking behaviors and mental health.

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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.