关怀：社区参与的人工流产自我护理资源探索

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111114

T Mathis, ZM Hendrickson, A Pierce, S Ramgopal, A Collins, N Devineni, N Sweet, O Stransky, S Sanders, E Mosley, C Salter

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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，美国孕妇在堕胎护理方面面临越来越大的障碍，特别是在边缘化社区。本研究探讨了在宾夕法尼亚州阿勒格尼县堕胎前、期间和之后使用的自我护理资源在导航护理中的作用，以确定更公平、以社区为中心的支持机会。方法CARES（通过生殖公正、助产师和艺术对堕胎进行自我护理）项目采用混合方法，社区参与设计。合作者包括学术研究人员、生殖正义倡导者、临床医生、助产师和当地艺术组织。我们与堕胎病人和提供者进行了19次深入访谈和两次以艺术为基础的讲习班。我们还对48名堕胎后患者进行了结构化调查。数据收集和专题及描述性分析将于2025年夏季结束。结果初步调查结果显示，48%的受访者为黑人，42%的受访者年龄在25-29岁之间，44%的受访者拥有高中文凭/GED或更高学历。参与者报告在求医过程中获得了情感（30%）、后勤（19%）、信息（16%）和经济支持（15%）。然而，法律（13%）、财务（30%）、后勤（28%）和社会（28%）障碍是常见的。一半（50%）的人主要在护理前使用自我护理资源，如视频、杂志和小册子（68%）。结论初步调查结果显示，虽然存在自我护理工具和社区支持，但客户仍然面临重大挑战。为了改善堕胎支持系统，应将资源扩大到堕胎前阶段之外，并纳入更容易获得的途径。集中社区的声音对于缩小堕胎护理方面的公平差距至关重要。

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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CARES: A COMMUNITY-ENGAGED EXPLORATION OF SELF-CARE RESOURCES FOR ABORTION

Objectives

In the wake of Dobbs v Jackson Women’s Health Organization, pregnant individuals face escalating barriers to abortion care in the US, particularly in marginalized communities. This study explores the role of self-care resources used before, during, and after abortion in navigating care in Allegheny County, Pennsylvania, to identify opportunities for more equitable, community-centered support.

Methods

The CARES (Self-Care for Abortion through Reproductive Justice, Doulas, and the Arts) Project uses a mixed-methods, community-engaged design. Collaborators include academic researchers, reproductive justice advocates, clinicians, doulas, and local arts organizations. We conducted 19 in-depth interviews and two arts-based workshops with abortion clients and providers. We also administered a structured survey to 48 post-abortion clients. Data collection and thematic and descriptive analyses will conclude in Summer 2025.

Results

Preliminary survey findings show that 48% of respondents identified as Black, 42% were aged 25–29, and 44% had a high school diploma/GED or higher. Participants reported receiving emotional (30%), logistical (19%), informational (16%), and financial support (15%) during care-seeking. However, legal (13%), financial (30%), logistical (28%), and social (28%) barriers were common. Half (50%) used self-care resources — such as videos, zines, and pamphlets — primarily before care (68%).

Conclusions

Preliminary findings reveal that while self-care tools and community-based supports exist, clients still face major access challenges. To improve abortion support systems, resources should be expanded beyond the pre-abortion period and integrated into more accessible pathways. Centering community voices is essential to closing equity gaps in abortion care.

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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.