估计堕胎母亲的时期患病率:一项基于人口的包容性妊娠结局研究。

IF 1.5 Q3 HEALTH POLICY & SERVICES
Health Services Research and Managerial Epidemiology Pub Date : 2021-07-23 eCollection Date: 2021-01-01 DOI:10.1177/23333928211034993
James Studnicki, John W Fisher, Tessa Longbons, David C Reardon, Donna J Harrison, Christopher Craver, Maka Tsulukidze, Ingrid Skop
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引用次数: 1

摘要

导言:有子女妇女中人工流产的流行率是通过调查研究得出的预测间接估计出来的。然而,在已发表的文献中没有关于这个问题的经验推导的、基于人群的结论。目的:本研究的目的是描述美国符合医疗补助条件的妇女生殖史中所有其他可能的妊娠结局中堕胎的流行程度。方法:对来自17个州的13岁以上符合条件的妇女的妊娠结局序列进行回顾性、横断面、纵向分析,这些州的医疗补助包括大多数堕胎,1999年至2014年间至少有一次可识别的妊娠。1360个妊娠结局序列被分为8个类别,这些类别描述了4种可能的妊娠结局的不同组合:出生、流产、自然流产和未确定流产。代表7,799,784例妊娠结局的4,884,101名妇女的生殖史分布在这些类别中。结果:活产但没有流产或未确定妊娠损失的妇女占研究人口的74.2%,占总出生人数的87.6%。只堕胎但不生育的妇女占研究人口的6.6%,但她们占堕胎妇女的53.5%,占所有堕胎妇女的51.5%。生育和流产的妇女占研究人口的5.7%,占总分娩人数的7.2%。结论:有孩子的低收入妇女堕胎即使不是罕见,也是极其罕见的。未堕胎母亲的月经流行率是堕胎母亲的13倍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Estimating the Period Prevalence of Mothers Who Have Abortions: A Population Based Study of Inclusive Pregnancy Outcomes.

Estimating the Period Prevalence of Mothers Who Have Abortions: A Population Based Study of Inclusive Pregnancy Outcomes.

Estimating the Period Prevalence of Mothers Who Have Abortions: A Population Based Study of Inclusive Pregnancy Outcomes.

Estimating the Period Prevalence of Mothers Who Have Abortions: A Population Based Study of Inclusive Pregnancy Outcomes.

Introduction: The prevalence of induced abortion among women with children has been estimated indirectly by projections derived from survey research. However, an empirically derived, population-based conclusion on this question is absent from the published literature.

Objective: The objective of this study was to describe the period prevalence of abortion among all other possible pregnancy outcomes within the reproductive histories of Medicaid-eligible women in the U.S.

Methods: A retrospective, cross-sectional, longitudinal analysis of the pregnancy outcome sequences of eligible women over age 13 from the 17 states where Medicaid included coverage of most abortions, with at least one identifiable pregnancy between 1999 and 2014. A total of 1360 pregnancy outcome sequences were grouped into 8 categories which characterize various combinations of the 4 possible pregnancy outcomes: birth, abortion, natural loss, and undetermined loss. The reproductive histories of 4,884,101 women representing 7,799,784 pregnancy outcomes were distributed into these categories.

Results: Women who had live births but no abortions or undetermined pregnancy losses represented 74.2% of the study population and accounted for 87.6% of total births. Women who have only abortions but no births constitute 6.6% of the study population, but they are 53.5% of women with abortions and have 51.5% of all abortions. Women with both births and abortions represent 5.7% of the study population and have 7.2% of total births.

Conclusion: Abortion among low-income women with children is exceedingly uncommon, if not rare. The period prevalence of mothers without abortion is 13 times that of mothers with abortion.

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来源期刊
CiteScore
1.60
自引率
6.20%
发文量
32
审稿时长
12 weeks
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