Pedersen Willy
Department of Sociology and Human Geography, University of Oslo, Blinderen, Oslo, Norway.
Scand J Public Health. 2008 Jun;36(4):424-8. doi: 10.1177/1403494807088449.
Induced abortion is an experience shared by a large number of women in Norway, but we know little about the likely social or mental health-related implications of undergoing induced abortion. International studies suggest an increased risk of adverse outcomes such as depression, but many studies are weakened by poor design. One particular problem is the lack of control for confounding factors likely to increase the risk of both abortion and depression. The aim of the study was to investigate whether induced abortion was a risk factor for subsequent depression.
A representative sample of women from the normal population (n=768) was monitored between the ages of 15 and 27 years. Questions covered depression, induced abortion and childbirth, as well as sociodemographic variables, family relationships and a number of individual characteristics, such as schooling and occupational history and conduct problems.
Young women who reported having had an abortion in their twenties were more likely to score above the cut-off point for depression (odds ratio (OR) 3.5; 95% confidence interval (CI) 2.0-6.1). Controlling for third variables reduced the association, but it remained significant (OR 2.9; 95% CI 1.7-5.6). There was no association between teenage abortion and subsequent depression.
Young adult women who undergo induced abortion may be at increased risk for subsequent depression.
人工流产是挪威众多女性都经历过的事情，但我们对人工流产可能产生的社会影响或与心理健康相关的影响知之甚少。国际研究表明，人工流产会增加诸如抑郁等不良后果的风险，但许多研究因设计不佳而存在缺陷。一个特别的问题是缺乏对可能增加人工流产和抑郁风险的混杂因素的控制。本研究的目的是调查人工流产是否是导致后续抑郁的一个风险因素。
对来自普通人群的具有代表性的女性样本（n = 768）在15至27岁之间进行监测。问题涵盖抑郁、人工流产和分娩，以及社会人口统计学变量、家庭关系和一些个人特征，如教育程度、职业经历和行为问题。
报告在二十多岁时进行过人工流产的年轻女性更有可能得分高于抑郁临界值（优势比（OR）3. 在控制了第三个变量后，这种关联有所减弱，但仍然显著（OR 2.9；95%置信区间（CI）1.7 - 5.6）。青少年人工流产与后续抑郁之间没有关联。
接受人工流产的年轻成年女性后续患抑郁症的风险可能会增加。
