Department of Family and Community Medicine, University of California, San Francisco, CA, USA.
Am J Obstet Gynecol. 2010 Mar;202(3):214-20. doi: 10.1016/j.ajog.2009.08.022.
Prominent racial/ethnic and socioeconomic disparities in rates of unintended pregnancy, abortion, and unintended births exist in the United States. These disparities can contribute to the cycle of disadvantage experienced by specific demographic groups when women are unable to control their fertility as desired. In this review we consider 3 factors that contribute to disparities in family planning outcomes: patient preferences and behaviors, health care system factors, and provider-related factors. Through addressing barriers to access to family planning services, including abortion and contraception, and working to ensure that all women receive patient-centered reproductive health care, health care providers and policy makers can substantially improve the ability of women from all racial/ethnic and socioeconomic backgrounds to make informed decisions about their fertility.
在美国，妊娠、堕胎和非意愿妊娠的发生率存在显著的种族/民族和社会经济差异。这些差异可能导致特定人群在无法按照自己的意愿控制生育能力时，陷入劣势循环。在这篇综述中，我们考虑了导致计划生育结果差异的 3 个因素：患者偏好和行为、医疗保健系统因素以及与提供者相关的因素。通过解决计划生育服务（包括堕胎和避孕）的可及性障碍，并努力确保所有妇女都能获得以患者为中心的生殖保健，医疗保健提供者和政策制定者可以大大提高所有种族/民族和社会经济背景的妇女做出有关其生育能力的知情决策的能力。
