Transnational Family Research Institute.
Am J Orthopsychiatry. 2011 Apr;81(2):184-92. doi: 10.1111/j.1939-0025.2011.01087.x.
Grounded in the concepts of intendedness and wantedness and research on children born to women denied abortion, this article focuses on the Prague Study, which followed the development and mental well-being over 35 years of 220 children born between 1961 and 1963 in Prague, Czech Republic, to women twice denied abortion for the same unwanted pregnancy. Children were individually pair-matched at age 9 with 220 children born from accepted pregnancies. Five follow-up waves were conducted at ages 9, 14-16, 21-23, 28-31, and 32-35 years. A substudy was also conducted of married unwanted pregnancy and accepted pregnancy participants at ages 26-28 years. To control for potential confounding factors, the study included all siblings of all subjects in the last 2 waves. Differences in psychosocial development widened over time but lessened around age 30. All the differences were consistently in disfavor of the unwanted pregnancy participants, especially for only children (no siblings). They became psychiatric patients more frequently than the accepted pregnancy controls and also more often than their siblings. In the aggregate, denial of abortion for unwanted pregnancies entails an increased risk for negative psychosocial development and mental well-being in adulthood. Implications for public health policy are discussed.
本文以目的性和意愿性概念以及对因同一非意愿妊娠而被两次拒绝堕胎的妇女所生子女的研究为基础，重点介绍了布拉格研究。该研究对 1961 年至 1963 年期间在捷克共和国布拉格出生的 220 名儿童进行了 35 年的发展和心理健康随访，这些儿童的母亲均因同一非意愿妊娠而被两次拒绝堕胎。在 9 岁时，对儿童进行了个体配对，与 220 名因接受妊娠而出生的儿童进行配对。在 9 岁、14-16 岁、21-23 岁、28-31 岁和 32-35 岁时进行了五次随访。还对 26-28 岁时已婚非意愿妊娠和接受妊娠的参与者进行了亚研究。为了控制潜在的混杂因素，该研究包括了最后两次随访中所有受试者的所有兄弟姐妹。随着时间的推移，心理社会发展的差异逐渐扩大，但在 30 岁左右有所减轻。所有差异都不利于非意愿妊娠参与者，尤其是独生子女（没有兄弟姐妹）。他们成为精神病人的频率比接受妊娠对照组高，也比他们的兄弟姐妹高。总的来说，对非意愿妊娠的堕胎拒绝会增加成年后患负面心理社会发展和心理健康的风险。讨论了对公共卫生政策的影响。
