Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
Contraception. 2012 Nov;86(5):430-7. doi: 10.1016/j.contraception.2012.03.012. Epub 2012 May 11.
Similar to other reviews within the last 4 years, a thorough review by the Royal College of Psychiatrists, published in December 2011, found that compared to delivery of an unintended pregnancy, abortion does not increase women's risk of mental health problems. In contrast, a meta-analysis published in September 2011 concluded that abortion increases women's risk of mental health problems by 81% and that 10% of mental health problems are attributable to abortions. Like others, we strongly question the quality of this meta-analysis and its conclusions. Here we detail seven errors of this meta-analysis and three significant shortcomings of the included studies because policy, practice and the public have been misinformed. These errors and shortcomings render the meta-analysis' conclusions invalid.
与过去 4 年内的其他综述相似,2011 年 12 月皇家精神病学院的一篇综述发现,与意外怀孕的后果相比,堕胎并不会增加女性心理健康问题的风险。相比之下,2011 年 9 月发表的荟萃分析则得出结论,堕胎会使女性心理健康问题的风险增加 81%,其中 10%的心理健康问题可归因于堕胎。与其他人一样,我们强烈质疑这项荟萃分析及其结论的质量。在这里,我们详细说明了该荟萃分析的 7 个错误和纳入研究的 3 个重大缺陷,因为政策、实践和公众一直被误导。这些错误和缺陷使荟萃分析的结论无效。