Department of Medicine, University of Pittsburgh, PA, USA.
Am J Public Health. 2012 Oct;102(10):1822-5. doi: 10.2105/AJPH.2012.300850. Epub 2012 Aug 16.
In the 1970s, concern about coercive sterilization of low-income and minority women in the United States led the US Department of Health, Education, and Welfare to create strict regulations for federally funded sterilization procedures. Although these policies were instituted to secure informed consent and protect women from involuntary sterilization, there are significant data indicating that these policies may not, in fact, ensure that consent is truly informed and, further, may prevent many low-income women from getting a desired sterilization procedure. Given the alarmingly high rates of unintended pregnancy in the United States, especially among low-income populations, we feel that restrictive federal sterilization policies should be reexamined and modified to simultaneously ensure informed decision-making and honor women's reproductive choices.
20 世纪 70 年代，美国对贫困和少数族裔妇女强制绝育的担忧促使美国卫生、教育和福利部为联邦资助的绝育程序制定了严格的规定。尽管这些政策的制定是为了确保知情同意和防止妇女非自愿绝育，但有大量数据表明，这些政策实际上并不能确保同意是真正知情的，而且可能会阻止许多低收入妇女进行她们想要的绝育手术。考虑到美国意外怀孕率高得惊人，尤其是在低收入人群中，我们认为，应该重新审查和修改限制联邦绝育政策，以同时确保做出明智的决策并尊重妇女的生殖选择。
