Suppr超能文献

[对哥伦比亚及其他拉丁美洲国家人工流产发生率的高估]

[Overestimation of the ocurrence of induced abortions in Colombia and other Latinoamerican countries].

作者信息

Koch Elard, Bravo Miguel, Gatica Sebastián, Stecher Juan F, Aracena Paula, Valenzuela Sergio, Ahlers Ivonne

机构信息

Instituto de Epidemiología Molecular, Centro de Medicina Embrionaria y Salud Materna, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile.

出版信息

Ginecol Obstet Mex. 2012 May;80(5):360-72.

Abstract

Recently, the Guttmacher Institute estimated a number of 400,400 clandestine abortions for Colombia. Because of the strong implications that such brief could have in different areas of interest, a full revision of the methodology of estimation was performed. The methodology used by the Guttmacher Institute was as follows: first, the authors estimated the losses from spontaneous and induced abortions from the opinion of 289 subjects who work in an equal number of Colombian health institutions through the opinion survey entitled "Health Facilities Survey". Subsequently, an expansive multiplier (x3, x4, x5, etc.) was applied to the numbers obtained by this survey that also emerges from a subjective opinion of another 102 respondents of the "Health Professional Survey" selected by convenience. There is no objective data based on real vital events, the whole estimate is based on imagining/numbers underlying mere opinions. Even as public opinion survey, the sampling technique introduced serious selection bias in the gathering of information. Valid epidemiological methods using standardized rates, choosing the paradigmatic cases of Chile and Spain as standard populations, it was observed that Guttmacher Institute methodology overestimates more than 9 times the complications due to induced abortion in hospital discharges and more than 18 times the total number of induced abortions. In other Latin American countries where the same methodology was applied including Argentina, Brazil, Chile, Mexico, Peru, Guatemala, and Dominican Republic, the number of induced abortions was also largely overestimated. These results call for caution with this type of reports that alarm public opinion.

摘要

最近,古特马赫研究所估计哥伦比亚有400400例秘密堕胎。由于这样一份简报可能会对不同的利益领域产生重大影响,因此对估计方法进行了全面修订。古特马赫研究所使用的方法如下:首先,作者通过名为“卫生设施调查”的意见调查,从在同等数量的哥伦比亚卫生机构工作的289名受试者的意见中估计自然流产和人工流产的损失。随后,对通过该调查获得的数字应用一个扩大倍数(乘以3、乘以4、乘以5等),这个倍数也来自通过便利抽样选择的“卫生专业人员调查”的另外102名受访者的主观意见。没有基于实际生命事件的客观数据,整个估计仅仅基于想象/仅仅是意见背后的数字。即使作为民意调查,抽样技术在信息收集过程中也引入了严重的选择偏差。使用标准化比率的有效流行病学方法,选择智利和西班牙的典型案例作为标准人群,结果发现古特马赫研究所的方法高估了医院出院中人工流产导致的并发症9倍多,高估了人工流产总数18倍多。在其他应用相同方法的拉丁美洲国家,包括阿根廷、巴西、智利、墨西哥、秘鲁、危地马拉和多米尼加共和国,人工流产的数量也被大幅高估。这些结果提醒人们对这类引起公众舆论恐慌的报告要谨慎对待。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验