Wurtz Heather
Pimatisiwin. 2012;10(3):271-282.
Indigenous women in Latin America have poorer reproductive health outcomes than the general population and face considerable barriers in accessing adequate health services. Indigenous women have high rates of adolescent fertility and unintended pregnancy and may face increased risks for morbidity and mortality related to unsafe abortion. However, research among this population, particularly focusing on social and cultural implications of unwanted pregnancy and unsafe abortion, is significantly limited. This article reviews the literature on unsafe abortion in Latin America and describes successful interventions to ameliorate reproductive health outcomes within Indigenous communities. It also explores important implications for future research. Shedding light on the circumstances, perspectives, and lived realities of Indigenous women of childbearing age, could encourage further qualitative investigation and mitigate negative outcomes through improved understanding of the topic, targeted culturally appropriate interventions, and recommendations for future policy and programming reformations.
拉丁美洲的土著妇女的生殖健康结果比普通人群更差，并且在获得适当的医疗服务方面面临相当大的障碍。土著妇女青少年生育率和意外怀孕率很高，并且可能面临与不安全堕胎相关的发病和死亡风险增加的情况。然而，针对这一人群的研究，尤其是侧重于意外怀孕和不安全堕胎的社会和文化影响的研究，非常有限。本文回顾了拉丁美洲关于不安全堕胎的文献，并描述了改善土著社区生殖健康结果的成功干预措施。它还探讨了对未来研究的重要影响。揭示育龄土著妇女的情况、观点和生活现实，可能会鼓励进一步的定性研究，并通过更好地理解该主题、针对性的文化适宜干预措施以及对未来政策和项目改革的建议来减轻负面结果。
