Christine Dehlendorf is with the Departments of Family and Community Medicine, Obstetrics, Gynecology and Reproductive Sciences, and Epidemiology and Biostatistics at the University of California, San Francisco. Lisa H. Harris is with the Departments of Obstetrics and Gynecology and Women's Studies, University of Michigan, Ann Arbor. Tracy A. Weitz is with Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco.
Am J Public Health. 2013 Oct;103(10):1772-9. doi: 10.2105/AJPH.2013.301339. Epub 2013 Aug 15.
Women of lower socioeconomic status and women of color in the United States have higher rates of abortion than women of higher socioeconomic status and White women. Opponents of abortion use these statistics to argue that abortion providers are exploiting women of color and low socioeconomic status, and thus, regulations are needed to protect women. This argument ignores the underlying causes of the disparities. As efforts to restrict abortion will have no effect on these underlying factors, and instead will only result in more women experiencing later abortions or having an unintended childbirth, they are likely to result in worsening health disparities. We provide a review of the causes of abortion disparities and argue for a multifaceted public health approach to address them.
在美国,社会经济地位较低的女性和有色人种女性的堕胎率高于社会经济地位较高的女性和白人女性。反对堕胎的人利用这些统计数据来论证堕胎提供者在剥削有色人种和社会经济地位较低的女性,因此需要制定法规来保护女性。这种观点忽略了差异存在的根本原因。由于限制堕胎的努力对这些根本因素没有影响,反而只会导致更多的女性经历晚期堕胎或意外分娩,因此很可能会导致健康差距的恶化。我们对堕胎差异的原因进行了综述,并主张采取多方面的公共卫生方法来解决这些问题。