Biggs M Antonia, Neuhaus John M, Foster Diana G
M. Antonia Biggs and Diana G. Foster are with Advancing New Standards in Reproductive Health, University of California, San Francisco, Oakland. John M. Neuhaus is with the Department of Epidemiology and Biostatistics, University of California, San Francisco.
Am J Public Health. 2015 Dec;105(12):2557-63. doi: 10.2105/AJPH.2015.302803. Epub 2015 Oct 15.
We set out to assess the occurrence of new depression and anxiety diagnoses in women 3 years after they sought an abortion.
We conducted semiannual telephone interviews of 956 women who sought abortions from 30 US facilities. Adjusted multivariable discrete-time logistic survival models examined whether the study group (women who obtained abortions just under a facility's gestational age limit, who were denied abortions and carried to term, who were denied abortions and did not carry to term, and who received first-trimester abortions) predicted depression or anxiety onset during seven 6-month time intervals.
The 3-year cumulative probability of professionally diagnosed depression was 9% to 14%; for anxiety it was 10% to 15%, with no study group differences. Women in the first-trimester group and women denied abortions who did not give birth had greater odds of new self-diagnosed anxiety than did women who obtained abortions just under facility gestational limits.
Among women seeking abortions near facility gestational limits, those who obtained abortions were at no greater mental health risk than were women who carried an unwanted pregnancy to term.
我们着手评估女性在寻求人工流产3年后新出现的抑郁症和焦虑症诊断情况。
我们对来自美国30家机构的956名寻求人工流产的女性进行了半年一次的电话访谈。调整后的多变量离散时间逻辑生存模型检验了研究组（在机构孕周限制之下进行人工流产的女性、被拒绝人工流产并足月分娩的女性、被拒绝人工流产且未足月分娩的女性，以及接受早孕人工流产的女性）是否能预测在7个6个月时间段内抑郁症或焦虑症的发作情况。
专业诊断的抑郁症的3年累积概率为9%至14%；焦虑症为10%至15%，各研究组之间无差异。早孕组的女性以及被拒绝人工流产且未分娩的女性自我诊断出新发焦虑症的几率高于在机构孕周限制之下进行人工流产的女性。
在接近机构孕周限制寻求人工流产的女性中，进行人工流产的女性所面临的心理健康风险并不高于将意外怀孕维持至足月的女性。
