Upadhyay Ushma D, Biggs M Antonia, Foster Diana Greene
Department of Obstetrics, Gynecology and Reproductive Sciences, Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA, 94612, USA.
BMC Womens Health. 2015 Nov 11;15:102. doi: 10.1186/s12905-015-0259-1.
Women commonly report seeking abortion in order to achieve personal life goals. Few studies have investigated whether an abortion enables women to achieve such goals.
Data are from the Turnaway Study, a prospective cohort study of women recruited from 30 abortion facilities across the US. The sample included women in one of four groups: Women who presented for abortion just over the facility's gestational limit, were denied an abortion and went on to parent the child (Parenting Turnaways, n = 146) or did not parent (Non-Parenting Turnaways, n = 64), those who presented just under the facility's gestational limit and received an abortion (Near-Limits, n = 413) and those who presented in the first trimester and received an abortion (First Trimesters, n = 254). Participants were interviewed by telephone one week, six months and one year after they sought an abortion. We used mixed effects logistic regression to assess the relationship between receiving versus being denied abortion and having an aspirational one year goal and achieving it.
The 757 participants in this analysis reported a total of 1,304 one-year plans. The most common one-year plans were related to education (21.3 %), employment (18.9 %), other (16.3 %), and change in residence (10.4 %). Most goals (80 %) were aspirational, defined as a positive plan for the next year. First Trimesters and Near-Limits were over 6 times as likely as Parenting Turnaways to report aspirational one-year plans [Adjusted Odds Ratio (AOR) = 6.37 and 6.56 respectively, p < 0.001 for both]. Among all plans in which achievement was measurable (n = 1,024, 87 %), Near-Limits (45.6 %, AOR = 1.91, p = 0.003) and Non-Parenting Turnaways (47.9 %, AOR = 2.09, p = 0.026) were more likely to have both an aspirational plan and to have achieved it than Parenting Turnaways (30.4 %).
These findings suggest that ensuring women can have a wanted abortion enables them to maintain a positive future outlook and achieve their aspirational life plans.
女性普遍表示寻求堕胎是为了实现个人生活目标。很少有研究调查堕胎是否能让女性实现这些目标。
数据来自“拒绝研究”，这是一项对从美国30家堕胎机构招募的女性进行的前瞻性队列研究。样本包括四组女性中的一组：在堕胎机构妊娠限制刚好超时而被拒绝堕胎并继续抚养孩子的女性（抚养孩子的被拒者，n = 146）或未抚养孩子的女性（未抚养孩子的被拒者，n = 64），在堕胎机构妊娠限制刚好未超时而接受堕胎的女性（接近限制者，n = 413），以及在孕早期接受堕胎的女性（孕早期者，n = 254）。参与者在寻求堕胎后一周、六个月和一年接受电话访谈。我们使用混合效应逻辑回归来评估接受堕胎与被拒绝堕胎和有一个理想的一年目标并实现该目标之间的关系。
本次分析中的757名参与者共报告了1304个一年计划。最常见的一年计划与教育（21.3%）、就业（18.9%）、其他（16.3%）和居住地变更（10.4%）有关。大多数目标（80%）是理想目标，定义为下一年的积极计划。孕早期者和接近限制者报告理想一年计划的可能性是抚养孩子的被拒者的6倍多[调整后的优势比（AOR）分别为6.37和6.56，两者p < 0.001]。在所有可衡量成就的计划中（n = 1024，87%），接近限制者（45.6%，AOR = 1.91，p = 0.003）和未抚养孩子的被拒者（47.9%，AOR = 2.09，p = 0.026）比抚养孩子的被拒者（30.4%）更有可能既有理想计划又实现了该计划。
这些发现表明，确保女性能够进行意愿堕胎能使她们保持积极的未来展望并实现理想的生活计划。
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