Roberts Sarah C M, Fuentes Liza, Berglas Nancy F, Dennis Amanda J
Sarah C. M. Roberts and Nancy F. Berglas are with ANSIRH, Bixby Center for Global Reproductive Health, University of California, San Francisco, Oakland. At the time of the study, Liza Fuentes was with Ibis Reproductive Health, Oakland, CA. Amanda J. Dennis was with Ibis Reproductive Health, Cambridge, MA.
Am J Public Health. 2017 Dec;107(12):1878-1882. doi: 10.2105/AJPH.2017.304068. Epub 2017 Oct 19.
In the United States, groups advocating for and against abortion rights often deploy public health arguments to advance their positions. Recently, these arguments have evolved into state laws that use the government health department infrastructure to increase law enforcement and regulatory activities around abortion. Many major medical and public health associations oppose these new laws because they are not evidence-based and do not protect women's health. Yet state health departments have been defending these laws in court. We propose a 21st-century public health approach to abortion based in an accepted public health framework. Specifically, we apply the Centers for Disease Control and Prevention's 10 Essential Public Health Services framework to abortion to describe how health departments should engage with abortion. With this public health framework as our guide, we argue that health departments should be facilitating women's ability to obtain an abortion in the state and county where they reside, researching barriers to abortion care in their states and counties, and promoting the use of a scientific evidence base in abortion-related laws, policies, regulations, and implementation of essential services.
在美国，支持和反对堕胎权的团体经常运用公共卫生论据来推进各自的立场。最近，这些论据已演变成州法律，利用政府卫生部门的基础设施来加强围绕堕胎的执法和监管活动。许多主要的医学和公共卫生协会反对这些新法律，因为它们缺乏证据支持，且无法保护女性健康。然而，州卫生部门一直在法庭上为这些法律辩护。我们基于一个公认的公共卫生框架，提出一种21世纪的堕胎公共卫生方法。具体而言，我们将疾病控制与预防中心的10项基本公共卫生服务框架应用于堕胎，以描述卫生部门应如何处理堕胎问题。以这个公共卫生框架为指导，我们认为卫生部门应便利女性在其居住的州和县获得堕胎服务，研究本州和县堕胎护理的障碍，并在与堕胎相关的法律、政策、法规及基本服务的实施中推广科学证据的运用。
