Diana Greene Foster, M. Antonia Biggs, Lauren Ralph, Sarah Roberts, and M. Maria Glymour are with University of California, San Francisco. Caitlin Gerdts is with Ibis Reproductive Health, Oakland, CA.
Am J Public Health. 2018 Mar;108(3):407-413. doi: 10.2105/AJPH.2017.304247. Epub 2018 Jan 18.
To determine the socioeconomic consequences of receipt versus denial of abortion.
Women who presented for abortion just before or after the gestational age limit of 30 abortion facilities across the United States between 2008 and 2010 were recruited and followed for 5 years via semiannual telephone interviews. Using mixed effects models, we evaluated socioeconomic outcomes for 813 women by receipt or denial of abortion care.
In analyses that adjusted for the few baseline differences, women denied abortions who gave birth had higher odds of poverty 6 months after denial (adjusted odds ratio [AOR] = 3.77; P < .001) than did women who received abortions; women denied abortions were also more likely to be in poverty for 4 years after denial of abortion. Six months after denial of abortion, women were less likely to be employed full time (AOR = 0.37; P = .001) and were more likely to receive public assistance (AOR = 6.26; P < .001) than were women who obtained abortions, differences that remained significant for 4 years.
Women denied an abortion were more likely than were women who received an abortion to experience economic hardship and insecurity lasting years. Laws that restrict access to abortion may result in worsened economic outcomes for women.
确定接受和拒绝堕胎的社会经济后果。
2008 年至 2010 年期间，在美国 30 家堕胎机构，在妊娠年龄限制前后，招募了即将接受或已被拒绝堕胎的女性，并通过半年度电话访谈对其进行了为期 5 年的随访。我们采用混合效应模型，通过接受或拒绝堕胎护理，评估了 813 名女性的社会经济结局。
在调整了少数基线差异的分析中，与接受堕胎的女性相比，被拒绝堕胎并分娩的女性在拒绝堕胎后 6 个月陷入贫困的可能性更高（调整后的优势比 [AOR] = 3.77；P < 0.001）；拒绝堕胎的女性在堕胎被拒绝后 4 年内更有可能陷入贫困。在拒绝堕胎后 6 个月，与接受堕胎的女性相比，拒绝堕胎的女性更有可能全职就业（AOR = 0.37；P = 0.001），更有可能获得公共援助（AOR = 6.26；P < 0.001），这些差异在 4 年内仍然显著。
与接受堕胎的女性相比，被拒绝堕胎的女性更有可能经历持续多年的经济困难和不稳定。限制堕胎机会的法律可能会导致女性的经济状况恶化。
