Pritzker School of Medicine, University of Chicago.
Department of Obstetrics and Gynecology, University of Chicago.
Contraception. 2018 Dec;98(6):498-503. doi: 10.1016/j.contraception.2018.05.017. Epub 2018 May 29.
Catholic healthcare limits access to common reproductive care. We assessed what percentage of US women seeking care at Catholic hospitals are aware of their hospital's religious affiliation and identified variables associated with correct identification.
We conducted a national survey of women ages 18-45 (response rate 50%). The survey asked participants what hospital they would go to for reproductive care and what the religious affiliation of that hospital was. We verified responses as correct or incorrect against a known Catholic hospital list. We used bivariate analysis and logistic regressions to evaluate factors associated with correct identification.
Sixteen percent of women reported a Catholic hospital as their primary hospital for reproductive care. Among women whose primary hospital was Catholic, 63% [95% confidence interval (CI): 54.5-70.7] correctly identified this, compared to 93% who correctly identified their hospital as non-Catholic (95% CI 91.4 - 95.0). Two thirds of respondents who misidentified their Catholic hospital's affiliation reported that their hospital was secular (66%), and 48% of those women felt sure or very sure of their incorrect response. Factors associated with correctly identifying Catholic hospitals included hospital with a religious-sounding name [adjusted odds ratio (aOR)=2.80; 95% CI: 1.07-7.34], respondent older age (aOR=3.77; 95% CI: 1.35-10.56), metropolitan residence (aOR=3.35; 95% CI: 1.01-11.10) and income over $100,000 (aOR 4.95; 95% CI 1.35 - 18.17).
Over one third of US women who named a Catholic hospital as their primary hospital for reproductive care are unaware it is Catholic. Women are more likely to correctly identify a hospital as Catholic when that hospital has a religious sounding name.
Patients need accurate information in order to make decisions about where to seek reproductive healthcare. Our results suggest that women are often unaware of their hospital's religious affiliation. Efforts are needed to increase hospital transparency and patient awareness of the implications that arise when healthcare is restricted by religion.
天主教会医疗机构限制了常见生殖护理的可及性。我们评估了在美国寻求天主教医院生殖护理的女性中，有多少人了解其医院的宗教隶属关系，并确定了与正确识别相关的变量。
我们对 18-45 岁的女性进行了全国性调查（回应率为 50%）。该调查询问参与者他们将去哪家医院接受生殖护理，以及该医院的宗教隶属关系是什么。我们将参与者的回答与已知的天主教医院名单进行核对，以确定回答是否正确。我们使用单变量分析和逻辑回归来评估与正确识别相关的因素。
16%的女性表示天主教医院是她们进行生殖护理的首选医院。在首选天主教医院的女性中，63%（95%置信区间：54.5-70.7）正确识别了这一点，而 93%的女性正确识别了她们的医院是非天主教医院（95%置信区间 91.4-95.0）。三分之二错误识别天主教医院隶属关系的受访者表示，他们的医院是世俗的（66%），其中 48%的女性对她们的错误回答感到非常确定。与正确识别天主教医院相关的因素包括医院名称听起来有宗教色彩（调整后的优势比[aOR]=2.80；95%置信区间：1.07-7.34）、受访者年龄较大（aOR=3.77；95%置信区间：1.35-10.56）、居住在大都市（aOR=3.35；95%置信区间：1.01-11.10）和收入超过 10 万美元（aOR=4.95；95%置信区间：1.35-18.17）。
超过三分之一的将天主教医院列为生殖护理首选医院的美国女性并不知道该医院是天主教医院。当医院名称听起来具有宗教色彩时，女性更有可能正确识别该医院为天主教医院。
患者需要准确的信息才能决定在哪里寻求生殖保健服务。我们的研究结果表明，女性通常不知道其医院的宗教隶属关系。需要努力提高医院的透明度和患者对宗教限制医疗保健所带来影响的认识。
