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堕胎与学生健康服务:扩大对话,倾听学生视角。

Abortion and student health services expanding the conversation with student perspectives.

机构信息

Center for Healthcare Policy and Research, University of California, Davis School of Medicine, 2103 Stockton Blvd, Sacramento, California 95817; Division of General Internal Medicine, University of California, Davis School of Medicine, 4150 V Street, Suite 3100, Sacramento, California 95817.

University of California Davis, College of Agricultural and Environmental Sciences, Global Disease Biology Program.

出版信息

Contraception. 2018 Oct;98(4):301-305. doi: 10.1016/j.contraception.2018.05.019. Epub 2018 May 31.

DOI:10.1016/j.contraception.2018.05.019
PMID:29860062
Abstract

OBJECTIVE

College students are known to experience unintended pregnancy and seek abortions. However, few student health centers currently offer abortion services. In this exploratory study, we aimed to expand understanding of student perspectives regarding on-campus abortion services.

STUDY DESIGN

We invited UC Davis students to complete an anonymous web-based survey using 16 campus listservs and in-person recruitment. We elicited student knowledge of and opinions about on-campus Student Health and Counseling Services (SHCS) with 29 questions.

RESULTS

The 502 participating students primarily identified as female (80%) and heterosexual (86%); most (90%) were undergraduates. In the past year, 9% of female respondents had used emergency contraception (EC), and 9% had sought clinic-based pregnancy testing. Only 68% of respondents were aware that SHCS provides EC. Although SHCS has not yet offered abortions, 24% of respondents believed that SHCS currently offers medication abortion and 13% believed that SHCS clinicians perform abortion procedures. Most respondents (64%) believed that SHCS should offer abortion services; 12% of respondents felt SHCS should not. Reasons for support of on-campus abortion services included the need to compassionately care for campus survivors of sexual assault and abortion's role in allowing students facing undesired pregnancy to complete their education. Reasons for opposition included concerns regarding SHCS's ability to offer high-quality abortion services, the potential for controversy related to on-campus abortion services and personal opposition to abortion.

CONCLUSION

Most responding students favor on-campus abortion services, and a number of students incorrectly believe that abortion services are currently offered on the UC Davis campus.

IMPLICATIONS

Student health centers should offer medication abortion on campus.

摘要

目的

众所周知,大学生会经历意外怀孕并寻求堕胎。然而,目前很少有学生健康中心提供堕胎服务。在这项探索性研究中,我们旨在更深入地了解学生对校园内堕胎服务的看法。

研究设计

我们邀请了加州大学戴维斯分校的学生通过 16 个校园名录和现场招募,完成一项匿名的网络调查。我们通过 29 个问题来了解学生对校园学生健康和咨询服务(SHCS)的了解程度和意见。

结果

502 名参与调查的学生主要为女性(80%)和异性恋者(86%);大多数为本科生(90%)。在过去一年中,9%的女性受访者使用过紧急避孕药(EC),9%的人寻求过诊所妊娠检测。只有 68%的受访者知道 SHCS 提供 EC。尽管 SHCS 尚未提供堕胎服务,但 24%的受访者认为 SHCS 目前提供药物流产,13%的受访者认为 SHCS 临床医生进行堕胎手术。大多数受访者(64%)认为 SHCS 应该提供堕胎服务;12%的受访者认为 SHCS 不应该提供。支持校园内堕胎服务的原因包括需要关怀校园性侵犯幸存者,以及堕胎可以让面临意外怀孕的学生完成学业。反对的原因包括对 SHCS 提供高质量堕胎服务的能力的担忧、与校园堕胎服务相关的潜在争议以及个人对堕胎的反对。

结论

大多数回应的学生赞成在校园内提供堕胎服务,并且有相当数量的学生错误地认为堕胎服务目前在加州大学戴维斯分校提供。

意义

学生健康中心应该在校园内提供药物流产服务。

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