Advancing New Standards in Reproductive Health (ANSIRH), UCSF Department of Obstetrics, Gynecology & Reproductive Sciences, Oakland, CA.
Advancing New Standards in Reproductive Health (ANSIRH), UCSF Department of Obstetrics, Gynecology & Reproductive Sciences, Oakland, CA.
J Pediatr. 2019 Feb;205:183-189.e1. doi: 10.1016/j.jpeds.2018.09.026. Epub 2018 Oct 30.
To examine how receiving or being denied a wanted abortion affects the subsequent development, health, caregiving, and socioeconomics of women's existing children at time of seeking abortion.
The Turnaway Study is a 5-year longitudinal study with a quasi-experimental design. Women were recruited from January 2008 to December 2010 from 30 abortion facilities throughout the US. We interviewed women regarding the health and development of their living children via telephone 1 week after seeking an abortion and semiannually for 5 years. We compare the youngest existing children younger than the age 5 years of women denied abortion because they presented for care beyond a facility's gestational limit (Turnaway group) with those of women who received the abortion (Abortion group). We used mixed-effects regression models to test for differences in outcomes of existing children of women in the Turnaway group (n = 55 children) compared with existing children of women in the Abortion group (n = 293 children).
From 6 months to 4.5 years after their mothers sought abortions, existing children of women denied abortions had lower mean child development scores (adjusted β -0.04, 95% CI -0.07 to -0.00) and were more likely to live below the Federal Poverty Level (aOR 3.74, 95% CI 1.59-8.79) than the children of women who received a wanted abortion. There were no significant differences in child health or time spent with a caregiver other than the mother.
Denying women a wanted abortion may have negative developmental and socioeconomic consequences for their existing children.
研究接受或被拒绝人工流产对寻求流产时女性现有子女的后续发育、健康、养育和社会经济状况的影响。
《终止妊娠研究》是一项为期 5 年的纵向研究，采用准实验设计。2008 年 1 月至 2010 年 12 月，从美国 30 家堕胎机构招募了女性。我们通过电话询问了女性在寻求堕胎后 1 周内及其后的 5 年内，她们的现有子女的健康和发育情况。我们将因就诊时间超过机构的妊娠期限而被拒绝堕胎的女性（终止妊娠组）的最年幼的现有子女（年龄小于 5 岁）与接受堕胎的女性（堕胎组）的现有子女进行比较。我们使用混合效应回归模型来检验终止妊娠组（n=55 名儿童）的女性现有子女的结果与堕胎组（n=293 名儿童）的女性现有子女的结果之间的差异。
在母亲寻求堕胎后的 6 个月至 4.5 年内，被拒绝堕胎的女性的现有子女的儿童发育评分较低（调整后β=-0.04，95%置信区间-0.07 至-0.00），且更有可能生活在联邦贫困线以下（aOR=3.74，95%置信区间 1.59-8.79），而不是接受了想要的堕胎的女性的子女。在儿童健康或与母亲以外的照顾者相处时间方面，两组间没有显著差异。
拒绝女性接受她们想要的堕胎可能会对她们现有的子女的发育和社会经济状况产生负面影响。
