Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, Oakland, California.
Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, Oakland, California.
Womens Health Issues. 2019 Sep-Oct;29(5):364-369. doi: 10.1016/j.whi.2019.07.002. Epub 2019 Aug 3.
States have enacted an increasing number of policies restricting access to abortion. As a result, some women are unable to obtain an abortion and instead continue their pregnancies. These women may have particular needs that would bring them to the attention of public health programs.
Pregnant women entering prenatal care completed a self-administered survey and structured interview at four prenatal facilities in Louisiana and Maryland (N = 586). Participants reported their pregnancy intentions, whether they had considered abortion, and their reasons for not having an abortion (e.g., personal reasons, policy barriers to care). Participants completed up to 13 items indicating their service needs; an index was created by summing across nine common items. Data were analyzed through descriptive statistics, bivariate analyses, and multivariable regression models that controlled for sociodemographic characteristics.
On average, women reported 2.99 service needs. The most common needs were WIC (93%), food stamps (85%), dental care (59%), and housing assistance (53%). In multivariable analyses, women who considered abortion but did not face a policy barrier reported greater service needs compared to women who did not consider abortion (3.45 vs. 2.82; b = 0.64; 95% confidence interval, 0.25-1.04). Women reporting a policy barrier to abortion reported the highest service needs (3.95) of all groups, although differences were not statistically significant possibly owing to sample size.
Pregnant women who consider abortion before entering prenatal care have considerable health and social service needs. Public health programs that serve women and children should consider the specific needs of women who seek abortions.
各州颁布了越来越多限制堕胎的政策。因此，一些女性无法获得堕胎，而是继续怀孕。这些女性可能有特殊的需求，这将引起公共卫生项目的关注。
在路易斯安那州和马里兰州的四个产前护理机构，进入产前护理的孕妇完成了一份自我管理的调查和结构化访谈（N=586）。参与者报告了她们的怀孕意图、是否考虑过堕胎以及不堕胎的原因（例如，个人原因、护理政策障碍）。参与者完成了多达 13 项表明其服务需求的项目；通过对九个常见项目进行求和创建了一个指数。通过描述性统计、双变量分析和控制社会人口特征的多变量回归模型对数据进行了分析。
平均而言，女性报告了 2.99 项服务需求。最常见的需求是 WIC（93%）、食品券（85%）、牙科保健（59%）和住房援助（53%）。在多变量分析中，与未考虑堕胎的女性相比，考虑过堕胎但未面临政策障碍的女性报告了更多的服务需求（3.45 比 2.82；b=0.64；95%置信区间，0.25-1.04）。报告堕胎政策障碍的女性报告的服务需求最高（3.95），但差异可能由于样本量而没有统计学意义。
在进入产前护理之前考虑堕胎的孕妇有相当多的健康和社会服务需求。为妇女和儿童服务的公共卫生项目应考虑寻求堕胎的妇女的具体需求。
