Department of Family Medicine, University of Chicago, Chicago.
Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora.
Perspect Sex Reprod Health. 2019 Sep;51(3):135-142. doi: 10.1363/psrh.12118. Epub 2019 Sep 4.
Catholic hospitals operate under directives that prohibit the provision of contraceptives, sterilization and abortion. Little research has examined women's awareness of these institutions' policies, which affects their ability to make informed decisions about where to seek care.
In 2016, some 1,430 women aged 18-45 were recruited from a U.S. probability-based research panel for a survey about hospital care. Respondents were randomized to a hypothetical Catholic or nonreligious hospital group and asked about their expectations for receiving nine specific reproductive services. Multivariable logistic regression analyses were used to evaluate associations between participants' characteristics and their correctly identifying a hospital as Catholic, as well as between characteristics and expecting that birth control pills, tubal ligation or abortion for serious fetal indications would be provided there.
Women randomized to the Catholic hospital group were less likely than those randomized to the nonreligious group to expect provision of birth control pills (77% vs. 86%), tubal ligation (70% vs. 78%) or abortion for serious fetal indications (42% vs. 54%). Income level was associated with correctly identifying the Catholic hospital: Compared with individuals with the lowest income, those in three of the four other income groups were more likely to identify the hospital as Catholic (odds ratios, 1.9-2.2). In comparison with women who misidentified the Catholic hospital, those who identified it as Catholic had lower expectations that the hospital would provide birth control pills (0.3), tubal ligation (0.5) or abortion (0.2).
Many women do not realize the breadth of restrictions on reproductive health care at Catholic hospitals. Without institutional transparency, patient autonomy and health outcomes may be compromised.
天主教医院的运营受到指令的限制，禁止提供避孕药、绝育和堕胎服务。很少有研究调查过女性对这些机构政策的认识，而这影响了她们做出有关在哪里寻求护理的知情决策的能力。
2016 年，从美国基于概率的研究小组中招募了约 1430 名年龄在 18-45 岁之间的女性，对她们进行了一项关于医院护理的调查。受访者被随机分配到假设的天主教或非宗教医院组，并被问及他们对接受九种特定生殖服务的期望。使用多变量逻辑回归分析评估了参与者的特征与正确识别医院为天主教医院之间的关联，以及特征与期望在那里提供避孕药、输卵管结扎或因严重胎儿指征进行堕胎之间的关联。
与随机分配到非宗教组的女性相比，随机分配到天主教医院组的女性不太可能期望提供避孕药（77%比 86%）、输卵管结扎（70%比 78%）或因严重胎儿指征进行堕胎（42%比 54%）。收入水平与正确识别天主教医院有关：与收入最低的个体相比，其他四个收入组中的三个群体更有可能将医院识别为天主教医院（比值比，1.9-2.2）。与错误识别天主教医院的女性相比，正确识别天主教医院的女性对医院提供避孕药（0.3）、输卵管结扎（0.5）或堕胎（0.2）的期望较低。
许多女性没有意识到天主教医院在生殖保健方面的广泛限制。如果没有机构透明度，患者自主权和健康结果可能会受到影响。
