Swartzendruber Andrea, English Abigail, Greenberg Katherine Blumoff, Murray Pamela J, Freeman Matt, Upadhya Krishna, Simpson Tina, Miller Elizabeth, Santelli John
University of Georgia College of Public Health, Athens, Georgia.
Center for Adolescent Health and the Law, Chapel Hill, North Carolina.
J Pediatr Adolesc Gynecol. 2019 Dec;32(6):563-566. doi: 10.1016/j.jpag.2019.10.008. Epub 2019 Oct 28.
Crisis pregnancy centers (CPCs) attempt to dissuade pregnant people from considering abortion, often using misinformation and unethical practices. While mimicking health care clinics, CPCs provide biased, limited, and inaccurate health information, including incomplete pregnancy options counseling and unscientific sexual and reproductive health information. The centers do not provide or refer for abortion or contraception but often advertise in ways that give the appearance that they do provide these services without disclosing the biased nature and marked limitations of their services. Although individuals working in CPCs in the United States have First Amendment rights to free speech, their provision of misinformation might be harmful to young people and adults. The Society for Adolescent Health and Medicine and North American Society for Pediatric and Adolescent Gynecology support the following positions: (1) CPCs pose risk by failing to adhere to medical and ethical practice standards; (2) governments should only support health programs that provide accurate, comprehensive information; (3) CPCs and individuals who provide CPC services should be held to established standards of ethics and medical care; (4) schools should not outsource sexual education to CPCs or other entities that do not provide accurate and complete health information; (5) search engines and digital platforms should enforce policies against misleading advertising by CPCs; and (6) health professionals should educate themselves, and young people about CPCs and help young people identify safe, quality sources of sexual and reproductive health information and care.
危机怀孕中心（CPCs）试图劝阻孕妇不要考虑堕胎，常常使用错误信息和不道德的手段。虽然模仿医疗诊所，但危机怀孕中心提供有偏见、有限且不准确的健康信息，包括不完整的怀孕选择咨询以及不科学的性与生殖健康信息。这些中心不提供堕胎或避孕服务，也不进行转介，但经常以一种让人误以为它们确实提供这些服务的方式做广告，却不披露其服务的偏见性质和显著局限性。尽管在美国危机怀孕中心工作的个人享有第一修正案赋予的言论自由权，但他们提供错误信息可能会对年轻人和成年人造成伤害。青少年健康与医学协会以及北美儿科与青少年妇科学会支持以下立场：（1）危机怀孕中心因未遵守医学和道德实践标准而构成风险；（2）政府应只支持提供准确、全面信息的健康项目；（3）危机怀孕中心及提供危机怀孕中心服务的个人应遵守既定的道德和医疗标准；（4）学校不应将性教育外包给危机怀孕中心或其他不提供准确和完整健康信息的实体；（5）搜索引擎和数字平台应执行针对危机怀孕中心误导性广告的政策；（6）健康专业人员应自我教育，并向年轻人介绍危机怀孕中心的情况，帮助年轻人识别安全、优质的性与生殖健康信息及护理来源。
