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理解巴西妇产科居民在堕胎法自由化后堕胎率的变化。

Understanding of changes in abortion rate following liberalization of abortion law among Brazilian residents in obstetrics and gynecology.

机构信息

Women's Hospital "Professor Doutor José Aristodemo Pinotti", Center for Integral Attention to Women (Caism), State University of Campinas, Campinas, SP, Brazil.

Campinas Center for Research in Human Reproduction (Cemicamp), Campinas, SP, Brazil.

出版信息

Int J Gynaecol Obstet. 2020 May;149(2):197-202. doi: 10.1002/ijgo.13123. Epub 2020 Mar 17.

DOI:10.1002/ijgo.13123
PMID:32077092
Abstract

OBJECTIVE

To evaluate residents' knowledge about the evolution of abortion rates in countries where abortion has been legalized, and to assess whether such knowledge correlates with residents' sociodemographic characteristics and experience in abortion care.

METHODS

A multicenter, cross-sectional study was conducted in 21 Brazilian hospitals with 404 medical residents in obstetrics and gynecology. Data collection occurred during February 2015 through January 2016. Data were collected through a self-administered, anonymous questionnaire. The χ test, Fisher exact test, and multiple logistic regression analysis were performed.

RESULTS

Of residents, 60% believed that the abortion rate would increase after legalization; 82% had been involved in the care of women with incomplete abortion and 71% in the care of women admitted for legal abortion. Associations were found between knowledge of the evolution of the abortion rate after legalization and region of birth, region of medical school, and importance attached to religion. Multiple regression confirmed that studying medicine in the south/southeast of Brazil and attaching little importance to religion were associated with knowing that legalization does not lead to an increase in abortion rate.

CONCLUSION

Information relating to abortion in medical schools and during residency is very limited and should be improved.

摘要

目的

评估已将堕胎合法化国家的居民对堕胎率演变的了解程度,并评估这种知识是否与居民的社会人口统计学特征和堕胎护理经验相关。

方法

2015 年 2 月至 2016 年 1 月,在巴西 21 家医院的 404 名妇产科住院医师中进行了一项多中心横断面研究。通过匿名自填问卷收集数据。采用 χ 检验、Fisher 确切检验和多因素逻辑回归分析。

结果

60%的住院医师认为堕胎合法化后堕胎率会上升;82%参与过不完全性流产的护理,71%参与过合法堕胎的护理。对堕胎合法化后堕胎率演变的了解与出生地、医学院所在地和宗教重视程度有关。多元回归证实,在巴西南部/东南部学医和不重视宗教与知道合法化不会导致堕胎率上升有关。

结论

医学院和住院医师培训期间的堕胎信息非常有限,应加以改进。

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