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佛罗里达堕胎基金服务接受者的经历探索。

An Exploration of the Experiences of Florida Abortion Fund Service Recipients.

机构信息

School of Social Work, University at Buffalo, State University of New York.

School of Social Work, University of North Carolina-Charlotte.

出版信息

Health Soc Work. 2020 Aug 1;45(3):186-194. doi: 10.1093/hsw/hlaa012.

Abstract

This article describes a secondary data analysis of a health data set representing the experiences of abortion fund service recipients (ASRs) who received financial assistance to help pay for unaffordable abortion costs. The authors analyzed 3,216 ASR cases from 2001 to 2015. Demographic characteristics, service utilization rates, and the personal hardships reported by the sample were assessed. The personal hardships of the Florida ASRs were compared with the hardships reported by ASRs who received assistance from a national fund. Results indicate that Florida ASRs are primarily people of color who are single, in their mid-20s, already parenting children, and receiving assistance in the second trimester of pregnancy. ASRs in this current study are experiencing multiple personal hardships while trying to access an abortion, including economic hardships (such as lack of insurance coverage and unemployment) and trauma (including rape and partner violence). When compared with the ASRs at the national level, these state-level ASRs reported higher rates of unemployment, partner violence, and rape, which suggests that the Florida ASRs face some more dire circumstances compared with ASRs at the national level. Repeal of policy that restricts public funding of abortion in Florida is recommended to improve access to abortion.

摘要

这是一篇对一个健康数据集的二次数据分析,该数据集代表了寻求堕胎基金服务的人的经历,他们获得了经济援助,以支付负担不起的堕胎费用。作者分析了 2001 年至 2015 年期间的 3216 名 ASR 案例。评估了样本的人口统计学特征、服务利用率和报告的个人困难。还将佛罗里达州 ASR 的个人困难与从全国基金获得援助的 ASR 报告的困难进行了比较。结果表明,佛罗里达州的 ASR 主要是有色人种,单身,年龄在 20 多岁中期,已经有孩子,并且在怀孕中期接受援助。在试图堕胎时,ASR 会经历多种个人困难,包括经济困难(例如缺乏保险覆盖和失业)和创伤(包括强奸和伴侣暴力)。与全国范围内的 ASR 相比,这些州一级的 ASR 报告失业率、伴侣暴力和强奸率更高,这表明与全国范围内的 ASR 相比,佛罗里达州的 ASR 面临着一些更为严峻的情况。建议废除限制佛罗里达州公共堕胎资金的政策,以改善堕胎的可及性。

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