Postdoctoral research fellow at the University of Arizona Cancer Center in Tucson.
Resident physician in obstetrics and gynecology at Oregon Health and Science University in Portland.
AMA J Ethics. 2020 Oct 1;22(10):E845-850. doi: 10.1001/amajethics.2020.845.
Historically, American Indians and Alaska Natives (AI/AN) have been subjected to a lack of control over various aspects of their lives, including their reproductive health. In discussions of family planning with AI/AN patients, clinicians must consider past violations of reproductive rights and the need for transparent consent. This article explores the following questions: What were historical violations of AI/AN women's reproductive rights? How should physicians express respect for this history and for the autonomy of AI/AN female patients regarding surgical sterilization procedures today?
从历史上看,美洲印第安人和阿拉斯加原住民(AI/AN)在生活的各个方面都缺乏控制,包括他们的生殖健康。在与 AI/AN 患者讨论计划生育时,临床医生必须考虑过去对生殖权利的侵犯以及对透明同意的需求。本文探讨了以下问题:历史上对 AI/AN 妇女的生殖权利有哪些侵犯?医生今天应如何表达对这一历史以及对 AI/AN 女性患者手术绝育程序自主性的尊重?