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美国印第安/阿拉斯加原住民女性的生殖自由,医生应该考虑哪些问题?

What Should Physicians Consider About American Indian/Alaska Native Women's Reproductive Freedom?

机构信息

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.

出版信息

AMA J Ethics. 2020 Oct 1;22(10):E845-850. doi: 10.1001/amajethics.2020.845.

Abstract

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?

摘要

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?

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