Family Planning NSW, Ashfield, Australia.
Centre for Social Research in Health, UNSW Sydney, Kensington, Australia.
Health Sociol Rev. 2020 Jul;29(2):195-210. doi: 10.1080/14461242.2020.1764857. Epub 2020 May 19.
Although abortion rates appear to be declining in high-income nations, there is still a need for accessible, safe abortion services. However, limited attention has been paid to understanding the social contexts which shape access to abortion information and services for communities who are less engaged with sexual and reproductive health care more generally. This paper explores the views and experiences of 27 migrant and refugee young people (16-24 years old) living in Sydney, Australia, regarding unintended pregnancy and abortion. Pregnancy outside marriage was described by all participants as a shameful prospect as it revealed pre-marital sexual activity. Even when abortion was described as culturally and/or religiously unacceptable, it was believed many families would find an abortion preferable to continuing an unintended pregnancy outside marriage. However, a pervasive culture of silence regarding sexual and reproductive health may limit access to quality information and support in this area. To better meet the needs of these young people, greater attention must be paid to strengthening youth and community awareness of the availability of contraception including emergency contraception, pregnancy options, and access to abortion information and services.
尽管在高收入国家，堕胎率似乎正在下降，但仍需要提供可及、安全的堕胎服务。然而，人们对理解那些对性健康和生殖健康服务参与度较低的社区获取堕胎信息和服务的社会背景关注有限。本文探讨了 27 名居住在澳大利亚悉尼的移民和难民青年（16-24 岁）对意外怀孕和堕胎的看法和经验。所有参与者都将未婚怀孕描述为一种耻辱的前景，因为这揭示了婚前性行为。即使堕胎在文化上和/或宗教上不可接受，人们仍然认为许多家庭会选择堕胎，而不是在未婚的情况下继续意外怀孕。然而，普遍存在的对性健康和生殖健康的沉默文化可能会限制在这方面获得高质量信息和支持的机会。为了更好地满足这些年轻人的需求，必须更加关注加强青年和社区对避孕措施（包括紧急避孕、怀孕选择以及获取堕胎信息和服务）的认识。
