美国海军 2016 年的非意愿妊娠和堕胎情况。

Unintended Pregnancy and Abortion in the US Navy, 2016.

机构信息

Ibis Reproductive Health, Cambridge, MA, USA.

Advancing New Standards in Reproductive Health, Bixby Center for Global and Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland, CA, USA.

出版信息

J Gen Intern Med. 2022 Sep;37(Suppl 3):679-684. doi: 10.1007/s11606-022-07582-6. Epub 2022 Aug 31.

DOI:10.1007/s11606-022-07582-6

PMID:36045191

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9481840/

Abstract

BACKGROUND

The unintended pregnancy rate in the US military is higher than among civilians. While 42% of unintended pregnancies end in abortion among civilian women, there are no data on the prevalence of abortion in the military overall or by service branch.

OBJECTIVE

This analysis was conducted to estimate unintended pregnancy rates and the percentage of unintended pregnancies that resulted in abortion among active-duty US Navy members aged 44 years or younger reporting female gender in 2016.

DESIGN

Cross-sectional survey data from the 2016 Navy Pregnancy and Parenthood Survey, collected from August to November 2016.

PARTICIPANTS

Our sample included 3,423 active-duty US Navy members aged 44 years or younger reporting female gender, generated from a stratified random sample of 38% of all active-duty Navy women in pay grades E2-E9 and O1-O5 in 2016; the survey had a 20% response rate for females.

MAIN MEASURES

We calculated pregnancy and unintended pregnancy rates, the percentage of pregnancies that were unintended, and the percentage of unintended pregnancies resulting in birth and abortion in the prior fiscal year.

KEY RESULTS

Overall, the self-reported unintended pregnancy rate was 52 per 1,000 participants and 38.1% of pregnancies were unintended. The adjusted unintended pregnancy rate accounting for abortion underreporting was 68 per 1,000 participants. Unintended pregnancy rates were highest among individuals who were younger (aged 18-24) and in enlisted pay grades, compared to their counterparts. Six percent reported their unintended pregnancy resulted in abortion. Six respondents reported becoming pregnant while deployed; none of these pregnancies resulted in abortion.

CONCLUSIONS

In this first study to report on abortion prevalence among US servicemembers, we found the proportion of unintended pregnancies resulting in abortion among a sample of US Navy members in 2016 was much lower than civilians, yet unintended pregnancy rates were higher.

摘要

背景

美国军队中的意外怀孕率高于平民。虽然 42%的意外怀孕在平民女性中以堕胎告终，但目前尚无关于军队整体或按军种划分的堕胎流行率的数据。

目的

本分析旨在估计 2016 年年龄在 44 岁及以下、报告女性性别且为现役美国海军成员的意外妊娠率和因意外妊娠而堕胎的百分比。

设计

2016 年海军怀孕和育儿调查的横断面调查数据，收集于 2016 年 8 月至 11 月。

参与者

我们的样本包括 3423 名年龄在 44 岁及以下、报告女性性别且为现役美国海军成员，这些成员来自 2016 年按薪级 E2-E9 和 O1-O5 划分的所有现役海军女性的 38%的分层随机样本；该调查对女性的回应率为 20%。

主要措施

我们计算了怀孕和意外怀孕率、意外怀孕的百分比、上一财政年度怀孕的百分比和意外怀孕的百分比。

主要结果

总体而言，自我报告的意外怀孕率为每 1000 名参与者 52 例，38.1%的怀孕是意外的。考虑到堕胎漏报，调整后的意外怀孕率为每 1000 名参与者 68 例。与同龄人相比，年龄在 18-24 岁之间和属于 enlisted 薪级的个人意外怀孕率最高。6%的人报告说，他们的意外怀孕导致了堕胎。有 6 名受访者报告说在部署期间怀孕；这些怀孕无一例堕胎。