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新冠疫情期间亚裔美国人和太平洋岛民获得堕胎服务的情况:多种因素的复杂相互作用

Asian American and Pacific Islander Access to Abortion During COVID-19: A Complex Interplay of Factors.

作者信息

Chandrasekaran Sruthi, Choimorrow Sung Yeon

机构信息

Ibis Reproductive Health, Cambridge, Massachusetts, USA.

National Asian Pacific American Women's Forum, Washington, District of Columbia, USA.

出版信息

Health Equity. 2022 Aug 24;6(1):625-628. doi: 10.1089/heq.2022.0036. eCollection 2022.

Abstract

Often stereotyped as the "model minority," health care providers, lawmakers, and the general public regularly underestimate and ignore the health concerns of Asian American and Pacific Islanders (AAPIs). The COVID-19 pandemic has exposed the racism that AAPIs face-many communities report facing severe xenophobia during the pandemic, which has increased hesitancy to obtain needed medical treatment and heightened mental health issues at a time of isolation. The pandemic is also exacerbating the barriers that already exist in accessing abortion care-with travel restrictions, quarantine measures, lesser availability of appointments, and more burden on the health care staff and system. There has been no discussion on the impact of the pandemic on AAPIs' access to abortion care. We discuss challenges that are specific to AAPIs in accessing sexual and reproductive care, especially abortion, and how these are compounded by the lack of appropriate data and methods. We then discuss the added complexity that comes with accessing abortion care during a pandemic and provide recommendations for research methods to better reach these populations.

摘要

医疗保健提供者、立法者和普通公众常常将亚裔美国人和太平洋岛民(AAPIs)刻板地视为“模范少数族裔”,并经常低估和忽视他们的健康问题。新冠疫情暴露了AAPIs所面临的种族主义——许多社区报告称在疫情期间面临严重的仇外心理,这增加了人们对获得所需医疗治疗的犹豫,并在隔离期间加剧了心理健康问题。疫情还加剧了在获得堕胎护理方面已经存在的障碍——包括旅行限制、检疫措施、预约机会减少以及医疗保健人员和系统负担加重。目前尚未有关于疫情对AAPIs获得堕胎护理影响的讨论。我们讨论了AAPIs在获得性健康和生殖护理,尤其是堕胎护理方面所特有的挑战,以及缺乏适当数据和方法如何使这些挑战更加复杂。然后,我们讨论了在疫情期间获得堕胎护理所带来的额外复杂性,并为更好地覆盖这些人群的研究方法提供建议。

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1
Health care disparities during the COVID-19 pandemic.新冠疫情期间的医疗保健差异。
Semin Vasc Surg. 2021 Sep;34(3):82-88. doi: 10.1053/j.semvascsurg.2021.08.002. Epub 2021 Aug 9.
5
The sexual and reproductive health of foreign-born women in the United States.美国的外国出生女性的性与生殖健康。
Contraception. 2018 Jul;98(1):47-51. doi: 10.1016/j.contraception.2018.02.003. Epub 2018 Feb 14.

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