School of Medicine and Dentistry, Griffith University, Nathan, Queensland, Australia
Children By Choice, Brisbane, Queensland, Australia.
BMJ Sex Reprod Health. 2023 Jul;49(3):192-200. doi: 10.1136/bmjsrh-2022-201692. Epub 2023 Jan 12.
Safe, accessible, and inclusive abortion care and pregnancy options counselling are essential components of sexual and reproductive health and rights. Research has documented LGBTIQA+ people are as likely, or more than likely, as the general population to experience an abortion in their lifetime yet face significant barriers to accessing abortion and related care, which undermines well-being.
The present study undertakes a scoping review of research on the needs and experiences of the LGBTIQA+ population (representing lesbian, gay, bisexual, transgender, gender diverse, intersex, queer, asexual, and questioning) when accessing abortion care, pregnancy options, and post-abortion counselling to support improved understanding of pregnant people's preferences, needs, and experiences.
The reporting of this scoping review is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension of Scoping Reviews (PRISMA-ScR). Academic databases were searched using terms relating to gender identity and sexuality, abortion, pregnancy options, and post-abortion counselling to identify peer reviewed papers published in English. Seven publications were included in the review that described experiences of LGBTIQA+ people accessing abortion-related care.
The included studies were predominantly conducted in the USA using quantitative and qualitative research designs. Thematic analysis highlighted participants' experiences of discrimination and exclusion in healthcare settings, healthcare avoidance, unsafe abortion, non-disclosure to providers, and poor health outcomes for LGBTIQA+ people.
Gender-inclusive services and training for health providers is necessary to provide safe and accessible abortion care and overcome generations of mistrust held by the LGBTIQA+ community. Research into the needs of LGBTIQA+ people when accessing pregnancy options counselling is critically needed.
安全、便捷和包容的堕胎护理和妊娠选择咨询是性健康和生殖健康及权利的重要组成部分。研究表明，LGBTIQA+ 群体在一生中经历堕胎的可能性与普通人群相当，甚至更高，但他们在获得堕胎和相关护理方面面临着重大障碍，这损害了他们的福祉。
本研究对 LGBTIQA+ 群体（代表女同性恋、男同性恋、双性恋、跨性别、性别多样化、双性人、酷儿、无性恋和疑问者）在获取堕胎护理、妊娠选择和堕胎后咨询方面的需求和经验进行了范围性审查，以支持更好地了解怀孕人群的偏好、需求和体验。
本范围性审查的报告遵循系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）的指导。使用与性别认同和性取向、堕胎、妊娠选择和堕胎后咨询相关的术语，对学术数据库进行了搜索，以确定以英语发表的同行评议论文。共有 7 篇描述了 LGBTIQA+人群获取与堕胎相关的护理经验的论文被纳入本综述。
所纳入的研究主要在美国进行，采用定量和定性研究设计。主题分析突出了参与者在医疗保健环境中经历的歧视和排斥、医疗保健回避、不安全堕胎、向提供者隐瞒信息以及 LGBTIQA+人群的不良健康后果。
为了提供安全和便捷的堕胎护理，并克服 LGBTIQA+ 群体几代人以来持有的不信任，有必要为医疗服务提供者提供性别包容的服务和培训。迫切需要研究 LGBTIQA+ 人群在获取妊娠选择咨询方面的需求。
