Ibis Reproductive Health. Oakland, USA.
Colectiva Feminista La Revuelta. Neuquén, Argentina.
Rev Saude Publica. 2023 Jul 7;57:36. doi: 10.11606/s1518-8787.2023057004993. eCollection 2023.
Explore the use of two abortion care models in Argentina over the period 2016-2019: pro-rights private medical service providers and abortion accompaniment (via self-management and via health institutions); and compare the profile of who accesses these models and when.
We used data from accompaniment collectives in the Socorristas en Red and private service providers. We estimated annual abortion rates via these service models and compared the profile of the populations by type of service and gestational age (2019) using descriptive statistics and chi-square tests.
In 2016, 37 people per 100,000 women of reproductive age obtained accompanied self-managed abortions, and the number increased to 111 per 100,000 in 2019, a threefold increase. The rate of abortions via care providers was 18 per 100,000 in 2016 and 33 in 2019. Higher proportions of those who obtained abortion via care providers were 30 years or older. A higher proportion of those accompanied were 19 years or younger; 11% of those who obtained accompanied self-managed abortions were more than 12 weeks gestation compared with 7% among those who had accompanied abortions via health institutions and 0.2% among those who had abortions with private providers. A higher proportion of those who accessed accompanied abortions after 12 weeks gestation had lower educational levels, did not work or have social security coverage, had more past pregnancies, and attempted to terminate their pregnancies prior to contacting the Socorristas compared to those who had accompanied abortions at 12 weeks or earlier.
In Argentina, prior to Law 27.610 models of care guaranteed access to safe abortion. It is important to continue making visible and legitimizing these models of care so that all those who decide to have an abortion, whether inside or outside health institutions, have safe and positive experiences.
探讨 2016 年至 2019 年期间阿根廷两种堕胎护理模式的使用情况：支持权利的私人医疗服务提供者和堕胎陪伴（通过自我管理和通过医疗机构）；并比较谁使用这些模式以及何时使用的情况。
我们使用了 Red 援助者团体和私人服务提供者的数据。我们通过这些服务模型估计了每年的堕胎率，并使用描述性统计和卡方检验比较了按服务类型和妊娠年龄（2019 年）划分的人群特征。
2016 年，每 10 万名育龄妇女中有 37 人获得了陪伴下的自我管理堕胎，而到 2019 年这一数字增加到每 10 万名妇女中有 111 人，增加了两倍。通过服务提供者获得堕胎的比例在 2016 年为每 10 万名妇女 18 例，2019 年为 33 例。通过服务提供者获得堕胎的人年龄在 30 岁及以上的比例较高。陪伴下的堕胎者中，19 岁及以下的比例较高；在接受陪伴下的自我管理堕胎的人群中，有 11%的人妊娠超过 12 周，而在接受医疗机构陪伴下的堕胎者中，这一比例为 7%，在接受私人提供者堕胎的人中，这一比例为 0.2%。在妊娠 12 周后接受陪伴堕胎的人中，有较高比例的人教育程度较低、没有工作或没有社会保障、有更多的既往妊娠史，并且在联系 Red 援助者之前试图终止妊娠，与在妊娠 12 周或更早接受陪伴堕胎的人相比。
在阿根廷，在第 27610 号法律颁布之前，这些护理模式保障了安全堕胎的机会。继续使这些护理模式可见并合法化非常重要，以便所有决定堕胎的人，无论是在医疗机构内还是外，都能获得安全和积极的体验。
