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将残疾可见性纳入生殖健康护理的中心位置:消除障碍,实现生殖公平。

Centering disability visibility in reproductive health care: Dismantling barriers to achieve reproductive equity.

机构信息

Department of Obstetrics and Gynecology, The Pennsylvania State University, Penn State College of Medicine, Hershey, PA, USA.

Department of Medical Anthropology, University College London, London, UK.

出版信息

Womens Health (Lond). 2023 Jan-Dec;19:17455057231197166. doi: 10.1177/17455057231197166.

Abstract

Access to comprehensive and culturally competent reproductive health care is essential for individuals and communities to realize and achieve health and well-being, as one prefers. The disability community represents a diverse group of individuals with a wide spectrum of functional, physical, sensory, and/or neurodivergent abilities. Existing barriers to reproductive health care are a consequence of environmental and attitudinal barriers, not from the disabilities themselves. People with disabilities are also not frequently centered or included in discussions surrounding reproductive rights. This article reviews the intersection of the Disability Justice Movement and the history of discrimination in the United States against people with disabilities with a particular focus on reproductive oppression. We discuss the mechanisms of inequity and barriers to health care, including financial barriers, inaccessible medical facilities, provider discrimination and competency, and guardianship; as well as the importance of open access to contraception, menstrual health, and abortion for people with disabilities. Finally, we explore the intersection of the Disability Justice Movement and the Reproductive Justice Movement to better promote reproductive autonomy.

摘要

获得全面且具备文化能力的生殖健康护理对于个人和社区实现和获得健康和福祉至关重要。残疾群体代表了具有广泛功能、身体、感官和/或神经多样性能力的多样化个体。生殖健康护理的现有障碍是环境和态度障碍的结果,而不是残疾本身造成的。残疾人也没有经常成为围绕生殖权利讨论的中心或被包括在内。本文回顾了残疾正义运动与美国历史上对残疾人的歧视之间的交集,特别关注生殖压迫。我们讨论了不平等的机制和医疗保健障碍,包括经济障碍、难以接近的医疗设施、提供者歧视和能力,以及监护;以及为残疾人提供避孕、月经健康和堕胎的机会的重要性。最后,我们探讨了残疾正义运动和生殖正义运动的交集,以更好地促进生殖自主权。

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