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州堕胎禁令是否构成妇产科医生的职业健康危害?多州定性研究的结果。

Are state abortion bans an occupational health hazard for obstetrician-gynaecologists? Findings from a multistate qualitative study.

机构信息

School of Social Work, Boston College, Chestnut Hill, Massachusetts, USA

Social and Behavioral Sciences, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.

出版信息

Occup Environ Med. 2024 Oct 23;81(10):493-497. doi: 10.1136/oemed-2024-109656.

DOI:10.1136/oemed-2024-109656
PMID:39366746
Abstract

OBJECTIVES

Since the US Supreme Court's Dobbs v. Jackson decision, 17 states have imposed near-total abortion bans. These bans may negatively impact health and well-being of obstetrician-gynaecologists (OB-GYNs), due to high levels of work-related stress that the laws have created for them. The goal of the present study is to evaluate the impacts of post-Dobbs v. Jackson state abortion bans on occupational health and well-being of OB-GYNs.

METHODS

The Study of OB-GYNs in Post-Roe America is a qualitative study of 54 OB-GYNs practising in 13 of the 14 states with near-total abortion bans as of March 2023. Using volunteer sampling methods, participants were recruited for semistructured qualitative interviews via videoconference from March to August 2023.

RESULTS

Thematic analysis of interview transcripts identified six major domains of health and well-being impacts of state abortion bans on OB-GYNs: anxiety and depression, burden of negative emotions, burn-out, coping-related health behaviours, sleep disruption and personal relationships.

CONCLUSIONS

State abortion bans following the 2022 Dobbs decision may impact the health and well-being not only of pregnant patients but also of their providers. These provider health impacts include mental health and burn-out but also extend to physical health outcomes and the work-life interface.

摘要

目的

自美国最高法院多布斯诉杰克逊案裁决以来,已有 17 个州实施了近乎全面的堕胎禁令。这些禁令可能会对妇产科医生的健康和福祉产生负面影响,因为这些法律给他们带来了高度的与工作相关的压力。本研究的目的是评估多布斯诉杰克逊案后各州堕胎禁令对妇产科医生职业健康和福祉的影响。

方法

《后罗伊时代的妇产科医生研究》是一项针对截至 2023 年 3 月实施近乎全面堕胎禁令的 14 个州中的 13 个州的 54 名妇产科医生的定性研究。研究人员使用志愿者抽样方法,通过视频会议从 2023 年 3 月至 8 月招募参与者进行半结构化定性访谈。

结果

对访谈记录的主题分析确定了州堕胎禁令对妇产科医生健康和福祉的六个主要影响领域:焦虑和抑郁、负面情绪负担、倦怠、应对相关的健康行为、睡眠障碍和人际关系。

结论

2022 年多布斯裁决后的州堕胎禁令不仅可能影响怀孕患者的健康和福祉,还可能影响到他们的提供者。这些提供者的健康影响包括心理健康和倦怠,还延伸到身体健康结果和工作生活界面。

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Occup Environ Med. 2024 Oct 23;81(10):493-497. doi: 10.1136/oemed-2024-109656.
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