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堕胎与心理健康和幸福:当代文献综述

Abortion and Mental Health and Wellbeing: A Contemporary Review of the Literature.

作者信息

Masten Megan, Campbell Olivia, Horvath Sarah, Zahedi-Spung Leilah

机构信息

Division of Complex Family Planning, University of Colorado School of Medicine, Obstetrics and Gynecology, Denver, Colorado, USA.

University of Colorado School of Medicine, Obstetrics and Gynecology, Denver, Colorado, USA.

出版信息

Curr Psychiatry Rep. 2024 Dec;26(12):877-884. doi: 10.1007/s11920-024-01557-6. Epub 2024 Oct 28.

DOI:10.1007/s11920-024-01557-6
PMID:39465455
Abstract

PURPOSEOF REVIEW

This review discusses the importance of abortion care and access for mental wellbeing for people seeking abortion, abortion providers, and trainees. The recent Dobbs v. Jackson case has jeopardized the physical and mental health of millions.

RECENT FINDINGS

Much of the data regarding mental health impacts of abortion access comes from the Turnaway Study. This study supports that abortion does not cause negative mental health effects and being denied abortion is detrimental to mental health, physical health, and has negative socioeconomic impacts. Other recent studies support that the Dobbs decision continues to disproportionately harm historically marginalized groups. Additionally, there is more anxiety and depression reported in states with abortion restrictions. Many obstetrician gynecologists are moving away from restricted states and report moral distress due to restrictions. Many medical students are choosing not to apply to obstetrics and gynecology residency programs in states with abortion restrictions. Access to abortion care is important for mental and physical health, and socioeconomic well-being for people seeking abortion. Restrictive bans negatively affect people seeking abortion, as well as healthcare providers and trainees.

摘要

综述目的

本综述探讨了堕胎护理以及堕胎机会对于寻求堕胎者、堕胎提供者和实习生心理健康的重要性。最近的多布斯诉杰克逊案危及了数百万人的身心健康。

最新研究结果

许多关于堕胎机会对心理健康影响的数据来自“未获堕胎机会研究”。该研究支持堕胎不会造成负面心理健康影响,而被拒绝堕胎则对心理健康、身体健康有害,并产生负面社会经济影响。其他近期研究表明,多布斯案的裁决继续对历史上被边缘化的群体造成更大伤害。此外,在有堕胎限制的州,焦虑和抑郁的报告更多。许多妇产科医生正离开限制堕胎的州,并报告称因这些限制而感到道德困扰。许多医学生选择不申请在有堕胎限制的州的妇产科住院医师项目。获得堕胎护理对寻求堕胎者的身心健康以及社会经济福祉很重要。限制性禁令对寻求堕胎者以及医疗保健提供者和实习生都有负面影响。

相似文献

1
Abortion and Mental Health and Wellbeing: A Contemporary Review of the Literature.堕胎与心理健康和幸福:当代文献综述
Curr Psychiatry Rep. 2024 Dec;26(12):877-884. doi: 10.1007/s11920-024-01557-6. Epub 2024 Oct 28.
2
"I am putting my fear on them subconsciously": a qualitative study of contraceptive care in the context of abortion bans in the U.S.“我在潜意识里将恐惧投射到她们身上”:在美国堕胎禁令背景下的避孕护理定性研究
Reprod Health. 2024 Nov 24;21(1):171. doi: 10.1186/s12978-024-01908-9.
3
US Obstetrician-Gynecologists' Perceived Impacts of Post-Dobbs v Jackson State Abortion Bans.美国妇产科医生对“多布斯诉杰克逊州立大学堕胎禁令”案后影响的看法。
JAMA Netw Open. 2024 Jan 2;7(1):e2352109. doi: 10.1001/jamanetworkopen.2023.52109.
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Experiences of Obstetrician-Gynecologists Providing Pregnancy Care After Dobbs.妇产科医生在多布斯案后提供孕期护理的经历
JAMA Netw Open. 2025 Mar 3;8(3):e252498. doi: 10.1001/jamanetworkopen.2025.2498.
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Are state abortion bans an occupational health hazard for obstetrician-gynaecologists? Findings from a multistate qualitative study.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。
Occup Environ Med. 2024 Oct 23;81(10):493-497. doi: 10.1136/oemed-2024-109656.
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"I Went Into This Field to Empower Other People, and I Feel Like I Failed": Residents Experience Moral Distress Post-.“我进入这个领域是为了赋予他人权力,但我觉得我失败了”:居民经历道德困境后。
J Grad Med Educ. 2024 Jun;16(3):271-279. doi: 10.4300/JGME-D-23-00582.1. Epub 2024 Jun 13.
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Trends in Obstetrics and Gynecology Residency Applications in the Year After Abortion Access Changes.堕胎权放宽后,妇产科住院医师申请人数的变化趋势
JAMA Netw Open. 2024 Feb 5;7(2):e2355017. doi: 10.1001/jamanetworkopen.2023.55017.
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Trends in Medical Students' Legal Concerns Regarding Abortion Care in the Wake of the 2022 Decision.2022年裁决后医学生对堕胎护理的法律担忧趋势
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State Abortion Policy and Moral Distress Among Clinicians Providing Abortion After the Dobbs Decision.多布斯案裁决后,各州堕胎政策与提供堕胎服务的临床医生的道德困扰
JAMA Netw Open. 2024 Aug 1;7(8):e2426248. doi: 10.1001/jamanetworkopen.2024.26248.
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Obstetrician and Gynecologist Physicians' Practice Locations Before and After the Dobbs Decision.多布斯裁决前后妇产科医生的执业地点
JAMA Netw Open. 2025 Apr 1;8(4):e251608. doi: 10.1001/jamanetworkopen.2025.1608.

引用本文的文献

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J Perinatol. 2025 Jul 2. doi: 10.1038/s41372-025-02340-y.

本文引用的文献

1
Trends in Obstetrics and Gynecology Residency Applications in the Year After Abortion Access Changes.堕胎权放宽后,妇产科住院医师申请人数的变化趋势
JAMA Netw Open. 2024 Feb 5;7(2):e2355017. doi: 10.1001/jamanetworkopen.2023.55017.
2
Anxiety and Depression Symptoms After the Dobbs Abortion Decision.“多布斯堕胎案”判决后出现的焦虑和抑郁症状
JAMA. 2024 Jan 23;331(4):294-301. doi: 10.1001/jama.2023.25599.
3
US Obstetrician-Gynecologists' Perceived Impacts of Post-Dobbs v Jackson State Abortion Bans.美国妇产科医生对“多布斯诉杰克逊州立大学堕胎禁令”案后影响的看法。
JAMA Netw Open. 2024 Jan 2;7(1):e2352109. doi: 10.1001/jamanetworkopen.2023.52109.
4
The association between abortion training and obstetrics and gynecology resident competence and intention to provide abortion care before Dobbs.多布斯案之前堕胎培训与妇产科住院医师能力及提供堕胎护理意愿之间的关联。
Contraception. 2024 Apr;132:110358. doi: 10.1016/j.contraception.2023.110358. Epub 2023 Dec 28.
5
Effects of the Dobbs v Jackson Women's Health Organization Decision on Obstetrics and Gynecology Graduating Residents' Practice Plans.多布斯诉杰克逊妇女健康组织案的裁决对妇产科住院医师毕业生执业计划的影响。
Obstet Gynecol. 2023 Nov 1;142(5):1105-1111. doi: 10.1097/AOG.0000000000005383. Epub 2023 Sep 28.
6
Reasons for past abortions among women in treatment for opioid use disorder.接受阿片类药物使用障碍治疗的女性过去堕胎的原因。
Psychol Addict Behav. 2024 Mar;38(2):193-196. doi: 10.1037/adb0000959. Epub 2023 Sep 14.
7
Access to Abortion After Dobbs v. Jackson Women's Health Organization: Advocacy and a Call to Action for the Profession of Psychiatry.多布斯诉杰克逊妇女健康组织案后的堕胎权获取:精神病学专业的倡导与行动呼吁
Acad Psychiatry. 2023 Feb;47(1):1-6. doi: 10.1007/s40596-022-01729-7.
8
Mental Health Implications of Abortion Restrictions for Historically Marginalized Populations.堕胎限制对历史上边缘化人群心理健康的影响。
N Engl J Med. 2022 Oct 27;387(17):1613-1617. doi: 10.1056/NEJMms2211124.
9
The COVID-19 pandemic and mental health in pregnant women: A review article.2019年冠状病毒病大流行与孕妇心理健康:一篇综述文章。
Front Psychiatry. 2022 Sep 20;13:949239. doi: 10.3389/fpsyt.2022.949239. eCollection 2022.
10
The role of pregnancy acceptability in maternal mental health and bonding during pregnancy.妊娠可接受性在妊娠期间母婴心理健康和联系中的作用。
BMC Pregnancy Childbirth. 2022 Mar 29;22(1):267. doi: 10.1186/s12884-022-04558-6.