Heath Jenna M, Nguyen Brian T
Department of Clinical Obstetrics & Gynecology, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.
Obstetrics and Gynecology, Los Angeles General Medical Center, Los Angeles, CA, USA.
Am J Mens Health. 2025 Jan-Feb;19(1):15579883241307795. doi: 10.1177/15579883241307795.
Support for abortion is comparable between men and women in the United States; one in five reproductive age men reports abortion involvement. Yet, societal focus on abortion as a uniquely women's issue minimizes men's involvement in abortion. We conducted a secondary analysis of survey ( = 203) and interview data ( = 30) on male partner's experiences accompanying abortion recipients at two family planning clinics in Chicago, Illinois. Respondents identified reasons for abortion from a prepopulated 14-item list. We correlated reasons with respondent's abortion preference and decision satisfaction, characterizing this relationship via thematic analyses of interview transcripts. Nearly all men (97.5%) identified multiple reasons for abortion (median: 6/14), including: mistimed pregnancy (80%), impact on his/his partner's education/career (75%-80%), and finances (71%). Neither individual reasons nor number of reasons was significantly associated with abortion decision preference or decision satisfaction. While 41% would not have chosen abortion, only 10% reported dissatisfaction. Men's perception of decision concordance with their partner was significantly linked to their satisfaction ( < .01). Thematic analysis highlighted complex partner involvement, including shared and deferred decision-making and tension amid demonstrated support. Many abortion-accompanying men preferred to continue the pregnancy, yet very few reported dissatisfaction with the ultimate decision, which may be related to perceived decision concordance with their female partner. Men's decisions for abortion are complex and include varying degrees of male partner involvement and/or decision deferral to female partners.
在美国，男性和女性对堕胎的支持程度相当；五分之一处于生育年龄的男性表示参与过堕胎相关事宜。然而，社会将堕胎视为女性独有的问题，这淡化了男性在堕胎问题中的参与度。我们对伊利诺伊州芝加哥市两家计划生育诊所中男性伴侣陪伴堕胎女性的调查数据（n = 203）和访谈数据（n = 30）进行了二次分析。受访者从预先设定的14项列表中确定堕胎原因。我们将原因与受访者的堕胎偏好和决定满意度进行关联，并通过对访谈记录的主题分析来描述这种关系。几乎所有男性（97.5%）都指出了多个堕胎原因（中位数：6/14），包括：怀孕时机不当（80%）、对他/他伴侣的教育/职业产生影响（75%-80%）以及经济状况（71%）。无论是个人原因还是原因数量，都与堕胎决定偏好或决定满意度没有显著关联。虽然41%的人不会选择堕胎，但只有10%的人表示不满意。男性对与伴侣决定一致性的认知与他们的满意度显著相关（p <.01）。主题分析突出了伴侣参与的复杂性，包括共同决策和延迟决策，以及在表面支持下的紧张关系。许多陪伴堕胎的男性原本倾向于继续妊娠，但很少有人对最终决定表示不满，这可能与他们认为与女性伴侣的决定一致有关。男性在堕胎问题上的决定很复杂，包括男性伴侣不同程度的参与和/或向女性伴侣 deferral 决定。 （注：原文中“deferred decision-making”直译为“延迟决策”，这里的“deferral”结合语境似乎也有类似意思，但该词在文中翻译较难找到完全匹配的中文表述，可根据具体情况进一步优化，比如“将决定权交给女性伴侣”等更符合中文表达习惯的说法，这里先按原文形式保留。）
