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医学生对堕胎的态度及其进行堕胎手术的意愿:荟萃分析

Attitudes of medical students towards abortion and their willingness to perform abortion: meta-analysis.

作者信息

Hu Jian-Xin, Chang Rui, Du Jian-Qing, He Min

机构信息

School of Nursing and Health, Xi'an Innovation College, Yan'an University, Xi'an, Shannxi 710100, China.

出版信息

Afr Health Sci. 2024 Sep;24(3):242-250. doi: 10.4314/ahs.v24i3.28.

Abstract

BACKGROUND AND OBJECTIVES

This study evaluates the opinion of medical students about abortion and their willingness to perform the abortion.

METHODS

After a systematic review, meta-analyses of proportions were performed to achieve percent estimates of medical students' opinions about abortion and willingness to perform the abortion.

RESULTS

15 studies appraising 6341 medical students were included. Most medical students opined that abortion should be provided if the mother's life is threatened (89%), in case of rape (84%), if the mother's mental health is affected (79%), if the fetus is seriously defective (73%); and on mother's request (37%). Medical students informed that they would perform abortion if the mother's life is threatened (87%); in case of rape (77%); if the fetus is seriously defective (78%); if the mother's mental health is threatened (65%); in case of teenage pregnancy (51%); on mother's request (25%); and if court rules (19%). Religiosity was associated with significantly lower proabortion (favoring legalization of abortion) attitudes of medical students (OR: 0.10 [95% CI: 0.04, 0.24]; p<0.00001) but longer duration of medical education was associated with higher proabortion attitudes (OR: 1.75 [95% CI: 1.42, 2.14]; p<0.00001).

CONCLUSION

Attitudes of medical students towards abortion are generally ambivalent where the majority opine that abortion should be performed under certain circumstances.

摘要

背景与目的

本研究评估医学生对堕胎的看法及其实施堕胎的意愿。

方法

在进行系统综述之后,对比例进行荟萃分析,以得出医学生对堕胎看法及实施堕胎意愿的百分比估计值。

结果

纳入了15项评估6341名医学生的研究。大多数医学生认为,若母亲生命受到威胁(89%)、遭遇强奸(84%)、母亲心理健康受到影响(79%)、胎儿存在严重缺陷(73%)以及应母亲要求(37%)时,应实施堕胎。医学生表示,若母亲生命受到威胁(87%)、遭遇强奸(77%)、胎儿存在严重缺陷(78%)、母亲心理健康受到威胁(65%)、少女怀孕(51%)、应母亲要求(25%)以及法庭裁决(19%)时,他们会实施堕胎。宗教信仰与医学生显著较低的支持堕胎(赞成堕胎合法化)态度相关(比值比:0.10 [95%置信区间:0.04, 0.24];p<0.00001),但医学教育时间越长与支持堕胎的态度越高相关(比值比:1.75 [95%置信区间:1.42, 2.14];p<0.00001)。

结论

医学生对堕胎的态度普遍矛盾,大多数人认为在某些情况下应实施堕胎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d1a/12327135/d2b8981c78b1/AFHS2403-0242Fig1.jpg

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