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个人堕胎经历:医生对堕胎态度的一个决定性因素。

Personal experience with abortion: a determining factor in Physician's attitudes towards abortion.

作者信息

Ingoma Reagan M, Kim So Yoon, Kamangu Erick N

机构信息

College of Medicine (Ingoma), Yonsei University, Medical Ethics and Law, researcher, Seoul/Korea.

Centre Hospitalier Universitaire Renaissance (Mokeke), Kinshasa, DR Congo.

出版信息

AJOG Glob Rep. 2025 Mar 20;5(2):100478. doi: 10.1016/j.xagr.2025.100478. eCollection 2025 May.

Abstract

BACKGROUND

The increase in illegal abortions raises concerns about the role of physicians in providing safe abortion care. Understanding physicians' views in multicultural countries like the DRC is essential, even though the Maputo Protocol permits safe abortion care. The research aims to determine the impact of their experience with abortion on their attitudes towards abortion.

METHOD

This is cross-sectional study involving 265 physicians from The Democratic Republic of Congo, conducted between April 1st and June 30th, 2024, using a convenience sampling technique that determines doctors' attitudes toward abortion to lay the groundwork and pave the way for future research on this issue. The study used a chi-square test to analyze categorical variables, Spearman correlation with 2 hypotheses, and multinomial logistic regression to predict the connection between the explanatory, the confounding variables, and the physician attitudes towards abortion.

RESULTS

On a scale of 1-5, the median score was 3, the mean was 2.95, and the standard deviation was 0.661. We found a significant correlation between physicians' personal experiences with abortion and their attitudes toward the practice (r 0.211, .001). Doctors who have personally experienced abortion are more likely to support abortion rights than pro-life doctors (OR: 6.52, .005).

CONCLUSION

Targeted training programs for healthcare providers on the medical, legal, and ethical aspects of abortion care are crucial for equipping them with essential knowledge and skills. Public health initiatives should create and share standardized protocols for abortion care to ensure consistent quality across all healthcare facilities, especially in rural and underserved areas, promoting equitable access to such services.

摘要

背景

非法堕胎数量的增加引发了人们对医生在提供安全堕胎护理方面作用的担忧。尽管《马普托议定书》允许提供安全堕胎护理,但了解像刚果民主共和国这样的多元文化国家中医生的观点至关重要。该研究旨在确定他们的堕胎经历对其堕胎态度的影响。

方法

这是一项横断面研究,于2024年4月1日至6月30日对来自刚果民主共和国的265名医生进行,采用便利抽样技术来确定医生对堕胎的态度,为该问题的未来研究奠定基础并铺平道路。该研究使用卡方检验分析分类变量,采用斯皮尔曼相关性检验两个假设,并使用多项逻辑回归来预测解释变量、混杂变量与医生堕胎态度之间的联系。

结果

在1 - 5的量表上,中位数分数为3,平均数为2.95,标准差为0.661。我们发现医生的个人堕胎经历与其对堕胎做法的态度之间存在显著相关性(r = 0.211,p <.001)。有过个人堕胎经历的医生比支持生命权的医生更有可能支持堕胎权利(比值比:6.52,p <.005)。

结论

针对医疗保健提供者开展关于堕胎护理的医学、法律和伦理方面的定向培训项目,对于使他们具备必要的知识和技能至关重要。公共卫生举措应制定并分享堕胎护理的标准化方案以确保所有医疗保健机构,尤其是农村和服务不足地区的机构,都能提供一致的高质量服务,促进此类服务的公平可及性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4381/12435475/352bb3ff1a80/gr1.jpg

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