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社会阶层对前来接受人工流产的女性的生育状况及心理反应的影响。

The influence of social class on parity and psychological reactions in women coming for induced abortion.

作者信息

Hamark B, Uddenberg N, Forssman L

机构信息

Department of Obstetrics and Gynaecology, Ostra Hospital, University of Gothenburg, Sweden.

出版信息

Acta Obstet Gynecol Scand. 1995 Apr;74(4):302-6. doi: 10.3109/00016349509024454.

DOI:10.3109/00016349509024454
PMID:7732804
Abstract

OBJECTIVE

To test the hypothesis that the correlation between legal abortion and socio-economic conditions, known from the time when abortion was restricted, has current validity. To evaluate the effect of social class on network support and psychological reactions.

DESIGN

Consecutive sampling and semistructured personal interviewing.

SUBJECTS

444 women living in the city of Gothenburg and applying for legal termination of pregnancy in the first trimester.

SETTING

The department of gynaecology at a university hospital with primary care responsibility for legal abortions.

RESULTS

The 667 health administration districts of Gothenburg were ranked into four groups according to the mean income. Women living in lower socio-economic districts were younger. Irrespective of age, previous experience of induced abortion was more common among them (p < 0.001). Unsatisfactory network response or support was common (37%), but equally shared between the social classes. Discontinuation of oral contraception during the previous six months was twice as common among teenagers (40.0%) as among other women (p < 0.001) but without social differences. Pitman's permutation test was used for statistical analyses.

CONCLUSION

Socio-economic conditions have a strong and inverse correlation to previous experience of induced abortion. Psychological reactions and needs did not vary with class.

摘要

目的

检验以下假设,即堕胎受限制时期已知的合法堕胎与社会经济状况之间的相关性在当前仍然有效。评估社会阶层对网络支持和心理反应的影响。

设计

连续抽样和半结构化个人访谈。

研究对象

444名居住在哥德堡市且申请早期合法终止妊娠的女性。

研究地点

一家承担合法堕胎主要医疗责任的大学医院的妇科。

结果

根据平均收入,哥德堡的667个卫生行政区被分为四组。生活在社会经济水平较低地区的女性更年轻。无论年龄如何,她们中人工流产的既往经历更为常见(p < 0.001)。网络反应或支持不令人满意的情况很常见(37%),但在不同社会阶层中分布相当。在过去六个月中,青少年停用口服避孕药的情况(40.0%)是其他女性的两倍(p < 0.001),但不存在社会差异。采用皮特曼置换检验进行统计分析。

结论

社会经济状况与既往人工流产经历呈强烈负相关。心理反应和需求不因阶层而异。

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1
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Acta Obstet Gynecol Scand. 1995 Apr;74(4):302-6. doi: 10.3109/00016349509024454.
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Acta Obstet Gynecol Scand. 1994 Mar;73(3):255-60. doi: 10.3109/00016349409023450.
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