Glander S S, Moore M L, Michielutte R, Parsons L H
Department of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
Obstet Gynecol. 1998 Jun;91(6):1002-6. doi: 10.1016/s0029-7844(98)00089-1.
To determine the prevalence of self-reported abuse in a population of women aged 18 years or older seeking elective pregnancy termination, and to compare abused and nonabused women with respect to the primary reasons for pregnancy termination.
A self-administered questionnaire was returned by 486 women seeking outpatient abortion. The survey included demographic information, abuse screening, and items regarding partner involvement/awareness of the pregnancy, and abuse as a determinant of the abortion decision. One open-ended item asking the primary reason for pregnancy termination was included.
The prevalence of self-reported abuse in this population was 39.5%. White women were significantly more likely to report any history of abuse than nonwhite women. Relationship issues were the only reason for pregnancy termination given more often by women with an abuse history than by nonabused women. Women with abuse histories were significantly less likely than nonabused women to inform the partner of the pregnancy or to have partner support for or involvement in the abortion decision.
The prevalence of abuse reported by women in this population suggests that many women seeking abortion services may have abuse histories. Abused women may have different reasons for pregnancy termination than nonabused women and may be more likely to make the abortion decision without partner involvement. When routine screening for abuse is included in abortion counseling, health providers have the opportunity for developing a safety plan and initiating appropriate referral.
确定年龄在18岁及以上寻求选择性终止妊娠的女性群体中自我报告的虐待行为的发生率，并比较受虐待和未受虐待女性在终止妊娠主要原因方面的差异。
486名寻求门诊堕胎的女性返回了一份自填式问卷。调查包括人口统计学信息、虐待筛查，以及关于伴侣对怀孕的参与/知晓情况，以及虐待作为堕胎决定因素的项目。其中包括一个询问终止妊娠主要原因的开放式问题。
该群体中自我报告的虐待行为发生率为39.5%。白人女性比非白人女性更有可能报告有任何虐待史。关系问题是有虐待史的女性比未受虐待的女性更常提及的终止妊娠的唯一原因。有虐待史的女性比未受虐待的女性告知伴侣怀孕情况或获得伴侣对堕胎决定的支持或参与的可能性显著更低。
该群体中女性报告的虐待行为发生率表明，许多寻求堕胎服务的女性可能有虐待史。受虐待的女性终止妊娠的原因可能与未受虐待的女性不同，并且可能更有可能在没有伴侣参与的情况下做出堕胎决定。当在堕胎咨询中纳入虐待行为的常规筛查时，医疗服务提供者有机会制定安全计划并进行适当的转诊。
