Religious implications in the positioning and practice of health professionals and students about induced abortion: systematic review

J. Drezett, Renato José de Oliveira, M. Puccia
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Abstract

Objective: Review the literature on the relationship between religion and the practices and positions of professionals and students of sexual and reproductive health in relation to induced abortion. Method: Systematic review in SciELO, and LILACS databases, from January 2010 to May 2021, using the descriptors (“Abortion, Induced” [Mesh]) AND “Religion” [Mesh]. Two authors separately evaluated the articles, selecting those that met the eligibility criteria. Disagreements were submitted to the opinion of the third author. 270 articles were identified and 31 articles were selected for qualitative metasynthesis. Study exempted from submission to the Ethics and Research Committee. Results: 23 articles (74.2%) used quantitative designs, six (19.3%) qualitative methods, one (3.2%) case report, and one (3.2%) intervention design. Students and resident physicians were approached in 15 articles (48.4%), physicians in 14 (45.1%), midwives in four (12.9%), and nurses in two (6.5%). In all articles analyzed, the strongest link with religious beliefs showed influence in positions and practices that oppose or restrict induced abortion. Conclusion: Conservative and fundamentalist religious positions on induced abortion persist, which negatively influence students and health professionals, hampering women’s human rights and reproductive rights.
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卫生专业人员和学生对人工流产的定位和实践中的宗教含义:系统回顾
目的:综述有关宗教与性与生殖健康专业人员和学生在人工流产方面的做法和立场之间关系的文献。方法:使用描述符(“Abortion, Induced”[Mesh])和“Religion”[Mesh]对2010年1月至2021年5月的SciELO和LILACS数据库进行系统评价。两位作者分别对文章进行评估,选择符合资格标准的文章。对第三位作者的意见提出了异议。共鉴定270篇,选取31篇进行定性综合。研究无需提交伦理与研究委员会。结果:定量设计文献23篇(74.2%),定性设计文献6篇(19.3%),病例报告文献1篇(3.2%),干预设计文献1篇(3.2%)。学生和住院医师15篇(48.4%),内科医生14篇(45.1%),助产士4篇(12.9%),护士2篇(6.5%)。在分析的所有文章中,与宗教信仰最密切的联系显示出对反对或限制人工流产的立场和做法的影响。结论:在人工流产问题上,保守和原教旨主义的宗教立场仍然存在,这对学生和卫生专业人员产生了负面影响,阻碍了妇女的人权和生殖权利。
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