Seeking abortion accompaniment: experiences and self-managed abortion preferences of hotline callers after abortion legalisation in Argentina.

IF 3.4 3区 医学 Q1 FAMILY STUDIES BMJ Sexual & Reproductive Health Pub Date : 2024-06-18 DOI:10.1136/bmjsrh-2023-202209
Brianna Keefe-Oates, Sofia Filippa, Elizabeth Janiak, Ruth Zurbriggen, Belén Grosso, Jarvis T Chen, Caitlin Gerdts, Barbara Gottlieb
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Abstract

Background: Until the legalisation of abortion in Argentina in 2021, the Socorristas en Red, a network of feminist collectives, provided support and information ('accompaniment') to people self-managing their abortion with medications. Following legalisation, the Socorristas continued accompanying people self-managing or accessing abortion through the healthcare system. We conducted a cross-sectional study to understand preferences, experiences and choices about abortion when contacting a Socorristas hotline after legalisation of abortion in Argentina.

Methods: We surveyed callers to the Socorristas' hotline in Neuquén, Argentina about their demographics, pregnancy history, reasons for calling, and experiences seeking abortion through the hotline and the healthcare system. We assessed overall prevalence of these experiences, and analysed differences between people who contacted the health system before calling the hotline and those who first called the hotline for services.

Results: Of the 755 callers in the study, the majority (63.3%) contacted the Socorristas because they trusted them, and 21.7% called because they both trusted the Socorristas and did not want to go to the healthcare system. At the end of the call, most people (95.4%) chose to self-manage their abortion with accompaniment outside the healthcare system. People who called the healthcare system prior to contacting the hotline frequently reported being referred to the Socorristas, as well as challenges scheduling appointments.

Conclusions: After legalisation of abortion in Argentina there is continued demand for accompaniment. Globally, ensuring that accompaniment and self-management of abortion is legal and protected will provide individuals with the support and facilitated access to the abortion care they desire.

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寻求堕胎陪伴:阿根廷堕胎合法化后热线来电者的经历和自我管理堕胎的偏好。
背景:在 2021 年阿根廷人工流产合法化之前,由女权主义团体组成的网络 Socorristas en Red 一直为通过药物自行流产的人提供支持和信息("陪伴")。在堕胎合法化之后,Socorristas 继续陪伴人们通过医疗系统进行自我管理或获得堕胎服务。我们进行了一项横断面研究,以了解阿根廷人工流产合法化后,人们在拨打Socorristas热线时对人工流产的偏好、经历和选择:我们调查了阿根廷内乌肯Socorristas热线的来电者的人口统计学特征、怀孕史、来电原因以及通过热线和医疗系统寻求堕胎的经历。我们评估了这些经历的总体发生率,并分析了在拨打热线之前联系过医疗系统的人与首先拨打热线寻求服务的人之间的差异:在研究的 755 位来电者中,大多数人(63.3%)是因为信任社会工作者而联系他们,21.7% 的人是因为既信任社会工作者又不想求助于医疗系统而致电。通话结束后,大多数人(95.4%)选择在医疗系统外的陪同下自行处理流产事宜。在拨打热线电话之前曾致电医疗系统的人经常报告说,他们被转介到了Socorristas,而且在预约时间方面也遇到了困难:结论:在阿根廷,堕胎合法化后,人们对陪同堕胎的需求依然存在。在全球范围内,确保堕胎陪伴和自我管理合法化并受到保护,将为个人提供支持和便利,使他们能够获得所希望的堕胎护理。
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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
期刊最新文献
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