科学家警告:为了妇女和地球的健康,消除避孕障碍

WORLD Pub Date : 2023-09-11 DOI:10.3390/world4030036
Jan Greguš, John Guillebaud
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摘要

2022年,全球人口达到80亿,并仍在增长,2086年可能达到104亿的峰值。环境科学认为,在这个有限的星球上,人类事业的持续增长是不可持续的,而且已经过度了。事实上,30亿是一个有证据证明的目标数字,因为我们的物种正在与所有非人类的生命形式竞争。我们必须实现人口零增长,并最终大幅减少人口。通常,即使在不否认人口的环保主义者中,人口数量也被视为一个给定的数字,需要适应,而不是受到影响或管理。然而,公正和适当的干预措施是存在的。基本要求是赋予妇女权力,消除在许多情况下妨碍她们接受教育(包括环境教育和小家庭的生殖道德)和实际自愿获得避孕的障碍。只要"生殖健康"包括获得基于权利的计划生育,这不仅促进了地球的健康,而且还通过妇女选择少生孩子和缩短生育间隔等方式促进了妇女的健康。这是合乎道德的、实用的、具有成本效益的——预防医学的一个主要例子。世界各地的政治家(主要是男性)必须接受这种长期思考,并大幅增加目前不足的避孕保健资金。这是另一个科学家的警告:对于所有生命来说,只有一个星球。
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Scientists’ Warning: Remove the Barriers to Contraception Access, for Health of Women and the Planet
The human population reached 8 billion in 2022 and is still growing, and will possibly peak at 10.4 billion in 2086. Environmental science mandates that continued growth of the human enterprise on a finite planet is unsustainable and already in overshoot. Indeed, 3 billion is an evidence-based target number, for our species in competition with all non-human life-forms. We must achieve zero population growth and, ultimately, a massive decrease. Commonly, even among environmentalists who are not “population-deniers”, human numbers are seen as a given, to be adapted to rather than influenced or managed. Yet, just and appropriate interventions exist. The fundamental requirement is the empowerment of women, removing the barriers in many settings to their education (including environmental education, and the reproductive ethics of smaller families) and to realistic, voluntary access to contraception. Wherever “reproductive health” includes access to rights-based family planning, this not only promotes the health of the planet but also women’s health through, inter alia, their choice to have fewer and better-spaced children. This is ethical, pragmatic, and cost-effective—a prime example of preventive medicine. Politicians (mostly men) everywhere must embrace this long-term thinking and significantly increase the currently inadequate funding of contraceptive care. Herein is another Scientists’ Warning: there is just one planet for all life.
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