限制性堕胎政策与个人离婚风险有关

IF 2.8 2区 医学 Q1 OBSTETRICS & GYNECOLOGY Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110568
BG Everett, Z Bergman, J Sanders
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引用次数: 0

摘要

目标多项研究记录了堕胎给妇女带来的多方面益处。然而,很少有研究探讨堕胎对家庭进程的广泛影响。我们假设生殖自主权是家庭稳定的基础,并检验限制堕胎的环境与离婚风险之间是否存在关联。方法数据来自《全国青少年到成人健康纵向研究》,这是一个前瞻性队列数据集,在 20 多年的时间里收集了五波数据(n=5184)。数据包括堕胎政策和堕胎机会的多个指标(例如,可获得的公共资金、知情同意程序、父母同意以及县内是否有计划生育服务提供者)以及关系史,包括受访者是否离婚。我们使用了逻辑回归分析,并对与离婚风险相关的社会人口特征(如年龄、教育程度、收入、种族/民族、家庭中的子女数量)以及多个县和州级社会人口指标进行了调整。结果在完全调整模型中,居住在堕胎限制较多的州和县的受访者离婚风险增加(OR=1.12,95% CI=1.05,1.20)。结论限制堕胎的环境与离婚风险的增加有关。
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RESTRICTIVE ABORTION POLICIES ARE ASSOCIATED WITH INDIVIDUAL RISK OF DIVORCE

Objectives

Multiple studies have documented the benefits of abortion access to women across multiple dimensions. Much less research, however, has examined the broader implications of abortion access to family-level processes. We hypothesize that reproductive autonomy is foundational for family stability and test whether there is an association between abortion-restrictive environments and the risk of divorce.

Methods

Data come from the National Longitudinal Study of Adolescent to Adult Health, a prospective cohort data set with five waves of data collection over more than 20 years (n=5,184). The data include multiple indicators of abortion policy and access (eg, public funding available, informed consent procedures, parental consent, and presence of a family planning provider in the county) and relationship histories, including whether the respondent has had a divorce. We used logistic regression analyses and adjusted for sociodemographic characteristics associated with divorce risk (eg, age, education, income, race/ethnicity, number of children in household) and multiple county- and state-level sociodemographic indicators.

Results

Respondents who lived in states and counties with more abortion restrictions had an increased risk of being divorced (OR=1.12, 95% CI=1.05, 1.20) in the fully adjusted models. We did not find differences by gender in the relationship between abortion policy and divorce risk.

Conclusions

Abortion-restrictive environments are associated with an increased risk of divorce.
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来源期刊
Contraception
Contraception 医学-妇产科学
CiteScore
4.70
自引率
17.20%
发文量
211
审稿时长
69 days
期刊介绍: Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.
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