Physicians' agreement with and willingness to provide abortion services in the case of pregnancy from rape in Mexico
Physicians' agreement with and willingness to provide abortion services in the case of pregnancy from rape in Mexico
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DOI：
10.1016/j.contraception.2008.07.016
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发表时间：
2009-01-01
期刊：
影响因子：
2.9
通讯作者：
Lara, Diana
中科院分区：
文献类型：
--
作者：
Silva, Martha;Billings, Deborah L.;Lara, Diana
背景：在墨西哥，妇女因强奸而怀孕，堕胎不受惩罚，但获得堕胎服务的机会有限。了解医生对堕胎的意见是至关重要的，创造战略，将扩大妇女获得services.Study设计：多变量逻辑回归进行了从1206医生生病墨西哥的样本收集的数据。分析了自变量对两个结果的影响：在强奸导致怀孕的情况下，医生同意堕胎是法律的，以及在这种情况下提供堕胎服务的意愿。做过法律的堕胎手术的医生，了解现有堕胎立法和实践的一般或家庭医学更有可能同意，当怀孕是由胶带引起时，堕胎应该是法律的，更有可能愿意在强奸的情况下提供堕胎服务。医生谁持有消极的态度，寻求堕胎的妇女和那些更大的教堂出席不太可能同意堕胎的合法性。结论：医生是最重要的守门人，妇女获得安全的堕胎服务。大多数墨西哥医生同意在某些情况下堕胎不应受到法律惩罚。然而，许多人也对寻求堕胎的妇女持消极态度。医生对妇女获得安全堕胎服务的支持是确保这种服务在墨西哥存在的关键。(C)2009 Elsevier Inc. All rights reserved.
Background: In Mexico, abortion is not penalized when a woman gets pregnant as a result of rape, yet access to abortion services is limited. Understanding physicians' opinions about abortion is critical to creating strategies that will broaden women's access to services.Study Design: Multivariate logistic regression was performed using data collected from a sample of 1206 physicians ill Mexico. The influence of independent variables on two outcomes was analyzed: physicians' agreement with abortion being legal in the case of pregnancy caused by rape and willingness to provide abortion services in such cases.Results: Physicians who had performed legal abortions, knew about existing abortion legislation and practiced general or family medicine were significantly more likely to agree that abortion should be legal when pregnancy is caused by tape and were more likely to be willing to provide abortion in the case of rape. Physicians who held a negative attitude towards women who seek abortion and those with greater church attendance were less likely to agree with the legality of abortion.Conclusions: Physicians are among the most important gatekeepers to women's access to safe abortion services. A majority of Mexican physicians agree that abortion Should not be legally penalized under certain circumstances. Yet, many also hold negative attitudes towards women who seek abortion. Physicians' support for women's access to safe abortion services is key to ensuring that such services will exist in Mexico. (C) 2009 Elsevier Inc. All rights reserved.