Abortion and mental health disorders: evidence from a 30-year longitudinal study
Abortion and mental health disorders: evidence from a 30-year longitudinal study
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DOI：
10.1192/bjp.bp.108.056499
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发表时间：
2008-12-01
影响因子：
10.5
通讯作者：
Boden, Joseph M.
中科院分区：
文献类型：
--
作者：
Fergusson, David M.;Horwood, L. John;Boden, Joseph M.
背景对堕胎与心理健康之间联系的研究受到设计问题和相对薄弱的证据的限制。目的是检验妊娠结局与心理健康结果之间的联系。方法收集了超过 500 名年龄在 30 岁之间的出生队列女性的妊娠和心理健康史数据。结果经过混杂因素调整后，堕胎与精神障碍风险小幅增加有关；堕胎过的女性患精神疾病的几率要高出约 30%。其他妊娠结局与心理健康之间没有一致的关联。可归因风险的估计表明，堕胎经历占精神障碍总体发生率的1.5%至5.5%。结论证据与堕胎可能与精神障碍风险小幅增加有关的观点一致。其他妊娠结局与心理健康问题风险增加无关。
BackgroundResearch on the links between abortion and mental health has been limited by design problems and relatively weak evidence.AimsTo examine the links between pregnancy outcomes and mental health outcomes.MethodData were gathered on the pregnancy and mental health history of a birth cohort of over 500 women studied to the age of 30.ResultsAfter adjustment for confounding, abortion was associated with a small increase in the risk of mental disorders; women who had had abortions had rates of mental disorder that were about 30% higher. There were no consistent associations between other pregnancy outcomes and mental health. Estimates of attributable risk indicated that exposure to abortion accounted for 1.5% to 5.5% of the overall rate of mental disorders.ConclusionsThe evidence is consistent with the view that abortion may be associated with a small increase in risk of mental disorders. Other pregnancy outcomes were not related to increased risk of mental health problems.