Abortion knowledge, attitudes and experiences among adolescent girls: a review of the literature.

Abortion knowledge, attitudes and experiences among adolescent girls: a review of the literature.
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DOI:
10.1080/26410397.2020.1744225
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发表时间:
2020-12
影响因子:
6
通讯作者:
Andersen K
Andersen K
中科院分区:
医学3区
文献类型:
--
作者:
Espinoza C;Samandari G;Andersen K

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少女在全世界每年的堕胎死亡中占相当大的比例,所有不安全堕胎中有15%发生在20岁以下的女孩中。尽管最近全球都在关注青春期女孩的健康和福利,但人们对她们的堕胎经历知之甚少,尤其是15岁以下的女孩。本次审查审查了关于少女堕胎经历的现有同行审查文献和灰色文献,特别关注10-14岁的女孩。2019年12月,作者对五个主要的在线资源数据库进行了全面检索,对2003年至2019年的文章使用了两部分关键词检索策略。在最初的3,100多篇文章中,对1,228篇进行了单独筛选,并保留了35篇以纳入分析。调查结果显示,虽然少女可能对堕胎有一般的了解,但她们缺乏对护理来源的具体了解,并由于害怕耻辱、缺乏资源和提供者的偏见而推迟寻求护理。与年龄较大的群体相比,青春期女孩的身体并发症发生率并不高,但她们面临心理社会伤害的风险。对于10至14岁的女孩来说,堕胎经历可能会因性虐待或性交易而怀孕而加剧,在提供者偏见和缺乏代理方面,她们比年长的青少年面临更多的护理障碍。青少年在堕胎方面有独特的需求和经历,在方案编制和宣传中应考虑到这一点。少女需要有关在幼年时进行安全堕胎的信息,以及一个反应迅速和没有污名的卫生系统。
Adolescent girls comprise a considerable proportion of annual abortion deaths, worldwide, with 15% of all unsafe abortions taking place among girls under 20 years of age. Despite recent global attention to the health and welfare of adolescent girls, little is known about their abortion experience, particularly of those under the age of 15 years. This review examines existing peer-reviewed and grey literature on abortion-related experiences of adolescent girls, paying particular attention to girls ages 10–14. In December 2019, the authors conducted a comprehensive search of five major online resource databases, using a two-part keyword search strategy for articles from 2003 to 2019. Of the original 3,100+ articles, 1,228 were individually screened and 35 retained for inclusion in the analysis. Findings show that while adolescent girls may have knowledge of abortion in general, they lack specific knowledge of sources of care and delay care-seeking due to the fear of stigma, lack of resources and provider bias. Adolescent girls do not experience higher rates of physical complications compared to older cohorts, but they are at risk of psychosocial harm. For girls ages 10–14, abortion experience may be compounded by pregnancy due to sexual abuse or transactional sex, and they face even more barriers to care than older adolescents in terms of provider bias and lack of agency. Adolescents have unique needs and experiences around abortion, which should be accounted for in programming and advocacy. Adolescent girls need information about safe abortion at an early age and a responsive and stigma-free health system.
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发表时间: 2009-12-16
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