What Should Physicians Consider About American Indian/Alaska Native Women's Reproductive Freedom?
What Should Physicians Consider About American Indian/Alaska Native Women's Reproductive Freedom?
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DOI：
10.1001/amajethics.2020.845
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发表时间：
2020-10-01
影响因子：
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通讯作者：
Erdrich, Jennifer
中科院分区：
文献类型：
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作者：
Cordova-Marks, Felina;Fennimore, Nikki;Erdrich, Jennifer
从历史上看，美洲印第安人和阿拉斯加原住民（AI/AN）一直无法控制其生活的各个方面，包括其生殖健康。在与AI/AN患者讨论计划生育时，临床医生必须考虑过去侵犯生殖权利的行为以及透明同意的必要性。本文探讨了以下问题：什么是历史上侵犯AI/AN妇女的生殖权利？医生应该如何表达对这段历史的尊重，以及对AI/AN女性患者在今天的外科绝育手术中的自主权的尊重？
Historically, American Indians and Alaska Natives (AI/AN) have been subjected to a lack of control over various aspects of their lives, including their reproductive health. In discussions of family planning with AI/AN patients, clinicians must consider past violations of reproductive rights and the need for transparent consent. This article explores the following questions: What were historical violations of AI/AN women's reproductive rights? How should physicians express respect for this history and for the autonomy of AI/AN female patients regarding surgical sterilization procedures today?