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1.
Artículo en Inglés | MEDLINE | ID: mdl-29207521

RESUMEN

BACKGROUND: Unsafe abortion is a major preventable public health problem and contributes to high mortality among women. Ghana has ratified international conventions to prevent unwanted pregnancies and provide safe abortion services, legally authorizing midwives to provide induced abortion services in certain circumstances. OBJECTIVE: The aim of the study was to understand midwives' readiness to be involved in legal induced abortions, should the law become less restricted in Ghana. METHODS: A qualitative study design, with a topic guide for individual in-depth interviews of selected midwives, was adopted. The interviews were tape-recorded and analyzed using content analysis. RESULTS: Participants emphasized their willingness to reduce maternal mortalities, their experiences of maternal deaths, and their passion for the health of pregnant women. Knowledge of Ghana's abortion law was generally low. Different views were expressed regarding readiness to engage in abortion services. Some expressed it as being sinful and against their religion to assist in abortion care, whilst others felt it was good to save the lives of women. CONCLUSION: The midwives made it clear that unsafe abortions are common, stigmatizing and contributing to maternal mortality, issues that must be addressed. They made various suggestions to reduce this preventable tragedy.


Asunto(s)
Aborto Inducido , Aborto Legal , Actitud del Personal de Salud , Enfermeras Obstetrices , Religión , Adulto , Femenino , Ghana , Humanos , Mortalidad Materna , Embarazo , Investigación Cualitativa
2.
Salud Publica Mex ; 59(5): 577-582, 2017 Sep-Oct.
Artículo en Español | MEDLINE | ID: mdl-29267655

RESUMEN

OBJECTIVE: To analyze the strategies developed by the health centers to implement the law of legal abortion (LA) in public services of the primary care in Montevideo, Uruguay. MATERIALS AND METHODS: A qualitative research was conducted combining techniques of document analysis, self-administered questionnaires to key informants, and in-depth interviews with directors of health centers. A simple summative index of accessibility to abortion services was built. RESULTS: The law approved in Uruguay in 2012 demanded the development of a strategy to promote women's accessibility to LA in the public primary care system. The services failed to fully implement the strategy, due to institutional barriers. CONCLUSION: Despite the wide availability of LA services in primary care and that they are an integral part of sexual and reproductive health benefits, there is an important barrier to their use in the number of gynecologists that appeal to conscientious objection.


Asunto(s)
Aborto Legal , Accesibilidad a los Servicios de Salud , Atención Primaria de Salud/organización & administración , Aborto Legal/legislación & jurisprudencia , Aborto Legal/psicología , Aborto Legal/estadística & datos numéricos , Instituciones de Atención Ambulatoria , Actitud del Personal de Salud , Conciencia , Femenino , Ginecología , Humanos , Embarazo , Salud Pública , Uruguay
3.
Psychiatr Danub ; 29 Suppl 4(Suppl 4): 866-871, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29278638

RESUMEN

BACKGROUND: Aim of this study was to establish attitudes of medical students on induced abortion and connection of those attitudes with religiousness, length of their studies, sex and various circumstances of pregnancy. SUBJECTS AND METHODS: In total, 148 students of the first, second, fifth and sixth year of medical faculty participated in the research. The study was conducted at the Medical Faculty of the University in Mostar. While collecting the data, we used a survey taken over from literature. The data were tested with adequate statistical methods afterwards. RESULTS: 81.1% of students would perform an abortion under certain circumstances (χ2=57.189; P<0.001). Most students answered that they would perform an abortion in case that a fetus had malformations (χ2=3.892; P=0.49) or if the mother's life were endangered (χ2=47.676; P<0.001). By comparison of students' readiness to perform an abortion under various circumstances of pregnancy depending on length of medical education, statistically significant difference was proved in the following circumstances: rape (χ2=6.097; P=0.014) and if the pregnancy would endanger mother's mental health (χ2=4.488; P=0.034). Students with shorter medical education expressed more liberal attitudes in the above stated circumstances. By comparison of students' readiness to perform an abortion under various circumstances of pregnancy depending on religiousness statistically significant difference was proved in the following circumstances: in case of 'abortion on demand', no matter the reason (χ2=11.908; P=0.012), teenage pregnancy (χ2=33.308; P<0.001) and if the pregnancy would interfere with mother's career χ2=35.897; P<0.001). Unreligious students expressed more liberal attitudes. CONCLUSION: Influence of length of medical education and sex on attitudes on abortion was not proved statistically. Impact of religiousness on that attitude cannot be commented due to very small share of unreligious students in the sample.


Asunto(s)
Aborto Inducido/psicología , Aborto Legal/psicología , Actitud del Personal de Salud , Educación Médica , Estudiantes de Medicina/psicología , Adolescente , Adulto , Femenino , Humanos , Masculino , Embarazo , Encuestas y Cuestionarios , Universidades , Adulto Joven
7.
BMC Pregnancy Childbirth ; 17(Suppl 2): 350, 2017 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-29143680

RESUMEN

BACKGROUND: This paper analyzes the strategies used by activist health professionals in Argentina who justify providing abortion despite legal restrictions on the procedure. These "insider activists" make a case for abortion rights by linking pregnancy termination to a woman's ability to exert agency at a key point in her reproductive life, and argue that refusing women access to the procedure constitutes a grievous health risk. This argument frames pregnancy termination as an issue of empowerment and also as a medical necessity. METHODS: This article is based on ethnographic research conducted in Argentina in 2013 and 2015, which includes in-depth interviews with abortion activists and health professionals and ethnographic observation at activist events and in clinics. RESULTS: During the period of my field research, the medical staff in one clinic shifted from abortion counseling, based on a harm reduction model, to legal pregnancy termination, a new mode of abortion provision where they directly provided abortions based on the legal health exception. These insider activists formalized the latter approach by creating a diagnostic instrument that frames women's "bio-psycho-social" reasons for wishing to terminate a pregnancy as medically justified. CONCLUSIONS: The clinical practice analyzed in this article raises important questions about the potential for health professionals to take on an activist role by making safe abortion accessible, even in a context where the procedure is highly restricted.


Asunto(s)
Aborto Legal/psicología , Servicios de Planificación Familiar/legislación & jurisprudencia , Activismo Político , Poder (Psicología) , Derechos Sexuales y Reproductivos/psicología , Aborto Legal/legislación & jurisprudencia , Argentina , Femenino , Humanos , Embarazo , Derechos Sexuales y Reproductivos/legislación & jurisprudencia , Derechos de la Mujer/legislación & jurisprudencia
8.
MMWR Surveill Summ ; 66(24): 1-48, 2017 11 24.
Artículo en Inglés | MEDLINE | ID: mdl-29166366

RESUMEN

PROBLEM/CONDITION: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States. PERIOD COVERED: 2014. DESCRIPTION OF SYSTEM: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City). The reporting areas provide this information voluntarily. For 2014, data were received from 49 reporting areas. For trend analysis, abortion data were evaluated from 48 areas that reported data every year during 2005-2014. Census and natality data, respectively, were used to calculate abortion rates (number of abortions per 1,000 women aged 15-44 years) and ratios (number of abortions per 1,000 live births). RESULTS: A total of 652,639 abortions were reported to CDC for 2014. Of these abortions, 98.4% were from the 48 reporting areas that provided data every year during 2005-2014. Among these 48 reporting areas, the abortion rate for 2014 was 12.1 abortions per 1,000 women aged 15-44 years, and the abortion ratio was 186 abortions per 1,000 live births. From 2013 to 2014, the total number and rate of reported abortions decreased 2%, and the ratio decreased 7%. From 2005 to 2014, the total number, rate, and ratio of reported abortions decreased 21%, 22%, and 21%, respectively. In 2014, all three measures reached their lowest level for the entire period of analysis (2005-2014). In 2014 and throughout the period of analysis, women in their 20s accounted for the majority of abortions and had the highest abortion rates; women in their 30s and older accounted for a much smaller percentage of abortions and had lower abortion rates. In 2014, women aged 20-24 and 25-29 years accounted for 32.2% and 26.7% of all reported abortions, respectively, and had abortion rates of 21.3 and 18.4 abortions per 1,000 women aged 20-24 and 25-29 years, respectively. In contrast, women aged 30-34, 35-39, and ≥40 years accounted for 17.1%, 9.7%, and 3.6% of all reported abortions, respectively, and had abortion rates of 11.9, 7.2, and 2.6 abortions per 1,000 women aged 30-34 years, 35-39 years, and ≥40 years, respectively. From 2005 to 2014, the abortion rate decreased among women aged 20-24, 25-29, 30-34, and 35-39 years by 27%, 16%, 12%, and 5%, respectively, but increased 4% among women aged ≥40 years. In 2014, adolescents aged <15 and 15-19 years accounted for 0.3% and 10.4% of all reported abortions, respectively, and had abortion rates of 0.5 and 7.5 abortions per 1,000 adolescents aged <15 and 15-19 years, respectively. From 2005 to 2014, the percentage of abortions accounted for by adolescents aged 15-19 years decreased 38%, and their abortion rate decreased 49%. These decreases were greater than the decreases for women in any older age group. In contrast to the percentage distribution of abortions and abortion rates by age, abortion ratios in 2014 and throughout the entire period of analysis were highest among adolescents and lowest among women aged 30-39 years. Abortion ratios decreased from 2005 to 2014 for women in all age groups. In 2014, the majority (67.0%) of abortions were performed at ≤8 weeks' gestation, and nearly all (91.5%) were performed at ≤13 weeks' gestation. Few abortions were performed between 14 and 20 weeks' gestation (7.2%) or at ≥21 weeks' gestation (1.3%). During 2005-2014, the percentage of all abortions performed at ≤13 weeks' gestation remained consistently high (≥91.4%). Among abortions performed at ≤13 weeks' gestation, there was a shift toward earlier gestational ages, as the percentage performed at ≤6 weeks' gestation increased 21%, and the percentage of all other gestational ages at ≤13 weeks' gestation decreased 7%-20%. In 2014, among reporting areas that included medical (nonsurgical) abortion on their reporting form, 22.6% of all abortions were performed by early medical abortion (a nonsurgical abortion at ≤8 weeks' gestation), 67.4% were performed by surgical abortion at ≤13 weeks' gestation, and 8.6% were performed by surgical abortion at >13 weeks' gestation; all other methods were uncommon (<2%). Among abortions performed at ≤8 weeks' gestation that were eligible for early medical abortion on the basis of gestational age, 32.2% were completed by this method. In 2014, women with one or more previous live births accounted for 59.5% of abortions, and women with no previous live births accounted for 40.4%. Women with one or more previous induced abortions accounted for 44.9% of abortions, and women with no previous abortion accounted for 55.1%. Women with three or more previous births accounted for 13.8% of abortions, and women with three or more previous abortions accounted for 8.6% of abortions. Deaths of women associated with complications from abortion for 2014 are being assessed as part of CDC's Pregnancy Mortality Surveillance System. In 2013, the most recent year for which data were available, four women were identified to have died as a result of complications from legal induced abortion. INTERPRETATION: Among the 48 areas that reported data every year during 2005-2014, the decreases in the total number, rate, and ratio of reported abortions that occurred during 2010-2013 continued from 2013 to 2014, resulting in historic lows for all three measures of abortion. PUBLIC HEALTH ACTION: The data in this report can help program planners and policymakers identify groups of women with the highest rates of abortion. Unintended pregnancy is the major contributor to induced abortion. Increasing access to and use of effective contraception can reduce unintended pregnancies and further reduce the number of abortions performed in the United States.


Asunto(s)
Aborto Legal/estadística & datos numéricos , Vigilancia de la Población , Adolescente , Adulto , Femenino , Humanos , Embarazo , Estados Unidos/epidemiología , Adulto Joven
9.
Reprod Health ; 14(1): 133, 2017 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-29058629

RESUMEN

BACKGROUND: In 2006, Colombia's constitutional court overturned a complete ban on abortion, liberalizing the procedure. Despite a relatively liberal new law, women still struggle to access safe and legal abortion services. We aimed to understand why women are denied services in Colombia, and what factors determine if and how they ultimately terminate pregnancies. METHODS: We recruited women denied abortion at a private facility in Bogota. Twenty-one participants completed an initial interview and eight completed a second longer interview. Two researchers documented themes and developed and applied a codebook to transcripts using ATLAS.ti. RESULTS: Participants faced barriers, such as lack of knowledge of service availability and delayed pregnancy recognition, leading to denial. Five out of eight participants ultimately received abortions in public hospitals, due to support from partners and a robust referral system; nevertheless, they received poor care. Those who continued pregnancies endured stigmatizing events and inaccurate medical counselling at referral facilities. Several women contemplated illegal abortion though were afraid to attempt it. CONCLUSION: We propose the following recommendations: 1) increase awareness about availability and legality of abortion services to prevent delay and consequent denial; 2) provide counseling and referral upon denial; and 3) train providers in interpersonal quality abortion care.


Asunto(s)
Aborto Legal , Accesibilidad a los Servicios de Salud , Negativa al Tratamiento , Adolescente , Adulto , Colombia , Consejo , Toma de Decisiones , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Embarazo , Estigma Social , Adulto Joven
10.
Am J Public Health ; 107(12): 1878-1882, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-29048963

RESUMEN

In the United States, groups advocating for and against abortion rights often deploy public health arguments to advance their positions. Recently, these arguments have evolved into state laws that use the government health department infrastructure to increase law enforcement and regulatory activities around abortion. Many major medical and public health associations oppose these new laws because they are not evidence-based and do not protect women's health. Yet state health departments have been defending these laws in court. We propose a 21st-century public health approach to abortion based in an accepted public health framework. Specifically, we apply the Centers for Disease Control and Prevention's 10 Essential Public Health Services framework to abortion to describe how health departments should engage with abortion. With this public health framework as our guide, we argue that health departments should be facilitating women's ability to obtain an abortion in the state and county where they reside, researching barriers to abortion care in their states and counties, and promoting the use of a scientific evidence base in abortion-related laws, policies, regulations, and implementation of essential services.


Asunto(s)
Aborto Legal , Práctica de Salud Pública , Aborto Legal/legislación & jurisprudencia , Femenino , Política de Salud , Accesibilidad a los Servicios de Salud , Humanos , Embarazo , Gobierno Estatal , Estados Unidos
12.
Bioethics ; 31(9): 697-702, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29044695

RESUMEN

Many people believe that the abortion debate will end when at some point in the future it will be possible for fetuses to develop outside the womb. Ectogenesis, as this technology is called, would make possible to reconcile pro-life and pro-choice positions. That is because it is commonly believed that there is no right to the death of the fetus if it can be detached alive and gestated in an artificial womb. Recently Eric Mathison and Jeremy Davis defended this position, by arguing against three common arguments for a right to the death of the fetus. I claim that their arguments are mistaken. I argue that there is a right to the death of the fetus because gestating a fetus in an artificial womb when genetic parents refuse it violates their rights not to become a biological parent, their rights to genetic privacy and their property rights. The right to the death of the fetus, however, is not a woman's right but genetic parents' collective right which only can be used together.


Asunto(s)
Aborto Legal/ética , Ectogénesis , Feto , Derechos Humanos , Padres , Aborto Inducido , Disentimientos y Disputas , Femenino , Muerte Fetal , Humanos , Masculino , Embarazo , Privacidad , Derechos de la Mujer
13.
Lancet ; 390(10110): 2372-2381, 2017 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-28964589

RESUMEN

BACKGROUND: Global estimates of unsafe abortions have been produced for 1995, 2003, and 2008. However, reconceptualisation of the framework and methods for estimating abortion safety is needed owing to the increased availability of simple methods for safe abortion (eg, medical abortion), the increasingly widespread use of misoprostol outside formal health systems in contexts where abortion is legally restricted, and the need to account for the multiple factors that affect abortion safety. METHODS: We used all available empirical data on abortion methods, providers, and settings, and factors affecting safety as covariates within a Bayesian hierarchical model to estimate the global, regional, and subregional distributions of abortion by safety categories. We used a three-tiered categorisation based on the WHO definition of unsafe abortion and WHO guidelines on safe abortion to categorise abortions as safe or unsafe and to further divide unsafe abortions into two categories of less safe and least safe. FINDINGS: Of the 55·â€ˆ7 million abortions that occurred worldwide each year between 2010-14, we estimated that 30·6 million (54·9%, 90% uncertainty interval 49·9-59·4) were safe, 17·1 million (30·7%, 25·5-35·6) were less safe, and 8·0 million (14·4%, 11·5-18·1) were least safe. Thus, 25·1 million (45·1%, 40·6-50·1) abortions each year between 2010 and 2014 were unsafe, with 24·3 million (97%) of these in developing countries. The proportion of unsafe abortions was significantly higher in developing countries than developed countries (49·5% vs 12·5%). When grouped by the legal status of abortion, the proportion of unsafe abortions was significantly higher in countries with highly restrictive abortion laws than in those with less restrictive laws. INTERPRETATION: Increased efforts are needed, especially in developing countries, to ensure access to safe abortion. The paucity of empirical data is a limitation of these findings. Improved in-country data for health services and innovative research to address these gaps are needed to improve future estimates. FUNDING: UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction; David and Lucile Packard Foundation; UK Aid from the UK Government; Dutch Ministry of Foreign Affairs; Norwegian Agency for Development Cooperation.


Asunto(s)
Aborto Inducido/estadística & datos numéricos , Aborto Legal/estadística & datos numéricos , Aborto Terapéutico/estadística & datos numéricos , Salud Global , Seguridad del Paciente , Teorema de Bayes , Estudios de Cohortes , Bases de Datos Factuales , Países Desarrollados/estadística & datos numéricos , Países en Desarrollo/estadística & datos numéricos , Femenino , Humanos , Internacionalidad , Embarazo , Prevalencia , Medición de Riesgo , Naciones Unidas
14.
Lancet ; 390(10105): 1811, 2017 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-29082867
15.
Contraception ; 96(6): 388-394, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28867441

RESUMEN

OBJECTIVES: We analyzed Twitter tweets and Twitter-provided user data to give geographical, temporal and content insight into the use of social media in the Planned Parenthood video controversy. METHODOLOGY: We randomly sampled the full Twitter repository (also known as the Firehose) (n=30,000) for tweets containing the phrase "planned parenthood" as well as group-defining hashtags "#defundpp" and "#standwithpp." We used demographic content provided by the user and word analysis to generate charts, maps and timeline visualizations. Chi-square and t tests were used to compare differences in content, statistical references and dissemination strategies. RESULTS: From July 14, 2015, to January 30, 2016, 1,364,131 and 795,791 tweets contained "#defundpp" and "#standwithpp," respectively. Geographically, #defundpp and #standwithpp were disproportionally distributed to the US South and West, respectively. Word analysis found that early tweets predominantly used "sensational" words and that the proportion of "political" and "call to action" words increased over time. Scatterplots revealed that #standwithpp tweets were clustered and episodic compared to #defundpp. #standwithpp users were more likely to be female [odds ratio (OR) 2.2, confidence interval (CI) 2.0-2.4] and have fewer followers (median 544 vs. 1578, p<.0001). #standwithpp and #defundpp did not differ significantly in their usage of data in tweets. #defundpp users were more likely to link to websites (OR 1.8, CI 1.7-1.9) and to other online dialogs (mean 3.3 vs. 2.0 p<.0001). CONCLUSION: Social media analysis can be used to characterize and understand the content, tempo and location of abortion-related messages in today's public spheres. Further research may inform proabortion efforts in terms of how information can be more effectively conveyed to the public. IMPLICATIONS: This study has implications for how the medical community interfaces with the public with regards to abortion. It highlights how social media are actively exploited instruments for information and message dissemination. Researchers, providers and advocates should be monitoring social media and addressing the public through these modern channels.


Asunto(s)
Aborto Inducido , Aborto Legal , Federación Internacional para la Paternidad Responsable , Medios de Comunicación Sociales , Humanos , Estados Unidos
16.
Contraception ; 96(6): 381-387, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28867442

RESUMEN

OBJECTIVE: The objective was to assess whether information about abortion safety and awareness of abortion laws affect voters' opinions about medically unnecessary abortion regulations. STUDY DESIGN: Between May and June 2016, we randomized 1200 Texas voters to receive or not receive information describing the safety of office-based abortion care during an online survey about abortion laws using simple random assignment. We compared the association between receiving safety information and awareness of recent restrictions and beliefs that ambulatory surgical center (ASC) requirements for abortion facilities and hospital admitting privileges requirements for physicians would make abortion safer. We used Poisson regression, adjusting for political affiliation and views on abortion. RESULTS: Of 1200 surveyed participants, 1183 had complete data for analysis: 612 in the information group and 571 in the comparison group. Overall, 259 (46%) in the information group and 298 (56%) in the comparison group believed that the ASC requirement would improve abortion safety (p=.008); 230 (41%) in the information group and 285 (54%) in the comparison group believed that admitting privileges would make abortion safer (p<.001). After multivariable adjustment, the information group was less likely to report that the ASC [prevalence ratio (PR): 0.82; 95% confidence interval (CI): 0.72-0.94] and admitting privileges requirements (PR: 0.76; 95% CI: 0.65-0.88) would improve safety. Participants who identified as conservative Republicans were more likely to report that the ASC (82%) and admitting privileges requirements (83%) would make abortion safer if they had heard of the provisions than if they were unaware of them (ASC: 52%; admitting privileges: 47%; all p<.001). CONCLUSIONS: Informational statements reduced perceptions that restrictive laws make abortion safer. Voters' prior awareness of the requirements also was associated with their beliefs. IMPLICATIONS: Informational messages can shift scientifically unfounded views about abortion safety and could reduce support for restrictive laws. Because prior awareness of abortion laws does not ensure accurate knowledge about their effects on safety, it is important to reach a broad audience through early dissemination of information about new regulations.


Asunto(s)
Aborto Inducido/legislación & jurisprudencia , Aborto Legal/legislación & jurisprudencia , Conocimientos, Actitudes y Práctica en Salud , Política , Aborto Inducido/efectos adversos , Aborto Legal/efectos adversos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Persona de Mediana Edad , Embarazo , Encuestas y Cuestionarios , Texas , Adulto Joven
17.
Sao Paulo Med J ; 135(4): 363-368, 2017 Jul-Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28767994

RESUMEN

CONTEXT AND OBJECTIVE:: Sexual violence is increasingly frequent worldwide. The aim here was to evaluate the sociodemographic and psychological characteristics of women who requested legal abortion, at a public healthcare service, after sufering sexual violence. DESIGN AND SETTING:: Retrospective descriptive study on 131 women who underwent legal abortion at the University of Campinas between 1994 and 2014, consequent to sexual violence. METHODS:: The sociodemographic and psychological characteristics of women who were victims of sexual violence were evaluated from their medical records. The tests used to evaluate possible associations were the chi-square and/or Fisher's exact test. RESULTS:: The women's mean age was 23 ± 9.2 years; 77.9% were white and 71.8% were single; 32.8% were students and 58.6% had employment outside of their homes. The majority reported that they did not know the aggressor (62.3%), but among the adolescents, 58% of the aggressors were known. The majority asked for abortion up to the 12th weeks of gestation (63.4%). Only 2.3% presented curettage complications. The psychological situation most frequently encountered was determined, in 34.4% of the cases before the abortion; and good in 32.8% after the abortion. CONCLUSIONS:: There was greater occurrence of sexual violence among students and women who worked outside. Among the students, most of these were adolescents and had no previous sexual life. The teenagers were raped by a known aggressor.


Asunto(s)
Aborto Legal/estadística & datos numéricos , Hospitales Públicos/estadística & datos numéricos , Delitos Sexuales/estadística & datos numéricos , Adulto , Brasil , Femenino , Humanos , Embarazo , Estudios Retrospectivos , Factores Socioeconómicos
18.
Philos Ethics Humanit Med ; 12(1): 3, 2017 08 25.
Artículo en Inglés | MEDLINE | ID: mdl-28841899

RESUMEN

Much of the fear and uncertainty around Zika epidemics stem from potential association between Zika virus (ZIKV) complications on infected pregnant women and risk of their babies being born with microcephaly and other neurological abnormalities. However, much remains unknown about its mode of transmission, diagnosis and long-term pathogenesis. Worries of these unknowns necessitate the need for effective and efficient psychosocial programs and medical-legal strategies to alleviate and mitigate ZIKV related burdens. In this light, local and global efforts in maintaining fundamental health principles of moral, medical and legal decision-making policies, and interventions to preserve and promote individual and collectiveHuman Rights, autonomy, protection of the most vulnerable, equity, dignity, integrity and beneficence that should not be confused and relegated by compassionate humanitarian assistance and support. This paper explores the potential medical and ethical-legal implications of ZIKV epidemics emergency response packages and strategies alongside optimizing reproductive and mental health policies, programs and best practice measures. Further long-term cross-borders operational research is required in elucidating Zika-related population-based epidemiology, ethical-medical and societal implications in guiding evidence-based local and global ZIKV maternal-child health complications related approaches and interventions. Core programs and interventions including future Zika safe and effective vaccines for global Zika immunization program in most vulnerable and affected countries and worldwide should be prioritized.


Asunto(s)
Aborto Legal/ética , Epidemias , Ética Médica , Infección por el Virus Zika/prevención & control , Virus Zika , Femenino , Humanos , Microcefalia , Parto , Embarazo , Complicaciones del Embarazo , Resultado del Embarazo , Infección por el Virus Zika/epidemiología
20.
Health Care Women Int ; 38(11): 1133-1151, 2017 11.
Artículo en Inglés | MEDLINE | ID: mdl-28850325

RESUMEN

Researchers describe hardships experienced by abortion patients, examining administrative health cases from 2010 to 2015 in the United States. All patients received financial assistance from an abortion fund to help pay for abortion. Case data were analyzed to assess types and numbers of hardships experienced by age, race, and geographic origin. Hardships ranged from homelessness to parenting multiple children. Patients from the geographic South experienced the most hardships, followed by those from the Midwest. Hardships experienced by abortion fund patients are like those reported in other samples of abortion patients; hardships potentially cause or exacerbate trauma. Results are discussed in the context of a trauma-informed perspective.


Asunto(s)
Solicitantes de Aborto/psicología , Aborto Inducido/economía , Aborto Legal/economía , Administración Financiera/estadística & datos numéricos , Financiación Gubernamental/estadística & datos numéricos , Programas de Gobierno , Disparidades en Atención de Salud/economía , Aborto Inducido/psicología , Aborto Inducido/estadística & datos numéricos , Aborto Legal/psicología , Adolescente , Adulto , Niño , Estudios Transversales , Femenino , Organización de la Financiación , Encuestas de Atención de la Salud , Accesibilidad a los Servicios de Salud , Humanos , Persona de Mediana Edad , Pobreza , Características de la Residencia , Estados Unidos , Adulto Joven
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