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人工流产严重吗? 被引量:2

Is induced abortion a pandemic?
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摘要 由于人工流产(IA)具有隐私性、保密性及其可能涉及法律诉讼,官方报道数据往往偏低,故其危害女性身心健康的事实一度被掩盖、低估而无法得到正视。本研究提取了WHO、CDC、国家卫生和计划生育委员会以及高质量研究与基于证据的生殖健康通讯的数据,系统揭示了IA的严重程度及其对女性身心的伤害:1990—2014年间全球每年IA次数超过5 000万,发展中国家从1990—1994年的3 800万增加到2010—2014年的4 900万,中国约1 000万,其中50%育龄妇女年龄不到25岁。与活产相比,IA显著增加堕胎妇女死亡(2.3倍)、自杀(5.9倍)、早产(5.4倍)、脑血管疾病(5.5倍)。IA是危害女性健康的全球大流行问题,避免非意愿妊娠是所有青春期与成年人与生俱来的责任。 Induced abortion (IA) is private and secret, so the official number of IA occurrence is lower than the real one. The fact that IA is hurting the physical and psychological health of women is underestimated. To disclose the global and national magnitude of IA and post-abortion complications, we collected the related data from WHO, CDC, the National Health and Family Planning Commission, high-quality researches and evidence-based reproductive health care communications. The annual number of IA worldwide was larger than 50 million in 1990-2014. In the developing world, the annual IA number increased from 38 million in 1990-1994 to 49 million in 2010-2014. There are approximately 10 million cases annually in China, and half of the cases happened in women younger than 25 years. Compared with live birth, IA significantly increased the hazards of abortion-associated death by 2.3 times, suicide by 5.9 times, preterm birth by 5.4 times and cerebrovascular disease by 5.5 times. IA is a pandemic rather than an endemic or epidemic that endangers women’s health. All adolescents and adults have inherited responsibility for avoiding unintended pregnancies.
作者 吴伟洁 王敏 潘艳红 邵云亭 耿利军 黄阎妹 宋心南 黄毅 赵海潞 WU Weijie;WANG Min;PAN Yanhong;SHAO Yunting;GENG Lijun;HUANG Yanmei;SONG Xinnan;HUANG Yi;ZHAO Hailu(Center for Systems Medicine, Guangxi Key Laboratory of Excellence, Department of Immunology, Guangxi Area ofExcellence, Guilin Medical University, Guilin 541004, China)
出处 《医学争鸣》 CAS 2019年第1期37-41,共5页 Negative
基金 国家自然科学基金面上项目(81270934 81471054) 广西研究生教育创新计划项目(JGY2015128)
关键词 胚胎 人工流产 死亡 妊娠 embryology induced abortion death pregnancy
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