PDF(Pubmed)
Abstract：
UNASSIGNED: While it is well documented that abortion access is associated with improved health, pregnancy-related, and socioeconomic outcomes, the association between abortion access and other reproductive health outcomes is less well described. Abortion-providing clinics also offer preventative reproductive health services. We conducted a scoping review to ascertain the extent to which preventive reproductive healthcare services (contraception, sexually transmitted infection testing and treatment, cervical cancer screening) are affected by abortion access in the United States.
UNASSIGNED: Researchers screened articles and extracted data from PubMed, Embase, Scopus and CINAHL. We excluded articles that did not link abortion to contraception, sexually transmitted infection testing and treatment and cervical cancer screening; or took place outside the US.
UNASSIGNED: 5,359 papers were screened, 74 were included for full text review. Sixty-five were about contraception, seven on STIs, one on cervical cancer screening, and one on other services. The association between policies that restrict or protect abortion access and preventative health services has not been studied on a national scale. Drivers of variation were: insurance and billing policies; regulatory requirements of abortion-providing facilities, lack of staff training in clinics that did not specialize in abortion care; and limited follow up after abortion.
UNASSIGNED: Abortion--providing clinics are a highly utilized access point for reproductive health services. More research is needed to determine the public health impact of constrained abortion access on contraceptive use, STI rates and cervical cancer in regions where many abortion-providing clinics have closed.
UNASSIGNED: Attention should be paid to changing trends in contraceptive use, STI rates and cervical cancer as abortion-providing clinics close, this may reduce access to reproductive health services broadly.
UNASSIGNED: Researchers screened articles and extracted data from PubMed, Embase, Scopus and CINAHL. We excluded articles that did not link abortion to contraception, sexually transmitted infection testing and treatment and cervical cancer screening; or took place outside the US.
UNASSIGNED: 5,359 papers were screened, 74 were included for full text review. Sixty-five were about contraception, seven on STIs, one on cervical cancer screening, and one on other services. The association between policies that restrict or protect abortion access and preventative health services has not been studied on a national scale. Drivers of variation were: insurance and billing policies; regulatory requirements of abortion-providing facilities, lack of staff training in clinics that did not specialize in abortion care; and limited follow up after abortion.
UNASSIGNED: Abortion--providing clinics are a highly utilized access point for reproductive health services. More research is needed to determine the public health impact of constrained abortion access on contraceptive use, STI rates and cervical cancer in regions where many abortion-providing clinics have closed.
UNASSIGNED: Attention should be paid to changing trends in contraceptive use, STI rates and cervical cancer as abortion-providing clinics close, this may reduce access to reproductive health services broadly.
摘要：
■虽然有充分的证据表明堕胎与改善健康状况有关，怀孕相关,和社会经济结果，人工流产与其他生殖健康结果之间的关联没有得到很好的描述.提供堕胎的诊所还提供预防性生殖健康服务。我们进行了范围审查，以确定预防性生殖保健服务(避孕，性传播感染检测和治疗，宫颈癌筛查）受到美国堕胎准入的影响。
■研究人员筛选文章并从PubMed中提取数据，Embase,Scopus和CINAHL.我们排除了没有将堕胎与避孕联系起来的文章，性传播感染检测和治疗以及宫颈癌筛查；或在美国境外进行。
■筛选了5359篇论文，全文审查包括74项。65个是关于避孕的，七个性传播感染，一个是宫颈癌筛查，一个在其他服务上。尚未在全国范围内研究限制或保护堕胎机会的政策与预防性保健服务之间的关联。变化的驱动因素是:保险和账单政策；堕胎设施的监管要求，诊所缺乏专门的堕胎护理人员培训；堕胎后的随访有限。
■堕胎-提供诊所是生殖健康服务的高度利用的接入点。需要更多的研究来确定限制堕胎对避孕药具使用的公共卫生影响，在许多提供堕胎服务的诊所关闭的地区，性传播感染率和宫颈癌。
■应注意避孕药具使用的变化趋势，性传播感染率和宫颈癌作为提供堕胎的诊所关闭，这可能会广泛减少获得生殖健康服务的机会。
■研究人员筛选文章并从PubMed中提取数据，Embase,Scopus和CINAHL.我们排除了没有将堕胎与避孕联系起来的文章，性传播感染检测和治疗以及宫颈癌筛查；或在美国境外进行。
■筛选了5359篇论文，全文审查包括74项。65个是关于避孕的，七个性传播感染，一个是宫颈癌筛查，一个在其他服务上。尚未在全国范围内研究限制或保护堕胎机会的政策与预防性保健服务之间的关联。变化的驱动因素是:保险和账单政策；堕胎设施的监管要求，诊所缺乏专门的堕胎护理人员培训；堕胎后的随访有限。
■堕胎-提供诊所是生殖健康服务的高度利用的接入点。需要更多的研究来确定限制堕胎对避孕药具使用的公共卫生影响，在许多提供堕胎服务的诊所关闭的地区，性传播感染率和宫颈癌。
■应注意避孕药具使用的变化趋势，性传播感染率和宫颈癌作为提供堕胎的诊所关闭，这可能会广泛减少获得生殖健康服务的机会。
