Restrictive abortion legislation and adverse mental health during pregnancy and postpartum.

Autor: McKetta S; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States. Electronic address: sarahmcketta@fas.harvard.edu., Chakraborty P; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States., Gimbrone C; Department of Epidemiology, Columbia University Mailman School of Public Health, United States., Soled KRS; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States., Hoatson T; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States., Beccia AL; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, United States., Reynolds CA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States., Huang AK; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, United States., Charlton BM; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, United States; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States; Department of Pediatrics, Harvard Medical School, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, United States.
Jazyk: angličtina
Zdroj: Annals of epidemiology [Ann Epidemiol] 2024 Apr; Vol. 92, pp. 47-54. Date of Electronic Publication: 2024 Mar 01.
DOI: 10.1016/j.annepidem.2024.02.009
Abstrakt: Purpose: To determine the impact of abortion legislation on mental health during pregnancy and postpartum and assess whether pregnancy intention mediates associations.
Methods: We quantified associations between restrictive abortion laws and stress, depression symptoms during and after pregnancy, and depression diagnoses after pregnancy using longitudinal data from Nurses' Health Study 3 in 2010-2017 (4091 participants, 4988 pregnancies) using structural equation models with repeated measures, controlling for sociodemographics, prior depression, state economic and sociopolitical measures (unemployment rate, gender wage gap, Gini index, percentage of state legislatures who are women, Democratic governor).
Results: Restrictive abortion legislation was associated with unintended pregnancies (β = 0.127, p = 0.02). These were, in turn, associated with increased risks of stress and depression symptoms during pregnancy (total indirect effects β = 0.035, p = 0.03; β = 0.029, p = 0.03, respectively, corresponding <1% increase in probability), but not after pregnancy.
Conclusions: Abortion restrictions are associated with higher proportions of unintended pregnancies, which are associated with increased risks of stress and depression during pregnancy.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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