Examining the Association of Antidepressant Prescriptions With First Abortion and First Childbirth

JAMA Psychiatry
J R SteinbergTrine Munk-Olsen

Abstract

The repercussions of abortion for mental health have been used to justify state policies that limit access to abortion in the United States. Much earlier research has relied on self-report of abortion or mental health conditions or on convenience samples. This study uses data that rely on neither. To examine whether first-trimester first abortion or first childbirth is associated with an increase in women's initiation of a first-time prescription for an antidepressant. This study linked data and identified a cohort of women from Danish population registries who were born in Denmark between January 1, 1980, and December 30, 1994. Overall, 396 397 women were included in this study; of these women, 30 834 had a first-trimester first abortion and 85 592 had a first childbirth. First-time antidepressant prescription redemptions were determined and used as indication of an episode of depression or anxiety, and incident rate ratios (IRRs) were calculated comparing women who had an abortion vs women who did not have an abortion and women who had a childbirth vs women who did not have a childbirth. Of 396 397 women whose data were analyzed, 17 294 (4.4%) had a record of at least 1 first-trimester abortion and no children, 72 052 (18.2%)...Continue Reading

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Citations

Nov 14, 2018·JAMA Psychiatry·D Paul Sullins, Donna Harrison
Nov 14, 2018·JAMA Psychiatry·Julia R SteinbergTrine Munk-Olsen
Sep 2, 2019·Journal of Medical Ethics·Bruce Philip Blackshaw, Daniel Rodger
Dec 24, 2018·Qualitative Health Research·Marieke BrauerCarolus van Nijnatten
Aug 4, 2018·The British Journal of Psychiatry : the Journal of Mental Science·Derek K TracySukhwinder S Shergill

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