生殖健康与ChatGPT：人工智能对常见堕胎问题回答的评估

Reproductive Health and ChatGPT: an Evaluation of AI-Generated Responses to Commonly Asked Abortion Questions

——《文化、健康与性》，第28卷第9期，2026年9月——

<Culture, Health & Sexuality>, Volume 28, Issue 9, Sept 2026

【摘要】近期针对ChatGPT回答各类妊娠相关问题的评估显示，其表现参差不齐。美国相关法规的快速变化导致堕胎政策环境错综复杂，对于考虑堕胎的人群而言，获取最新且基于循证医学的堕胎信息至关重要。本研究旨在通过定性分析，评估ChatGPT作为常见药物流产及手术流产相关问题信息来源的表现。我们向ChatGPT-3.5提出了10个基于事实的堕胎相关问题和10个涉及临床情境的堕胎相关问题。三位从事复杂计划生育服务的医生对ChatGPT的回答进行了评分，判定其为“可接受”或“不可接受”，以及“完整”或“不完整”。随后，将这些回答与美国妇产科医师学会（ACOG）和计划生育学会（SFP）发布的循证指南、PubMed收录的循证医学证据以及医生的临床经验进行了比对。评估结果显示，65% 的回答被评为“可接受”，但仅有8%的回答被评为“完整”。总体而言，针对事实性问题的回答比针对临床情境问题的回答更准确。分析表明，ChatGPT能够复述网络上的既有事实，但在处理临床情境时，仍缺乏必要的理解能力与背景把握，而这些方面正是临床医生更具优势的领域。

【关键词】堕胎；堕胎政策；ChatGPT；人工智能；美国

[Abstract] Recent assessments of ChatGPT in relation to a variety of pregnancy-related questions have shown mixed results. Rapidly evolving rules and regulations in the USA have led to a confusing abortion landscape, making up-to-date and evidence-based abortion information essential to those considering an abortion. The purpose of this study was to evaluate ChatGPT as a source of information for commonly asked medication and procedural abortion questions by performing a qualitative analysis. We queried ChatGPT-3.5 on ten fact-based abortion questions and ten clinical scenario abortion questions. Query responses were graded by three complex family planning physicians to be ‘acceptable’ or ‘unacceptable’ and ‘complete’ or ‘incomplete’. The responses were then compared to evidence-based research published by the American College of Obstetricians and Gynaecologists (ACOG), the Society of Family Planning (SFP), PubMed-indexed evidence, as well as physician clinical experience. In our assessment, a grade of acceptable was given to 65% of responses, however a grade of complete was only given to 8% of responses. In general, fact-based questions were more accurate than clinical questions. Our analysis of ChatGPT suggested it can regurgitate facts found online, but it still lacks the ability to provide understanding and context to clinical scenarios that clinicians are better equipped to navigate.

[Key words] Abortion, abortion policy, ChatGPT, artificial intelligence, USA

论文原文：Michelle Xu, Pamela Lotke, Melissa Figueroa, et al. (2026). Reproductive health and ChatGPT: an evaluation of AI-Generated responses to commonly asked abortion questions. Culture, Health & Sexuality, Volume 28, Issue 9, Pages 1053-1065. September 2026.

 https://doi.org/10.1080/13691058.2025.2517289

（翻译兼责任编辑：MARY）

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