OBJECTIVE In June 2022, the U.S. Supreme Court removed federal abortion protections, giving individual states the authority to enact abortion regulations. Since that ruling, many states have enacted abortion bans; however, several of these states allow "rape exceptions," theoretically providing rape victims who become pregnant access to abortion services. Notably, alcohol use by the rape victim and perpetrator is common. In this brief report, we describe findings from research on alcohol-involved rape that have the potential to impact the utility of rape exceptions. METHOD In this synthesis of the research literature pertaining to alcohol-involved rape victimization and perpetration, we focus on key concepts detailed in extant research likely relevant to accessing abortion services through rape exceptions. RESULTS Victim alcohol intoxication may limit the use of rape exceptions to abortion bans by delaying rape acknowledgment, increasing victim blame, undermining victim credibility, and deterring rape reporting. Commensurately, perpetrator alcohol intoxication may increase the need for victims to access abortion services by reducing perpetrator condom use during rape and increasing other sexually aggressive acts such as nonconsensual condom removal. CONCLUSIONS Research evidence suggests that alcohol-involved rape incidents present critical obstacles to utilizing statutory rape exceptions to banned abortion services beyond challenges that non-alcohol-involved rape survivors are also likely to experience. Rape survivors from oppressed communities (e.g., people of color, gender minorities, and/or sexual minorities) may be disproportionately impacted. Empirical investigations specifically examining how substance use during rape impacts reproductive health care accessibility are paramount for informing health care providers, law enforcement, legal practitioners, and policymakers. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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酒精强奸：堕胎的“强奸例外”的局限性。

目标 2022 年 6 月，美国最高法院取消了联邦堕胎保护措施，赋予各州制定堕胎法规的权力。自该裁决以来，许多州颁布了堕胎禁令；然而，其中一些州允许“强奸例外”，理论上为怀孕的强奸受害者提供堕胎服务。值得注意的是，强奸受害者和肇事者酗酒是很常见的。在这份简短的报告中，我们描述了酒后强奸研究的结果，这些结果可能会影响强奸例外的效用。方法 在与酒精相关的强奸受害和实施有关的研究文献的综合中，我们关注现有研究中详述的关键概念，这些概念可能与通过强奸例外获得堕胎服务有关。结果 受害人酒精中毒可能会通过延迟强奸承认、增加受害人的责备、破坏受害人的可信度和阻止强奸报告来限制强奸例外情况对堕胎禁令的使用。相应地，施暴者酒精中毒可能会减少施暴者在强奸期间使用安全套并增加其他性侵犯行为（例如未经同意移除安全套），从而增加受害者获得堕胎服务的需求。结论 研究证据表明，酒精强奸事件对利用法定强奸例外禁止堕胎服务构成了重大障碍，这超出了非酒精强奸幸存者也可能遇到的挑战。来自受压迫社区的强奸幸存者（例如，有色人种、性别少数群体、和/或性少数群体）可能会受到不成比例的影响。专门研究强奸期间药物使用如何影响生殖保健可及性的实证调查对于告知医疗保健提供者、执法人员、法律从业者和政策制定者至关重要。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。