New England Journal of Medicine. Journal of the American Medical Association. Annals of Internal Medicine. Journal of American Physicians and Surgeons.
[O]ne of these things is not like the others, one of these things just doesn’t belong. But how can most laypeople differentiate between these medical journals? The dry, pithy titles seem to tell you exactly what’s underneath their covers. So if I told you that, according to a study in the Journal of American Physicians and Surgeons, abortion increases risk for breast cancer, would you believe me? Well, why not? The Association of American Physicians and Surgeons (AAPS), which publishes the journal, sounds legit.
Health decisions must be guided by reliable evidence, and when agenda-driven policies misinform, patients cannot make informed decisions.
Except that AAPS is infamous for its agenda-driven views, and its journal is used to deny climate change and the dangers of secondhand smoking, promote the debunked idea that vaccines cause autism, advocate for closed borders in overtly racist anti-immigration pieces, reject the causal relationship between HIV and AIDS, and perpetuate a far-right political worldview. The organization opposes any government involvement in health care, including the FDA, Medicare, the Affordable Care Act, and regulation of the medical profession.
Medical journals, like all scientific journals, are where researchers share and critique each other’s work. Before anything is published it undergoes “peer review,” in which experts evaluate studies for quality — good study design, reasonable interpretation of results, etc. The Journal of American Physicians and Surgeons, however, has been criticized for placing ideology over the presentation of meticulously gathered scientific evidence, and is not indexed in academic databases like MEDLINE. In 2007, AAPS joined conservative organizations in filing a lawsuit against the FDA, arguing against emergency contraception’s over-the-counter status. So, when the journal publishes articles purporting a link between abortion and breast cancer, we should all be raising our eyebrows in collective skepticism.
You might have heard abortion opponents’ claims that abortion can raise one’s risk for breast cancer later in life. So let’s get something out of the way right now: The very best scientific evidence does not support a link between abortion and breast cancer. Prominent medical organizations, including the National Cancer Institute, the American Cancer Society, the American Congress of Obstetricians and Gynecologists, and the World Health Organization, have all examined the entirety of the research and found that the largest and most methodologically sound studies fail to reveal a link between abortion and breast cancer. Yet still opponents of abortion include this factoid in misinformation campaigns to instill fear into people making difficult, private decisions, often during periods of vulnerability. Continue reading →