Prevalence and associated factors of induced abortion among rural married women: A cross‐sectional survey in <scp>A</scp>nhui, <scp>C</scp>hina

Gao, Guopeng; Zhang, Ren‐Jie; Zhang, Xiu-Jun; Jia, Xin; Li, Xiude; Li, Xiang; Wang, Yuming; Tong, Fei; Sun, Yehuan

doi:10.1111/jog.12547

Cited by 24 publications

(25 citation statements)

References 17 publications

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“…Another study from India reported a 3.8% prevalence of abortion [ 22 ], which is reportedly lower than ours. Similarly, another study from China has reported a 22.0% prevalence of abortion [ 17 ] , which is more or less similar to that of our study populations.…”

Section: Discussionsupporting

confidence: 91%

“…Especially young, economically deprived and those without a supportive male partner are at higher risk of unsafe abortion [ 16 ]. An earlier study reported that rich and well-educated women are more likely to have an abortion than are poor and illiterate women [ 17 ]. However, there is no clear and established evidence on this issue, especially in low- and middle-income countries.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with abortion and unsafe abortion in Nepal: a nationwide cross-sectional study

Yogi

K.C

Neupane

2018

BMC Pregnancy Childbirth

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BackgroundAbortion is one of the leading causes of maternal death in low- and middle-income countries. In Nepal, abortion is reported to be the third leading cause of maternal death. We aimed to investigate the prevalence and factors associated with abortion and unsafe abortion in Nepal.MethodsThis study is based on a nationally representative sample of the Nepal Demographic and Health Survey 2011. Women who had ever had a terminated pregnancy (n = 2395) were studied. The survey elicited information on the most recent abortion. Unsafe abortion was defined according to the providers of abortion services. Binary logistic regression was used to calculate odds ratios (ORs) and 95% Confidence Intervals (CIs) of abortions and unsafe abortions due to demographic, socio-economic and lifestyle-related characteristics. The interaction of the reason for abortion with age and educational status in predicting unsafe abortion was calculated using the predictive margins and their 95% CI.ResultsThe five-year prevalence of abortion was 21.1% among women of reproductive age who ever had a terminated pregnancy and 16.0% of total abortions were unsafe. Women of Buddhist religion (OR 2.15; 95% CI 1.04, 4.44), those who were literate (secondary level education OR 1.69; 95% CI 1.22, 2.34), those who knew about legal abortion (OR 1.88; 95% CI 1.41, 2.52) and those who were aware of safe places for abortion services (OR 4.96; 95% CI 3.04, 8.09) were more likely to undergo an abortion. Likewise, women in age group 25–34 years (OR 0.43; 95% CI 0.19, 0.97) and those who were in the richest wealth quintile (OR 0.10; 95% CI 0.04, 0.25) were less likely to undergo an unsafe abortion. Educated women of 25–34 years reporting “health risk” as the reason for abortion had a decidedly lower probability (< 10.0%) than the others of going through the unsafe abortion.ConclusionsThe prevalence of abortion in Nepal remains high. Education, religion, age, knowledge about legal abortion and safe places to undergo abortion were the major decisive factors associated with abortion. Young, poorest and uneducated women were more likely to undergo unsafe abortions. Therefore, intervention studies among these target groups are warranted.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with abortion and unsafe abortion in Nepal: a nationwide cross-sectional study

Yogi

K.C

Neupane

2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…Our results confirmed that women with lower education levels had a high risk of induced abortion [ 23 ]. However, Guo et al conducted a reproductive health survey with 4,687 persons regarding floating population in five cities in China in 2005.…”

Section: Discussionsupporting

confidence: 86%

Induced Abortion among Chinese Women with Living Child-A National Study

Jiang

Han

Connor

et al. 2017

ADCP

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ObjectiveInduced abortion is widely practiced in China. However, the information on induced abortion is limited. A national cross-sectional survey was designed to determine the risk factors of induced abortion among Chinese women with one child.MethodsWe sampled 16,881 Chinese women with one living child for the study. A structured questionnaire was used to collect induced abortion and related health information. The National Research Institute for Family Planning of China conducted a cross-sectional study among women who had delivered a baby between 2006 and 2008. Information was collected in relation to demographic characteristics (age, ethnicity, region, area etc.), social economic status (education level and occupation), marriage, and the attitude towards potential child’s gender. Multi-logistic regression was used to test potential predictors for conducting abortion stratified by consistency between gender preference and current infants’ gender, and indicating adjusted estimation on selected models of risk factors for abortion.ResultsThe mean age of participants was 27.96 ± 4.10 years (median 27 years). Among those women, the prevalence of induced abortion was 8.13 %. In the final model, females living in rural areas (OR = 1.21, 95 %CI: 1.04–1.39), individuals ages 18–25 (OR = 0.84, 95% CI: 0.72–0.99), individuals ages 30 or older (OR = 1.63, 95% CI: 1.42–1.86), and single individuals (OR = 1.72, 95% CI: 1.05–2.83) were more likely to experience induced abortion. Wife gender preference (OR = 0.66, 95 %CI: 0.53–0.83), husband gender preference (Boy: OR = 1.33, 95 %CI: 1.10–1.63; Girl: OR = 1.5, 95% CI: 1.22–1.86), and the area where the individuals were located were significantly associated with the reporting of induced abortion.ConclusionThe prevalence of induced abortion is high among married women with child in China. There are also socio-demographic characteristics associated with induced abortion in China.

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“…In such cases, the study population may not be representative of all women obtaining abortions. Other studies have investigated the characteristics of women who report ever having an abortion, including women who had abortions long before the time of the survey [6, 14, 15]. These findings can be misleading if a woman is classified according to her characteristics at the time of the survey, and these characteristics differ from those at the time of her abortion.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of women obtaining induced abortions in selected low- and middle-income countries

et al. 2017

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BackgroundIn 2010–2014, approximately 86% of abortions took place in low- and middle-income countries (LMICs). Although abortion incidence varies minimally across geographical regions, it varies widely by subregion and within countries by subgroups of women. Differential abortion levels stem from variation in the level of unintended pregnancies and in the likelihood that women with unintended pregnancies obtain abortions.ObjectivesTo examine the characteristics of women obtaining induced abortions in LMICs.MethodsWe use data from official statistics, population-based surveys, and abortion patient surveys to examine variation in the percentage distribution of abortions and abortion rates by age at abortion, marital status, parity, wealth, education, and residence. We analyze data from five countries in Africa, 13 in Asia, eight in Europe, and two in Latin America and the Caribbean (LAC).ResultsWomen across all sociodemographic subgroups obtain abortions. In most countries, women aged 20–29 obtained the highest proportion of abortions, and while adolescents obtained a substantial fraction of abortions, they do not make up a disproportionate share. Region-specific patterns were observed in the distribution of abortions by parity. In many countries, a higher fraction of abortions occurred among women of high socioeconomic status, as measured by wealth status, educational attainment, and urban residence. Due to limited data on marital status, it is unknown whether married or unmarried women make up a larger share of abortions.ConclusionsThese findings help to identify subgroups of women with disproportionate levels of abortion, and can inform policies and programs to reduce the incidence of unintended pregnancies; and in LMICs that have restrictive abortion laws, these findings can also inform policies to minimize the consequences of unsafe abortion and motivate liberalization of abortion laws. Program planners, policymakers, and advocates can use this information to improve access to safe abortion services, postabortion care, and contraceptive services.

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Prevalence and associated factors of induced abortion among rural married women: A cross‐sectional survey in Anhui, China

Abstract: The study shows that the prevalence of induced abortion is still very high among married women in rural China, and highly effective methods of contraception (sterilization, intrauterine device) decrease women's recourse to induced abortion.

Cited by 24 publications

References 17 publications

Prevalence and factors associated with abortion and unsafe abortion in Nepal: a nationwide cross-sectional study

Prevalence and factors associated with abortion and unsafe abortion in Nepal: a nationwide cross-sectional study

Induced Abortion among Chinese Women with Living Child-A National Study

Characteristics of women obtaining induced abortions in selected low- and middle-income countries

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