An ecological perspective on risk factors for repeat induced abortion in China

2020

Preprint

Background: In China, the vast majority of induced abortion is performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study was aimed to assess post-abortion care (PAC) utilization among abortion patients, and identify the possible factors affecting PAC uptake in Guangzhou, China. Methods: A cross-sectional survey study was conducted at the Tianhe district of Guangzhou during the period of June to September, 2018. The multivariate logistic regression analysis was used to identify the factors that influenced PAC utilization.Results: The PAC counseling rate of subjects was noted as 42.1% before left the health care facilities. Meanwhile, multivariate logistic regression analysis showed that unmarried women, women with local household registration, women perceive that fertility could return sooner after abortion and women themselves as the main decider on PAC use were significantly associated with PAC utilization. Conclusions: The utilization rate of PAC was low in Guangzhou, China. There’s an urgent need to develop high-quality PAC services. It should be improved to provide better access for migrant women. The involvement of male partners in counseling is also needed.

“…The causes are complicated. One of the major reasons is lack of quality post-abortion care (PAC) counseling [2] .…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Factors associated with seeking post-abortion care among women in Guangzhou, China

2020

Preprint

“…In China, IA is a legal procedure in the first trimester of pregnancy. Recent estimates show that between 6 and 9 million IAs occur in the country every year [2] . Nearly half of low-income urban women in the country had experienced IAs with 31% being repeated abortions [2] .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with seeking post-abortion care among women in Guangzhou, China

2020

Preprint

Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC services compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.

“…One of the major reasons is limited access to high quality post-abortion care (PAC), which is a key component for contraception initiation [2] . WHO recommends that counseling and contraceptive services be provided to all women to prevent unintended pregnancies and subsequent IA [3] .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with seeking post-abortion care among women in Guangzhou, China

2019

Preprint

Background: Post-abortion care(PAC) service in China relies on integrating post-abortion family planning (PAFP) services into existing abortion services in hospital settings where the vast majority of induced abortion is performed. This study aims to assess post-abortion care (PAC) utilization and identify factors affecting PAC uptake among clients on the day of abortion in Guangzhou, China. Methods: A cross-sectional study was conducted involving a total of 423 abortion clients in the selected hospitals of Guangzhou From June to September, 2018. The anonymous, self-reported questionnaires regarding associated factors were administered to all participants. Multivariate logistic regression model was used to determine associated factors of PAC utilization. Results: The magnitude of PAC counseling before they leave the health care facilities was 42.1%. Multivariate logistic regression showed that unmarried women, women with local household registration, knowing fertility could return sooner after abortion and women themselves as the main decider on PAC use were significantly associated with PAC utilization. Conclusions: The utilization rate of PAC was low in Guangzhou, China. There’s an urgent need to improve the awareness of regular use of PAC and provide better access for migrants. Partners should be involved during counseling after obtaining women’s consent. Women empowerment through enhancing health education on own decision making in PAC utilization should also be strengthened.