Effect of ACASI on Reporting of Abortion and Other Pregnancy Outcomes in the US National Survey of Family Growth

Lindberg, Laura Duberstein; Scott, Rachel

doi:10.1111/sifp.12068

Cited by 47 publications

(54 citation statements)

References 62 publications

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“…Data on abortion and post-abortion care are scarce and, where they are available, reporting is known to be poor 23 and a global comparison is not possible.…”

Section: See Online For Appendixmentioning

confidence: 99%

Trends in sexual activity and demand for and use of modern contraceptive methods in 74 countries: a retrospective analysis of nationally representative surveys

Slaymaker

Scott

Palmer

et al. 2020

The Lancet Global Health

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Background A quarter of a century ago, two global events-the International Conference on Population and Development in Cairo, and the Fourth World Conference on Women in Beijing-placed gender equality and reproductive health and rights at the centre of the development agenda. Progress towards these goals has been slower than hoped. We used survey data and national-level indicators of social determinants from 74 countries to examine change in satisfaction of contraceptive need from a contextual perspective. Methods We searched for individual-level data from repeated nationally representative surveys that included information on sexual and reproductive health, and created a single dataset by harmonising data from each survey to a standard data specification. We described the relative timings of sexual initiation, first union (cohabitation or marriage), and first birth and used logistic regression to show the change in prevalence of sexual activity, demand for contraception, and modern contraceptive use. We used linear regression to examine country-level associations between the gender development index and the expected length of time in education for women and the three outcomes: sexual activity, demand for contraception, and modern contraceptive use. We used principal component analysis to describe countries using a combination of social-structural and behavioural indicators and assessed how well the components explained countrylevel variation in the proportion of women using contraception with fractional logistic regression. Findings In 34 of the 74 countries examined, proportions of all women who were sexually active, not wanting to conceive, and not using a modern contraceptive method decreased over time. Proportions of women who had been sexually active in the past year changed over time in 43 countries, with increases in 30 countries; demand for contraception increased in 42 countries, and use of a modern method of contraception increased in 37 countries. Increases over time in met need for contraception were correlated with increases in gender equality and with women's time in education. Regression analysis on the principal components showed that country-level variation in met contraceptive need was largely explained by a single component that combined behavioural and social-contextual variables. Interpretation Progress towards satisfying demand for contraception should take account of the changing context in which it is practised. To remove the remaining barriers, policy responses-and therefore research priorities-could require a stronger focus on social-structural determinants and broader aspects of sexual health. Funding UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction.

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“…Data on abortion and post-abortion care are scarce and, where they are available, reporting is known to be poor 23 and a global comparison is not possible.…”

Section: See Online For Appendixmentioning

confidence: 99%

Trends in sexual activity and demand for and use of modern contraceptive methods in 74 countries: a retrospective analysis of nationally representative surveys

Slaymaker

Scott

Palmer

et al. 2020

The Lancet Global Health

View full text Add to dashboard Cite

show abstract

“…Studies have shown a positive link between women's perception of abortion stigma and their desire for secrecy from others (Cowan 2014(Cowan , 2017Hanschmidt et al 2016). This desire may influence how women respond to survey questions about abortion; that is, survey respondents may not report their abortion experiences in order to provide what they perceive as socially desirable responses and thus reduce their exposure to stigma (Astbury-Ward et al 2012;Lindberg and Scott 2018;Tourangeau and Yan 2007).…”

Section: Introductionmentioning

confidence: 99%

Abortion Reporting in the United States: An Assessment of Three National Fertility Surveys

et al. 2020

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Despite its frequency, abortion remains a highly sensitive, stigmatized, and difficult-tomeasure behavior. We present estimates of abortion underreporting for three of the most commonly used national fertility surveys in the United States: the National Survey of Family Growth, the National Longitudinal Survey of Youth 1997, and the National Longitudinal Study of Adolescent to Adult Health. Numbers of abortions reported in each survey were compared with external abortion counts obtained from a census of all U.S. abortion providers, with adjustments for comparable respondent ages and periods of each data source. We examined the influence of survey design factors, including survey mode, sampling frame, and length of recall, on abortion underreporting. We used Monte Carlo simulations to estimate potential measurement biases in relationships between abortion and other variables. Underreporting of abortion in the United States compromises the ability to study abortionand, consequently, almost any pregnancy-related experience-using national fertility surveys.

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“…Part of the mechanism for the observed increased reporting with a direct question may be that a pregnancy history is burdensome to complete, so some respondents may omit pregnancies that are less salient or that they do not wish to talk about to shorten it 6. Some people may not ‘count’ certain pregnancies, such as those ending in abortion, in their reproductive biographies.…”

Section: Discussionmentioning

confidence: 99%

Comparing reporting of abortions in three nationally representative surveys: methodological and contextual influences

Scott

Bajos

Wellings

et al. 2019

BMJ Sex Reprod Health

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BackgroundAbortions are known to be underreported in surveys. Previous research has found a number of ways in which survey methodology may affect respondents’ willingness to disclose abortions. The social and political climate surrounding abortion may also create stigma affecting abortion reporting, and this may vary between countries and over time.MethodsWe estimate the extent of underreporting in three nationally representative population surveys by comparing survey rates with routine statistics, in order to explore the ways in which survey methodology and cultural context might influence reporting of abortion. Data are analysed from two National Surveys of Sexual Attitudes and Lifestyles, conducted in 2000 and 2010 (Natsal-2 and Natsal-3) in Britain, and the Fertility, Contraception and Sexual Dysfunction survey (FECOND) conducted in 2010 in France. The three surveys differ with regard to survey methodology and context.ResultsThere was no strong evidence of underreporting in Natsal-2, which collected data on abortion using a direct question. There was evidence of underreporting in Natsal-3 and FECOND, both of which collected data on abortion through a pregnancy-history module. There was no evidence of a difference in the extent of underreporting between Natsal-3 and FECOND, which differed with regard to survey methodology (self-administered module in Natsal-3, telephone interview in FECOND) and country context.ConclusionA direct question may be more effective in eliciting reports of abortion than a pregnancy-history module.

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Effect of ACASI on Reporting of Abortion and Other Pregnancy Outcomes in the US National Survey of Family Growth

Cited by 47 publications

References 62 publications

Trends in sexual activity and demand for and use of modern contraceptive methods in 74 countries: a retrospective analysis of nationally representative surveys

Trends in sexual activity and demand for and use of modern contraceptive methods in 74 countries: a retrospective analysis of nationally representative surveys

Abortion Reporting in the United States: An Assessment of Three National Fertility Surveys

Comparing reporting of abortions in three nationally representative surveys: methodological and contextual influences

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