Examining the association between motivations for induced abortion and method safety among women in Ghana

Biney, Adriana A. E.; Atiglo, D. Yaw

doi:10.1080/03630242.2016.1235076

Cited by 15 publications

(17 citation statements)

References 24 publications

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“…We did not have data on the method of abortion, therefore this could not be used as a criterion for classifying the safety of abortion. However, methods used to estimate unsafe abortion rates vary widely across studies,2 21–24 and there are discrepancies between how the WHO definition is worded and how it has been practically applied to measure the burden of unsafe abortion 25. Because there were some factors identified in the literature as important risk factors for unsafe abortion (including, eg, sexual behaviour, partners’ approval of abortion, reasons for abortion, pregnancy wantedness and exposure to media), for which data from the AHS were not available, there is a risk of residual confounding.…”

Section: Discussionmentioning

confidence: 99%

Unsafe abortion and abortion-related death among 1.8 million women in India

et al. 2019

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IntroductionUnsafe abortion is a preventable cause of maternal mortality. While studies report high number of abortions in India, the population-level rates of unsafe abortion and their risk factors are not well understood. Our objective was to analyse the rates of and risk factors for unsafe abortion and abortion-related maternal death in India.MethodsWe conducted a secondary analysis of data from 1 876 462 pregnant women aged 15–58 years from nine states in the Indian Annual Health Survey (2010–2013). We calculated the rate of unsafe abortion and abortion-related mortality with 95% CI. Multivariable logistic regression models examined the associations of sociodemographic characteristics, health seeking behaviours and family planning with unsafe abortion and abortion-related mortality.ResultsThere were 89 447 abortions among 1 876 462 pregnant women in 2007–2011 (4.8%; 95% CI 4.8 to 4.9). Of these, 58 266 were classified as unsafe (67.1%; 95% CI 66.7 to 67.5). There were 253 abortion-related maternal deaths (0.3%; 95% CI 0.2 to 0.3). Factors associated with unsafe abortion: maternal age 20–24 years (adjusted OR (aOR): 1.13; 95% CI 1.09 to 1.18), illiteracy (aOR: 1.48; 95% CI 1.39 to 1.59), rural residence (aOR: 1.26; 95% CI 1.21 to 1.32), Muslim religion (aOR: 1.16; 95% CI 1.12 to 1.22), Schedule caste social group (aOR: 1.08; 95% CI 1.04 to 1.12), poorest asset quintile (aOR: 1.45; 95% CI 1.38 to 1.53), antenatal care (aOR: 0.69; 95% CI 0.67 to 0.72), no surviving children (aOR: 1.30; 95% CI 1.16 to 1.46), all surviving children being female (aOR: 1.12; 95% CI 1.07 to 1.17), use of family planning methods (aOR: 0.69; 95% CI 0.66 to 0.71). Factors associated with abortion-related deaths: maternal age 15–19 (aOR: 7.79; 95% CI 2.73 to 22.23), rural residence (aOR: 3.28; 95% CI 1.76 to 6.11), Schedule tribe social group (aOR: 4.06; 95% CI 1.39 to 11.87).ConclusionDespite abortion being legal, the high estimated prevalence of unsafe abortion demonstrates a major public health problem in India. Socioeconomic vulnerability and inadequate access to healthcare services combine to leave large numbers of women at risk of unsafe abortion and abortion-related death.

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Section: Discussionmentioning

confidence: 99%

Unsafe abortion and abortion-related death among 1.8 million women in India

et al. 2019

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“…Young women are more exposed to unintended pregnancies and the resultant unsafe abortions, severe illness, STI/HIV infections, infertility and even death as a result of unprotected sexual intercourse [ 4 , 5 ]. For example, young women in Ghana have relatively higher vulnerability to the risk of unsafe abortions because they lack financial and social support for pregnancy and child care [ 6 , 7 ]. In addition, pervasive challenges to the young mother and child, viz.…”

Section: Introductionmentioning

confidence: 99%

Correlates of sexual inactivity and met need for contraceptives among young women in Ghana

Atiglo

Biney

2018

BMC Women's Health

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BackgroundYoung women in sub-Saharan Africa continue to experience unintended pregnancies despite effective contraceptive methods being more readily available than ever. This study sought to determine the correlates of met need for contraceptives and sexual inactivity among young women in Ghana who want to postpone childbearing. We examine this among all women and then separately by marital status.MethodsUsing data from 1532 females aged 15–24 years from the 2014 Ghana Demographic and Health Survey, we conducted descriptive and multinomial logistic regression analyses to assess sociodemographic, economic and obstetric determinants of the type of family planning method (current abstinence, modern contraceptive method) used by married and unmarried young women.ResultsA higher proportion (~ 44%) of the respondents was currently abstinent compared to those with met need (~ 25%). Abstinence was higher among single young women while unmet and met need were higher among the married. Having at least senior high school education was significantly associated with the likelihood of current abstinence (especially among single women) and with met need. Being in the middle and rich categories, on the other hand, was associated with lower likelihood of current abstinence and a met need. Compared with multiparous women, those with one or no surviving child had a lower likelihood of being abstinent and having a met need. Other correlates of both current abstinence and met need are region of residence and ethnicity, while previous pregnancy termination and age were associated with abstinence and contraceptive use, respectively.ConclusionsUnmet need is high among young women but abstinence is an option they are using. As reproductive health programmes target the at-risk groups, the secondary and higher educational levels must be attained by most women as this is associated with use of abstinence and met need.

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“…With the information available, we did not know in what kind of settings the FSWs accessed abortion. We do know that FSWs have limited economic options, low education and many dependents [ 50 ] and those factors place them at higher risk of unsafe abortion [ 51 – 53 ].…”

Section: Discussionmentioning

confidence: 99%

Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin

et al. 2020

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Background Behavioural and structural factors related to sex work, place female sex workers (FSWs) at high risk of maternal mortality and morbidity (MMM), with a large portion due to unintended pregnancies and abortions. In the African context where MMM is the highest in the world, understanding the frequency and determinants of pregnancy and abortion among FSWs is important in order to meet their sexual and reproductive health needs. Methods Data from two Beninese cross-sectional surveys among FSWs aged 18+ (2013, N = 450; 2016, N = 504) were merged. We first performed exploratory univariate analyses to identify factors associated with pregnancy and abortion (p < 0.20) using Generalized Estimating Equations with Poisson regression and robust variance. Multivariate analyses first included all variables identified in the univariate models and backward selection (p ≤ 0.05) was used to generate the final models. Results Median age was 39 years (N = 866). The proportion of FSWs reporting at least one pregnancy during sex work practice was 16.4%, of whom 42.3% had more than one. Most pregnancies ended with an abortion (67.6%). In multivariate analyses, younger age, longer duration in sex work, previous HIV testing, having a boyfriend and not using condoms with him were significantly (p < 0.05) associated with more pregnancies. Conclusion One FSW out of five had at least one pregnancy during her sex work practice. Most of those pregnancies, regardless of their origin, ended with an abortion. Improving access to various forms of contraception and safe abortion is the key to reducing unintended pregnancies and consequently, MMM among FSWs in Benin.

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Examining the association between motivations for induced abortion and method safety among women in Ghana

Cited by 15 publications

References 24 publications

Unsafe abortion and abortion-related death among 1.8 million women in India

Unsafe abortion and abortion-related death among 1.8 million women in India

Correlates of sexual inactivity and met need for contraceptives among young women in Ghana

Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin

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