Induced Abortion and Relevant Factors among Women Seeking Abortion in Nanjing, China

Wu, Shenghui; Tian, Linwei; Xu, Fei

doi:10.1159/000320739

Cited by 10 publications

(9 citation statements)

References 19 publications

(10 reference statements)

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“…Women with unwanted pregnancies were more likely to have an induced abortion. This finding was consistent with previous study findings 28,39–41. Unavailable, unused, or failed contraceptives, as well as males’ involvement may explain the decision to abort.…”

Section: Discussionsupporting

confidence: 94%

Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso

Ilboudo¹,

Somda²,

Sundby³

2014

IJWH

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IntroductionDespite the universal recognition of unsafe abortion as a major public health problem, very little research has been conducted to document its precipitating factors in Burkina Faso. Our aim was to investigate the key determinants of induced abortion in a sample of women who sought postabortion care.Materials and methodsA cross-sectional household survey was carried out from February to September 2012 in Ouagadougou, Burkina Faso. Data of 37 women who had had an induced abortion and 267 women who had had a spontaneous abortion were prospectively collected on sociodemographic characteristics, pregnancy and birth history, abortion experience, including previous abortion experience, and selected clinical information, including the type of abortion. A two-step regression analysis consisting of a univariate and a multivariate logistic regression was run on Stata version 11.2 in order to identify the key determinants of induced abortion.ResultsThe findings indicated that 12% of all abortions were certainly induced. Three key factors were significantly and positively associated with the probability of having an induced abortion: whether the woman reported that her pregnancy was unwanted (odds ratio [OR] 10.45, 95% confidence interval [CI] 3.59–30.41); whether the woman reported was living in a household headed by her parents (OR 6.83, 95% CI 2.42–19.24); and if the woman reported was divorced or widowed (OR 3.47, 95% CI 1.08–11.10). On the contrary, being married was protective against induced abortion, with women who reported being married having an 83% (OR 0.17, CI 0.03–0.89) lower chance of having an induced abortion, even when the pregnancy was unwanted.ConclusionThis study has identified three major determinants of induced abortion in Ouagadougou, Burkina Faso. Improved targeted programs on family planning counseling, methods of contraception, and availability of contraceptives should be widely promoted.

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Section: Discussionsupporting

confidence: 94%

Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso

Ilboudo¹,

Somda²,

Sundby³

2014

IJWH

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“…Our study echoes other studies that the predominant reason for seeking abortion among migrant women was contraceptive failure [20]. It indicated that migrant women had taken initiative to avoid unintended pregnancies.…”

Section: Discussionsupporting

confidence: 87%

Contraceptive practices and induced abortions status among internal migrant women in Guangzhou, China: a cross-sectional study

et al. 2015

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BackgroundChina is facing the unprecedented challenges of internal migration. Migrants tend to have poorer utilization of health and family planning services as compared to the local residents. Migrant women are at greater risk of induced abortions due to their poor contraceptive knowledge and attitude. This study aims to understand the contraceptive practices and history of induced abortions, explore the potential factors influencing induced abortions, and evaluate the utilization of family planning services among migrant women in Guangzhou, China.MethodsAn anonymous, self-administered questionnaire survey was conducted with 1003 migrant women aged 18–49 in Guangzhou, China in 2013. A multi-stage sampling method was employed. Binary logistic regression model was used for analyzing risk factors of induced abortions.ResultsAmong the 1003 participants, 810 (80.8 %) reported having sex in the past 6 months, including 715 (88.3 %) married and 95 (11.7 %) unmarried. The most reported contraceptive method was male condom (44.9 %), while 8.1 % never used any contraceptive methods. Only 10.4 % reported having attained free condoms from family planning service stations (FPSSs) and 39.3 % reported having acquired contraceptive knowledge from family planning workers. Of all the participants, 417 (41.6 %) had a history of induced abortion. Of married and unmarried women, 389 (49.1 %) and 28 (14.0 %) had induced abortion respectively. Of these, 152 (36.5 %) had repeated abortions. The most reported reason for having induced abortion was failure of contraception (31.9 %), followed by nonuse of any contraceptives (21.1 %). Migrants who had induced abortion tended to be older, have household registration outside Guangdong province, receive no annual health checkup, have lower education, have urban household registration, have lived longer in Guangzhou and have children (P < 0.05).ConclusionsThe prevalence rate of induced abortion, especially repeated abortions among migrant women was high in Guangzhou, China. There is an urgent need to improve the awareness of regular and appropriate use of contraceptives. The utilization of FPSSs among migrant women was reportedly low. Family planning system should be improved to provide better access for migrants and better integrated with the general health services.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1903-2) contains supplementary material, which is available to authorized users.

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“…The questionnaire was designed by three investigators (KH, NZ, YH) based on published literatures [23, 28]. After two rounds of discussion among the investigators and one round of discussion with external experts (epidemiologists, obstetrician and community doctors), the final version of the questionnaire consists of four sections and a total of 22 items.…”

Section: Methodsmentioning

confidence: 99%

“…Based on previous studies of traditional community interventions, it was estimated that 60% of women in the control group and 70% of women in the intervention group would use contraception [28]. At an intervention-to-control-group ratio (NC: TC) of 2:1, allowing a drop-out rate of 10%, a total sample size of 900 (600 in the intervention group and 300 in the control group) was adequate to detect a 10% difference with 80% power at the significance level of 5%.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of two intervention models on contraceptive attitudes and behaviors among nulliparous women in Shanghai, China: a clustered randomized controlled trial

Zhang

Wang

et al. 2017

Reprod Health

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BackgroundWith increasing acceptance of premarital sex among young Chinese women, the rates of unintended pregnancies and induced abortions are becoming alarmingly high, suggesting the needs of educating women with adequate contraceptive knowledge and providing them with accessible contraceptive services. Previous studies have shown that knowledge and attitudes towards contraception could be modified through intervention strategies. This study aimed to evaluate the effects of two community intervention models on modifying contraceptive attitudes and behaviors among nulliparous women.MethodsIn this clustered randomized controlled trial, nulliparous women aged 18–40 years from 18 communities were enrolled and randomized to either the traditional community intervention model (TC model) or the more comprehensive new community-based intervention model (NC model) with a ratio of 1:2. Contraceptive attitudes and behaviors were assessed before and after the interventions.ResultsA total of 901 nulliparous women were followed. The most common contraceptive method in both groups was condom (approximately 80%) before or after interventions. The rates of using effective contraceptive methods were very low (<5%) even after the intervention. Comparing the NC with TC group, the adjusted ORs and 95% CIs regarding natural family planning, emergency contraceptive usage and short-acting OCPs were1.53 (95% CI: 1.11–2.13), 2.87 (95% CI: 2.05–4.02), and 2.71 (95% CI: 1.65–4.47), respectively; while the ORs and 95%CIs of gynecological examination and contraceptive use were 2.31 (95% CI: 1.63–3.27) and 2.89 (95% CI: 1.98–4.23), respectively. No statistical significant difference was found for the use of effective contraceptive methods at post-intervention among the two models.ConclusionsHigh proportions of nulliparous women held negative attitudes and behaviors towards effective contraceptive methods. The NC model, integrating existing health resources, had more positive influence than the TC model on the favorable contraceptive attitudes and behaviors towards the use of any contraceptive methods, but had limited impact on the use of effective contraceptive methods. Our study suggested the feasibility of applying the NC model in Shanghai. Interventions on contraceptive attitudes and behaviors should base on the existing health service system, synthesize resources and selectively apply to populations with distinct characteristics.

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Induced Abortion and Relevant Factors among Women Seeking Abortion in Nanjing, China

Cited by 10 publications

References 19 publications

Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso

Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso

Contraceptive practices and induced abortions status among internal migrant women in Guangzhou, China: a cross-sectional study

Evaluation of two intervention models on contraceptive attitudes and behaviors among nulliparous women in Shanghai, China: a clustered randomized controlled trial

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