Predictive model of repeat induced abortion in Hungary

Kozinszky, Zoltán; Devosa, Iván; Sikovanyecz, János; Szabó, Dorottya; Pál, Zoltán; Barabás, Katalin; Pál, Attila

doi:10.2478/s11536-011-0080-7

Cited by 3 publications

(7 citation statements)

References 17 publications

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“…Besides, with respect to the participants themselves, their age, education, occupation, parity, and cognition of the possible adverse health effects of having an abortion were significantly associated with the repeat abortion. First, in line with prior studies [ 4 – 7 , 10 – 13 , 19 , 23 – 26 , 28 , 41 , 44 , 49 , 52 ], we found that an increased age of women was strongly associated with a higher risk of having repeat abortions. This association is not surprising and reflects the longer exposure to sexual intercourse and thereby increased risks of unintended pregnancies for these older women.…”

Section: Discussionsupporting

confidence: 91%

“…In the U.S., the percentage of repeat abortion among women undergoing an abortion ranged from 44.8 to 58.8% [ 4 – 7 ]. Other studies conducted in the U.K., Switzerland, Norway, Italy, Netherlands, Finland, Ethiopia, Georgia, Ghana, Kenya, Nigeria, Tunisia, Vietnam, Nepal, Hungary, Russia, and Canada reported that the prevalence of repeat abortion among women receiving an abortion or having had an abortion were 19.2–23.4% [ 8 , 9 ], 30.1% [ 10 ], 36.7% [ 11 ], 60.6% [ 12 ], 36.0% [ 13 ], 14.1–37.9% [ 14 , 15 ], 20.3–34.9% [ 16 – 18 ], 69.9% [ 19 ], 33.7% [ 20 ], 14.3% [ 21 ], 23.0% [ 22 ], 42.2% [ 23 ], 31.7% [ 24 ], 32.3% [ 25 ], 46.1% [ 26 ], 23.6% [ 27 ], and 31.8% [ 28 ], respectively.…”

Section: Introductionmentioning

confidence: 99%

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Repeat abortion and associated factors among women seeking abortion services in northwestern China: a cross-sectional study

Gao

Liu

2021

BMC Public Health

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Background Repeat abortion is a significant public health problem in China. International knowledge about repeat abortion and its associated factors in Chinese women is scarce. This study aimed to analyze the prevalence of repeat abortion among women seeking abortion services with unintended pregnancies in northwestern China and to identify factors associated with the repeat abortion from both two perspectives of abortion seekers themselves and their sexual partners. Methods This cross-sectional survey was conducted from May 1st to May 31st, 2020, in 90 medical institutions in Xi’an, the largest city in northwestern China. All women seeking abortions within the first 12 weeks of pregnancy were invited to participate in this survey; however, only those abortion seekers with unintended pregnancies were extracted and included in this study. Pearson’s chi-squared tests, Kolmogorov-Smirnov tests, and binary logistic regression analysis were performed. Results Of 3397 abortion seekers, 56.6% (1924) were undergoing repeat abortions. Participants who were older than 30 years (OR: 1.37, 95% CI: 1.08–1.73 for 31–35 years; 1.82, 1.29–2.57 for ≥36 years), received a low-level education (1.86, 1.42–2.43 for ≤senior high school; 1.46, 1.17–1.83 for junior college), were jobless (2.46, 1.18–5.13), had one child (1.54, 1.10–2.17), had a general (1.60, 1.28–1.98) or no (2.51, 2.02–3.11) cognition of possible adverse health effects of having abortions, and had used contraception at the time of conception, i.e., condoms (1.33, 1.09–1.61), withdrawal (1.43, 1.12–1.84), and emergency measures (1.48, 1.09–1.99) were more likely to undergo a repeat abortion. Besides, participants whose sexual partners were older than 30 years (1.33, 1.06–1.68 for 31–35 years; 2.13, 1.56–2.91 for ≥36 years), attained a low-level education (1.66, 1.28–2.15 for ≤senior high school; 1.38, 1.10–1.74 for junior college), received a high-level monthly income (1.34, 1.08–1.65 for ≥6001 Yuan), and had a weak or very weak willingness to use contraception (6.84, 2.42–19.33) were more likely to have a repeat abortion. Conclusions The study findings highlight the problem of repeat abortion in China and suggest the need for government and civil society to increase efforts to reduce the risks of unintended pregnancy and repeat abortion in China. One approach may be to offer better access to reproductive health and contraception knowledge to women and their sexual partners and to promote their correct, consistent, and effective contraception practice.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Repeat abortion and associated factors among women seeking abortion services in northwestern China: a cross-sectional study

Gao

Liu

2021

BMC Public Health

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“…Age, education, residence, and migration status were not significantly influencing factors related to repeat abortions of adolescents who were receiving abortions, which contradicted the results of prior studies on young women [ 15 , 27 , 30 , 34 , 42 , 45 , 47 , 48 , 49 , 50 , 51 , 55 , 56 , 57 ].…”

Section: Discussioncontrasting

confidence: 76%

“…Parity was the fourth and a strong risk factor, which has been previously verified in the literature to have a positive effect on increasing the risk of repeat abortions in China and many other countries [2,5,30,45,47,48,49,50,51,52,53,54]. Women who had children were inclined to have repeat abortions compared with those without a child.…”

Section: Discussionmentioning

confidence: 71%

“…In another study conducted in the UK, Fisher et al also found that women with repeat abortions were twice as likely to take oral contraceptives than women with first abortions [ 46 ]. However, the studies in the United States, Hungary, and Georgia documented no significance in terms of contraceptive use relative to repeat abortions [ 2 , 30 , 47 ]. The effective and correct use of contraception has real potential to decrease risks of unintended pregnancies and repeat abortions [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

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Is Repeat Abortion a Public Health Problem among Chinese Adolescents? A Cross-Sectional Survey in 30 Provinces

Liu

Wu²,

et al. 2019

IJERPH

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The Chinese Family Planning (FP) programme mainly focuses on married couples, and young unmarried women have limited access. This cross-sectional study aims to identify risk factors related to repeat abortions in Chinese adolescents receiving abortions. Data were collected using a questionnaire for all women seeking abortions within 12 weeks of pregnancy during a period of 2 months in 297 participating hospitals randomly selected across 30 provinces of China in 2013. Only the adolescents (younger than the minimum legal married age of 20 years) were included in this study. Of the 2370 adolescents who were receiving abortions, 927 (39%) were undergoing repeat abortions. The primary reason for the current unintended pregnancies was non-use of contraception (68%). Adolescents receiving abortions who had an increased risk of repeat abortions were those who had children (OR 2.57, 95% CI 1.80–3.67), those who resided in a middle-developed region (OR 1.81, 95% CI 1.30–2.50), those who resided in a relatively poor region (OR 2.40, 95% CI 1.78–3.23), and those who had used contraception during the 6 months preceding the survey (OR 1.38, 95% CI 1.12–1.71 for condom use). The occupation as a student was a protective factor for adolescents (OR 0.64, 95% CI 0.50–0.83). Adolescents should be offered equal access to FP to that of married women in China to reduce unintended pregnancies and repeat abortions. Correct and consistent contraception practice should be promoted.

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A global systematic review and meta-analysis of prevalence of repeat induced abortion and correlated risk factors

et al. 2023

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Predictive model of repeat induced abortion in Hungary

Abstract: Abstract

Cited by 3 publications

References 17 publications

Repeat abortion and associated factors among women seeking abortion services in northwestern China: a cross-sectional study

Repeat abortion and associated factors among women seeking abortion services in northwestern China: a cross-sectional study

Is Repeat Abortion a Public Health Problem among Chinese Adolescents? A Cross-Sectional Survey in 30 Provinces

A global systematic review and meta-analysis of prevalence of repeat induced abortion and correlated risk factors

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