Prevalence of Induced Abortion and its Associated Factors among Female Students of Health Science in South West Ethiopia

Nigussie, Tadesse; Feyisa, Mulugeta; Yosef, Tewodros; Berhanu, Mahilet; Asefa, Adane

doi:10.2174/1874434602014010248

Cited by 8 publications

(11 citation statements)

References 7 publications

(1 reference statement)

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“…Due to negative socio-cultural norms, young women are frequently refused access to family planning services, which increases their risk of unwanted pregnancies that may result in abortion. The finding was significantly lower than that of study conducted in Ethiopia [ 19 , 31 ], Nepal [ 16 ], Africa [ 15 ]. The difference in the study population and the improvement in maternal health care service accessibility and utilization over time could be the possible explanation.…”

Section: Discussioncontrasting

confidence: 74%

Pooled prevalence and associated factors of pregnancy termination among youth aged 15–24 year women in East Africa: Multilevel level analysis

Hailegebreal

Enyew²,

Simegn³

et al. 2022

PLoS ONE

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Background Most of unwanted pregnancies among adolescent girls and young women (AGYW) in Africa result in pregnancy termination. Despite attempts to enhance maternal health care service utilization, unsafe abortion remains the leading cause of maternal death in Sub-Saharan Africa (SSA), there is still a study gap, notably in East Africa, where community-level issues are not studied. Therefore, this study aimed to assess pooled prevalence pregnancy termination and associated factors among youth (15–24 year-old) women in the East Africa. Methods The study was conducted based on the most recent Demographic and Health Surveys (DHS) in the 12 East African countries. A total weighted sample of 44,846 youth (15–24) age group women was included in this study. To detect the existence of a substantial clustering effect, the Intra-class Correlation Coefficient (ICC), Median Odds Ratio (MOR), and Likelihood Ratio (LR)-test were used. Furthermore, because the models were nested, deviance (-2LLR) was used for model comparison. In the multilevel logistic model, significant factors related to pregnancy termination were declared using Adjusted Odds Ratios (AOR) with a 95%Confidence Interval (CI) and p-value of 0.05. Result The pooled prevalence of pregnancy termination in East African countries was 7.79% (95% CI: 7.54, 8.04) with the highest prevalence in Uganda 12.51% (95% CI: 11.56, 13.41) and lowest was observed in Zambia 5.64% ((95% CI: 4.86, 6.41). In multilevel multivariable logistic regression result, age 20–24 [AOR = 1.93; 95% CI: 1.71, 2.16], media exposure [AOR = 1.22; 95% CI: 1.12, 1.34], married [AOR = 1.32, 95% CI: 1.21, 1.43], had working [AOR = 1.13; 95% CI: 1.04, 1.23],no education[AOR = 3.98, 95% CI: 2.32, 6.81], primary education [AOR = 4.05, 95% CI: 2.38, 6.88], secondary education [AOR = 2.96, 95% CI: 1.74, 5.03], multiparous [AOR = 0.85; 95%CI: 0.79, 0.93], sexual initiation greater or equal to 15 [AOR = 0.82; 95%CI: 0.74, 0.99] were significantly associated with pregnancy termination. Conclusion The pooled prevalence of pregnancy termination in East Africa was high in this study. Maternal age, marital status, education status, parity, age at first sex, media exposure, working status and living countries were significantly associated with pregnancy termination. The finding provides critical information for developing health interventions to decrease unplanned pregnancies and illegal pregnancy termination.

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Section: Discussioncontrasting

confidence: 74%

Pooled prevalence and associated factors of pregnancy termination among youth aged 15–24 year women in East Africa: Multilevel level analysis

Hailegebreal

Enyew²,

Simegn³

et al. 2022

PLoS ONE

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“…All studies included in this systematic review and meta-analysis were cross-sectional [7,8,16,[18][19][20][21][22][23]34]. The sample size of the studies ranged from 213, a study done at Addis Ababa University [18] to 813, another study done in Arba Minch town [7].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…A multilevel analysis based on the 2016 Ethiopian Demographic Health Survey (EDHS) also showed that the magnitude of abortion among youths was 2.5% [6]. The magnitude of induced abortion among higher education institution female students in Ethiopia ranged from 2.8% to 18.8% [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…As indicated by various studies, induced abortion is affected by a wide range of factors such as age [16], residence [8,17], accommodation [7,18], year of study [19,20], substance use [17,19,21,22], history of contraceptive use [22,23], knowledge on abortion law [7], age first sex [23], and the number of sexual partners [22] are factors affecting induced abortion.…”

Section: Introductionmentioning

confidence: 99%

“…The studies done on induced abortion among female students in higher education institutions in Ethiopia found varied and inconclusive findings. The prevalence of induced abortion among female students in institutions of higher education in Ethiopia varied from 2.8% in Arba Minch town [7] to 18.8% in Mizan Tepi University [8]. Thus, this review aimed to estimate the pooled prevalence of induced abortion among female students in higher education institutions in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

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Induced abortion among female students in higher education institutions in Ethiopia: A systematic review and meta-analysis

Kefale

Damtie²,

Arefaynie³

et al. 2023

PLoS ONE

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Background Female students in institutions of higher education are at higher risk of abortion and its consequences. There is no nationally representative data on induced abortion among students in higher education institutions in Ethiopia. Hence, this study aimed to estimate the pooled prevalence of induced abortion among female students in institutions of higher education in Ethiopia. Methods This study used a systematic review and meta-analysis of studies conducted from January 1, 2010, to June 30, 2022, in Ethiopia. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. PubMed, Cochrane Library, Hinari, Google Scholar, CINAHL, and Global Health electronic databases were searched. The analysis was performed using STATA 14 software. Heterogeneity and publication bias were assessed using I2 statistics and Egger’s test, respectively. Duval and Tweedie’s ‘trim and fill’ method was also performed to adjust the pooled estimate. Forest plots were used to present the pooled prevalence with a 95% confidence interval (CI) of meta-analysis using the random effect model. Results This systematic review and meta-analysis included a total of 10 studies and 4656 study participants. The pooled prevalence of induced abortion among female students in institutions of higher education in Ethiopia was 5.06% (95%CI: 2.16, 7.96). The rate of induced abortion was 51 per 1000 women. Conclusions The pooled prevalence of induced abortion among female students in institutions of higher education in Ethiopia was high. Thus, concerned bodies should design and implement an effective strategy to realize friendly and non-judgmental family planning and comprehensive abortion care service to curb the problem.

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Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis

Kumsa,

Mislu,

Arage

et al. 2024

BMJ Open

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ObjectiveThis review aims to determine the prevalence of pregnancy termination and its determinant factors in Ethiopia.DesignSystematic review and meta-analysis.Data sourcesRelevant articles were retrieved from databases such as PubMed, EMBASE, Medline and other search engines.Eligibility criteria for selecting studiesThe research design for this study had no restrictions, allowing for the inclusion of cross-sectional and case–control studies that examined the prevalence or determinants of pregnancy termination. However, case reports, case series, reviews, editorials and studies published as abstracts only were excluded from the analysis.Data extraction and synthesisThe review was precisely in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria, and the quality of the review was assessed using the Joanna Briggs Institute critical appraisal checklist. Heterogeneity was indicated by the p value for I2statistics less than 0.05. Data were entered into Microsoft Excel, and the analysis was conducted by using Stata V.16.ResultsThe pooled prevalence of pregnancy termination in Ethiopia was 21.52% (95% CI 15.01% to 28.03%). Women who had their first sexual initiation before the age of 18 (OR 1.78; 95% CI 1.13 to 2.82, p=0.14), had irregular menstrual bleeding (OR 1.86; 95% CI 1.25 to 2.77, p=0.76), being a student (OR 4.85; 95% CI 1.98 to 11.91, p=0.20) and had multiple sexual partners (OR 4.88; 95% CI 3.43 to 6.93, p=0.33) were significantly associated with pregnancy termination.ConclusionsOne in five women terminated their pregnancies, which is higher than in other sub-Saharan countries. Being a student, irregular menstrual bleeding, early initiation of sexual intercourse and multiple sexual partners were determinants of pregnancy termination. Special attention is needed in avoiding early sexual initiation and in reducing sexual risk behaviours.

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Prevalence of Induced Abortion and its Associated Factors among Female Students of Health Science in South West Ethiopia

Cited by 8 publications

References 7 publications

Pooled prevalence and associated factors of pregnancy termination among youth aged 15–24 year women in East Africa: Multilevel level analysis

Pooled prevalence and associated factors of pregnancy termination among youth aged 15–24 year women in East Africa: Multilevel level analysis

Induced abortion among female students in higher education institutions in Ethiopia: A systematic review and meta-analysis

Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis

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