Repeat induced abortion in 30 Chinese provinces: A cross‐sectional study

Luo, Hao; Wu, Shangchun; Wang, Kun; Xu, Jialin; Tang, Longmei; Temmerman, Marleen; Zhang, Wei Hong

doi:10.1002/ijgo.13620

Cited by 10 publications

(13 citation statements)

References 32 publications

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“…The analysis revealed that women aged 25-34 years represented 53.1% of the pre-COVID group versus 43.5% among this study group (0.01<p<0.05). Marital status was similar (68.2% in the pre-COVID group vs 64.4%, p>0.05) as were the proportion of women who had children (57.3% pre-COVID vs 52.6%, p>0.05) [52]. The mean gestational age of participating women was 43.7±6.2days ~ 59.0±14.5 days in previously published studies [53][54][55], compared to 51±7.3 days in the current study.…”

Section: Limitationssupporting

confidence: 52%

Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: A cross-sectional study

Zhang

Wang

et al. 2022

Preprint

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Objectives To determine the prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China. Methods A cross-sectional study was conducted in a tertiary hospital in Beijing, from April 1st to Oct 31st, 2021. Women seeking termination of an intrauterine first-trimester pregnancy were invited to participate and complete a digital self-administered questionnaire. The survey included socio-demographic and health questions, Perceived Stress Scale-10 (PSS-10), and Patient Health Questionnaire-9 (PHQ-9). Descriptive analyses and binary logistic regression analyses were performed using SPSS 23.0. Results A total of 253 women participated. Prevalence of high perceived stress (cut-off≥20) and depressive symptoms (cut-off ≥ 10) was 25.3% and 22.5% respectively. Women were more likely to suffer high stress if they reported low resilience (aOR = 16.84, 95% CI 5.18-54.79), were not-using contraceptives (aOR = 3.27, 95% CI 1.39-6.29), had low social support (aOR = 2.95, 95% CI 1.39-6.29), were non-local residents (aOR = 2.51, 95% CI 1.15-5.92), were dissatisfied with their intimate relationship (aOR = 2.44, 95% CI 1.15-5.16), or held pro-life attitudes towards abortion (aOR = 1.04, 95% CI 1.18-3.53). Odds of experiencing depression were higher among women who also reported high perceived stress (aOR = 19.00, 95% CI 7.67-47.09), had completed higher education (aOR = 12.28, 95% CI 1.24-121.20), and were non-local residents (aOR = 3.38, 95% CI 1.37-8.32). Conclusions The magnitude of perceived stress and depression was high among Chinese women seeking a first-trimester induced abortion. It is necessary to comprehensively evaluate the mental health of all women seeking an abortion. Interventions to mitigate relevant associated factors could improve the psychological wellbeing of women.

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Section: Limitationssupporting

confidence: 52%

Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: A cross-sectional study

Zhang

Wang

et al. 2022

Preprint

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“…In terms of repeat induced abortion, 30.83% of the women in this study had experienced repeat abortions, a lower percentage than that reported in previous research. Many studies have argued that the repeat induced abortion incidence rate is very high in China [ 18 , 19 , 35 ]. A study involving 79,954 women who underwent induced abortion operations in 297 hospitals in 30 provinces in China showed that 65.2% of all induced abortions were repeat induced abortions [ 19 ].…”

Section: Conclusion and Discussionmentioning

confidence: 99%

“…Education level also affects women’s induced abortion behaviors in China [ 9 , 11 , 17 ], although research conclusions diverge in this area. Some studies have shown that less-educated women have less knowledge of reproductive health and contraception and are more likely to undergo induced abortion and repeat induced abortions [ 12 , 18 , 19 ]. However, other studies have shown that women with higher levels of education have higher abortion rates [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Recent trend and correlates of induced abortion in China: evidence from the 2017 China Fertility Survey

Jiang¹

2022

BMC Women's Health

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Background Although there are more than 10 million induced abortions per year in China, there are few comprehensive, systematic, and characteristic-based data on induced abortions among Chinese women. This study aims to examine the overall trend in induced abortions in China and to analyze the correlation between induced abortions and some socio-economic factors. Methods Drawing from the 2017 China Fertility Survey, this study analyzed induced abortions using multiple indicators from period and cohort perspectives on a sample of 240,957 women. The indicators include the abortion rate and proportion, average age at the time of induced abortion, age-specific cumulative proportions, and the number of induced abortions by cohort. The analysis also differentiated based on residency, ethnicity, education level, and marital status. A binomial logistic regression model was used to examine the association between induced abortions and socio-economic factors. Results Between 2006 and 2016, among women aged 15–49, there was an increase in the induced abortion rate and the average age of women who had induced abortions, but a decline in the proportion of abortions. The proportion of induced abortion was higher among premarital than post-marital pregnancies, among unintended than planned pregnancies. Women with induced abortion experiences accounted for less than 30% of all cohorts, and the cumulative number of induced abortions per woman in each cohort was less than 0.45. These indicators varied with birth cohort, residence, ethnicity, education level, and marital status. The results of binomial logistic regression confirmed the association between induced abortion and these socio-economic variables. Sex-selective abortions of female fetuses still exist, despite the government’s considerable efforts to eliminate them. Conclusion The practice of induced abortions differs by cohort and socio-economic characteristics. The profile of women who resort to abortions in China has shifted from well-educated urban women to rural, less-educated women. More effective measures should be taken by the government to reduce the number of induced abortions among women with higher abortion risks.

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“…The analysis revealed that women aged 25–34 years represented 53.1% of the pre-COVID group versus 43.5% among this study group (0.01 < p < 0.05). Marital status was similar (68.2% in the pre-COVID group vs 64.4%, p > 0.05) as were the proportion of women who had children (57.3% pre-COVID vs 52.6%, p > 0.05) [ 52 ]. The mean gestational age of participating women was 43.7 ± 6.2 days ~ 59.0 ± 14.5 days in previously published studies [ 53 – 55 ], compared to 51 ± 7.3 days in the current study.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: a cross-sectional study

Zhang

Wang

et al. 2022

Reprod Health

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Objectives To determine the prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China. Methods A cross-sectional study was conducted in a tertiary hospital in Beijing, from April 1st to Oct 31st, 2021. Women seeking termination of an intrauterine first-trimester pregnancy were invited to participate and complete a digital self-administered questionnaire. The survey included socio-demographic and health questions, Perceived Stress Scale-10 (PSS-10), and Patient Health Questionnaire-9 (PHQ-9). Descriptive analyses and binary logistic regression analyses were performed using SPSS 23.0. Results A total of 253 women participated. Prevalence of high perceived stress (cut-off ≥ 20) and depressive symptoms (cut-off ≥ 10) was 25.3% and 22.5%, respectively. Women were more likely to suffer high stress if they reported low resilience (aOR = 16.84, 95% CI 5.18–54.79), were not-using contraceptives (aOR = 3.27, 95% CI 1.39–6.29), had low social support (aOR = 2.95, 95% CI 1.39–6.29), were non-local residents (aOR = 2.51, 95% CI 1.15–5.92), were dissatisfied with their intimate relationship (aOR = 2.44, 95% CI 1.15–5.16), or held pro-life attitudes towards abortion (aOR = 1.04, 95% CI 1.18–3.53). Odds of experiencing depression were higher among women who also reported high perceived stress (aOR = 19.00, 95% CI 7.67–47.09), had completed higher education (aOR = 12.28, 95% CI 1.24–121.20), and were non-local residents (aOR = 3.38, 95% CI 1.37–8.32). Conclusions The magnitude of perceived stress and depression was high among Chinese women seeking a first-trimester induced abortion. It is necessary to comprehensively evaluate the mental health of women seeking an abortion, especially those with high risk. Interventions to mitigate relevant associated factors could improve the psychological wellbeing of women.

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Repeat induced abortion in 30 Chinese provinces: A cross‐sectional study

Cited by 10 publications

References 32 publications

Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: A cross-sectional study

Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: A cross-sectional study

Recent trend and correlates of induced abortion in China: evidence from the 2017 China Fertility Survey

Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: a cross-sectional study

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