Examining the association between motivations for induced abortion and method safety among women in Ghana
Examining the association between motivations for induced abortion and method safety among women in Ghana
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DOI：
10.1080/03630242.2016.1235076
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发表时间：
2017-01-01
期刊：
影响因子：
1.6
通讯作者：
Atiglo, D. Yaw
中科院分区：
文献类型：
--
作者：
Biney, Adriana A. E.;Atiglo, D. Yaw
本文利用2007年加纳孕产妇健康调查中采访的552名妇女的数据，研究妇女终止妊娠的动机与所用方法的安全性之间的关系。妇女选择人工流产的原因反映了她们在关键决策时刻的脆弱性类型。不同的动机可能会导致采取各种形式的行动，最脆弱的群体可能会采取最有害的行为。对调查数据的分析表明，间隔/推迟生育是堕胎的主要原因。此外，如果妇女堕胎的主要动机是经济拮据，她们更有可能不安全地终止妊娠。特别是在农村妇女中，出于任何原因的堕胎都更有可能与安全方法有关，而不是出于经济原因。这些调查结果表明，贫穷造成的脆弱性是妇女诉诸有害堕胎方法的动机。因此，为减少不安全终止妊娠的情况而制定的干预措施，除了遏制问题的根源：意外怀孕之外，还应着眼于减少贫困和能力建设，以促进经济发展。
This article draws on data from 552 women interviewed in the 2007 Ghana Maternal Health Survey to examine the association between motivations for women's pregnancy terminations and the safety of methods used. Women's reasons for induced abortions represented their vulnerability types at the critical time of decision making. Different motivations can result in taking various forms of action with the most vulnerable potentially resorting to the most harmful behaviors. Analysis of survey data pointed to spacing/delaying births as the main reason for abortion. Furthermore, women were more likely to terminate pregnancies unsafely if their main motivation for abortion was financial constraints. Especially among rural women, abortions for any reason were more likely associated with safe methods than if for financial reasons. These findings suggest a theme of vulnerability, resulting from poverty, as the motivations for women to resort to harmful abortion methods. Therefore, interventions formulated to reduce instances of unsafe pregnancy terminations should target reducing poverty and capacity building with the aim of economic advancement, in addition to curbing the root of the problem: unintended pregnancy.