Estimates of Induced Abortion in Mexico: What's Changed Between 1990 and 2006?
Estimates of Induced Abortion in Mexico: What's Changed Between 1990 and 2006?
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DOI：
10.1363/3415808
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发表时间：
2008-12-01
期刊：
影响因子：
--
通讯作者：
Diaz Olavarrieta, Claudia
中科院分区：
文献类型：
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作者：
Juarez, Fatima;Singh, Susheela;Diaz Olavarrieta, Claudia
语境。在墨西哥，堕胎在很大程度上仍然是非法和秘密的，有关人工流产和相关发病率的可靠数据对于为政策和计划提供信息至关重要。唯一可用的全国堕胎估计是 1990 年，此后的人口和社会经济变化可能影响了堕胎发生率。 方法：本研究使用了 2006 年在公立医院接受堕胎相关并发症治疗的妇女的官方统计数据以及对知情卫生专业人员的调查数据。采用间接估计技术计算国家和地区堕胎措施，并与 1990 年的估计值进行比较。 结果：2006 年，估计有 150,000 名妇女在公立医院接受人工流产并发症治疗，估计每 5.8 名接受人工流产的妇女中就有 1 人接受过此类治疗。据估计，2006年人工流产总数为875,000例，流产率为每1,000名15-44岁妇女中有33人流产。 1990 年至 2006 年间，堕胎率增加了 33%（之前为 25%）。不安全堕胎导致的发病率有所下降（如住院时间缩短），但年住院率却没有下降——1990 年为每 1,000 名妇女 5.4 例，2006 年为 5.7 例。三个地区的堕胎率与全国平均水平相似（34-36 例），但其中一个地区（南部/东部地区为 25 例）的堕胎率要低得多。结论：秘密堕胎堕胎继续对墨西哥妇女的健康产生负面影响。建议的应对措施包括扩大墨西哥各地堕胎的法律标准，改善避孕和堕胎后服务，以及扩大提供安全堕胎（包括药物堕胎）的培训。
CONTEXT. In Mexico, where abortion remains largely illegal and clandestine, reliable data on induced abortion and related morbidity are critical for informing policies and programs. The only available national estimate of abortion is for 1990, and demographic and socioeconomic changes since then have likely affected abortion incidence.METHODS: This study used official statistics on women treated for abortion-related complications in public hospitals in 2006 and data from a survey of informed health professionals. Indirect estimation techniques were used to calculate national and regional abortion measures, which were compared with 1990 estimates.RESULTS: In 2006, an estimated 150,000 women were treated for induced abortion complications in public-sector hospitals, and one in every 5.8 women having an induced abortion were estimated to have received such treatment. The estimated total number of induced abortions in 2006 was 875,000, and the abortion rate was 33 per 1,000 women aged 15-44. Between 1990 and 2006, the abortion rote increased by 33% (from a rate of 25). The severity of morbidity due to unsafe abortion declined (as seen in shorter hospital stays), but the annual rate of hospitalization did not-it was 5.4 per 1,000 women in 1990 and 5.7 in 2006. The abortion rate was similar to the national average in three regions (34-36), but substantially lower in one (25 in the South/East region).CONCLUSIONS: Clandestine abortion continues to negatively affect women's health in Mexico. Recommended responses include broadening the legal criteria for abortion throughout Mexico, improving contraceptive and postabortion services, and expanding training in the provision of safe abortion, including medical abortion.