Measuring the extent of abortion underreporting in the 1995 National Survey of Family Growth
Measuring the extent of abortion underreporting in the 1995 National Survey of Family Growth
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DOI：
10.2307/2991627
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发表时间：
1998-05-01
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影响因子：
--
通讯作者：
Kolb, E
中科院分区：
文献类型：
--
作者：
Fu, HS;Darroch, JE;Kolb, E
背景：在全国调查中，人工流产的报告往往严重偏低，这妨碍了对意外怀孕的估计和分析。为了提高堕胎报告的水平，1995年全国家庭增长调查(NSFG)纳入了新的访谈和自我报告程序，并对受访者进行了金钱激励。方法：将1995年NSFG主要访谈(周期5)、自我报告和两种程序合并报告的堕胎加权数字与Alan Guttmacher研究所的堕胎估计数进行比较。第5周期的估计也与NSFG以前周期的估计进行了比较。结果：自我报告比主访谈产生更好的报告，但结合两种程序的数据得出1991-1994年期间堕胎的最高数量，报告水平在主访谈中为45%，自我报告中为52%，当两种方法结合时为59%。综合数据中报告的堕胎率从收入低于联邦贫困水平的妇女的40%到35岁以上的妇女、堕胎时已婚的妇女和收入高于贫困水平的200%的妇女中的75%不等。在第5周期的主访谈中，堕胎报告的完整性虽然比第4周期的报告有了显著的改善，但与第2周期和第3周期的水平相当。结论：NSFG在意外怀孕和流产的分析中的用处仍然非常有限。
Context: Induced abortions are often severely underreported in national surveys, hampering the estimation and analysis of unintended pregnancies. To improve the level of abortion reporting, the 1995 National Survey of Family Growth (NSFG) incorporated new interview and self-report procedures, as well as a monetary incentive to respondents.Methods: The weighted numbers of abortions reported in the main interview of the 1995 NSFG (Cycle 5), in the self-report and in the two procedures combined are compared with abortion estimates from The Alan Guttmacher institute. The Cycle 5 estimates are also compared with estimates from previous cycles of the NSFG.Results: The self-report produces better reporting than the main interview, but combining data from the two procedures yields the highest count of abortions For the period 1991-1994, the level of reporting is 45% in the main interview 52% in the self-report and 59% when the two methods are combined. The level of abortion reporting in the combined data ranges from 40% for women with an income less than the federal poverty level to more than 75% among women who were older than 35, those who were married at the time of their abortion and those with an income above 200% of the poverty level. The completeness of abortion reporting in the main interview of Cycle 5 though indicating a remarkable improvement over reporting in Cycle 4, is comparable to the levels in Cycles 2 and 3.Conclusions: The usefulness of the NSFG remains extremely limited for analyses involving unintended pregnancy and abortion.