Underreporting of induced and spontaneous abortion in the united states: An analysis of the 2002 national survey of family growth
Underreporting of induced and spontaneous abortion in the united states: An analysis of the 2002 national survey of family growth
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DOI：
10.1111/j.1728-4465.2007.00130.x
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发表时间：
2007-09-01
影响因子：
2.1
通讯作者：
Kost, Kathryn
中科院分区：
文献类型：
--
作者：
Jones, Rachel K.;Kost, Kathryn
无论是在人工流产非法或受到严格限制的国家还是在人工流产合法的国家，调查中对人工流产的漏报现象都很普遍。在这项研究中，我们发现 1997 年至 2001 年美国实施的人工流产中，只有不到一半 (47%) 是由妇女在 2002 年全国家庭成长调查 (NSFG) 的面对面访谈中报告的。西班牙裔和黑人妇女以及低收入妇女是最不可能报告堕胎经历的人群。女性报告 20 多岁时堕胎的可能性也较小。中期妊娠堕胎比妊娠早期终止妊娠的可能性更大。 2002 年 NSFG 报告的近期自然流产水平与临床研究的积累一致，尽管自我调查报告的终生妊娠损失比面对面访谈的要多得多。后续研究应探索改进收集堕胎信息的策略，在此期间，涉及妊娠结局的研究应针对未报告的人工流产进行调整。
Underreporting of induced abortions in surveys is widespread, both in countries where the procedure is illegal or highly restricted and in those where it is legal. In this study, we find that fewer than one half of induced abortions performed in the United States in 1997-2001 (47 percent) were reported by women during face-to-face interviews in the 2002 National Survey of Family Growth (NSFG). Hispanic and black women and those with low income were among the least likely to report their experience of abortion. Women were also less likely to report abortions that occurred when they were in their 20s. Second-trimester abortions were more likely to be reported than first-trimester terminations. The levels of recent spontaneous abortion reported in the 2002 NSFG were consistent with the accumulated body of clinical research, although substantially more lifetime pregnancy losses were reported on self-administered surveys than in face-to-face interviews. Subsequent research should explore strategies to improve information collected on abortion, and, in the interim, research involving pregnancy outcomes should be adjusted for unreported induced abortions.