Increasing misreporting levels of induced abortion in Turkey: is this due to social desirability bias?
Increasing misreporting levels of induced abortion in Turkey: is this due to social desirability bias?
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DOI：
10.1017/s0021932019000397
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发表时间：
2020-03-01
影响因子：
1.5
通讯作者：
Koc, Ismet
中科院分区：
文献类型：
--
作者：
Sarac, Melike;Koc, Ismet
妇女往往少报或误报她们的堕胎经历，主要是因为在世界上许多国家，出于文化、宗教、政治或其他原因，堕胎被认为是一个敏感问题。在土耳其，人工流产是一个日益敏感的问题，因为有影响力的政客以宗教为由发表了反对人工流产的激烈言论，近年来，土耳其也不例外，有一个隐藏的议程，禁止这种做法，特别是在公共卫生设施中。这项研究利用1993年和2013年土耳其人口和健康调查的汇总数据，重点研究了土耳其人工流产误报水平的上升及其与社会可取性偏见的联系。使用概率分类模型对妇女报告的堕胎进行分类。调查结果证实，1993年至2013年期间，土耳其所有终止妊娠中误报人工流产的比例从18%上升到53%。这一显著增加，特别是在社会经济地位较低的妇女中，可能在很大程度上与当时的政治环境以及近几十年来土耳其对人工流产的社会污名化增加有关。
Women tend to under-report or misreport their abortion experiences, mainly because abortion is considered a sensitive issue for cultural, religious, political or other reasons in many countries across the world. Turkey, where induced abortion is an increasingly sensitive issue due to intense statements against induced abortion on religious grounds by influential politicians, and a hidden agenda to prohibit the practice, especially in public health facilities, in recent years, is no exception. This study focused on the increase in level of misreporting of induced abortion in Turkey and its link to social desirability bias using pooled data from 1993 and 2013 Turkish Demographic and Health Surveys. A probabilistic classification model was used to classify women's reported abortions. The findings confirmed that the level of misreporting of induced abortions has increased from 18% to 53% among all terminated pregnancies over the period 1993-2013 in Turkey. This marked increase, especially among women in the lower socioeconomic sections of society, may be largely associated with the prevailing political environment, and increase in social stigmatization against induced abortion in Turkey over recent decades.