Estimating clandestine abortion with the confidants method -: results from Ouagadougou, Burkina Faso
Estimating clandestine abortion with the confidants method -: results from Ouagadougou, Burkina Faso
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DOI：
10.1016/j.socscimed.2005.05.024
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发表时间：
2006-01-01
影响因子：
5.4
通讯作者：
Thiéba, B
中科院分区：
文献类型：
--
作者：
Rossier, C;Guiella, G;Thiéba, B
撒哈拉以南非洲的堕胎数据很少，也不具有代表性。这项研究提出了一种收集秘密堕胎数量数据的新方法，即2001年在布基纳法索瓦加杜古采用的知己方法。初步的定性工作表明，个人知道其亲密朋友的人工流产：妇女通常与同龄人谈论意外怀孕，并请他们帮助寻找非法堕胎提供者。在对瓦加杜古市963名育龄妇女代表进行的一项调查中，我们要求受访者列出她们的亲密关系，以及。她们中的每一个人，以及在调查前5年中的每一年，她们是否做过人工流产。根据这些数据，在瓦加杜古，每1 000名15-49岁的妇女每年有40例人工流产，每1 000名15-19岁的妇女每年有60例人工流产。在报告的人工流产中，60%的人出现了不良健康后果，其中14%的人在医院接受了治疗。将这些结果外推到整个城市，我们估计其医院每年治疗约1000例堕胎并发症。医院数据表明，2001年这些中心收治了984例人工流产（加上卫生组织议定书中所有“肯定”、“可能”和“可能”的人工流产），收治的人工流产患者的年龄分布也符合知己法的预测（仅“肯定”人工流产）。至少有两个偏差可能影响到通过知己方法估计的堕胎率，涉及关系样本的选择和参与堕胎过程的第三方的不同数量。在原则上类似于用于估计产妇死亡率的姐妹关系方法的知己方法，如果这两种偏差得到控制，在某些情况下可能会产生准确的非法堕胎估计数。需要进一步的测试。(c)2005爱思唯尔有限公司保留所有权利。
Data on abortion in sub-Saharan Africa are rare and non-representative. This study presents a new method to collect quantitative data on clandestine abortion, the confidants method, applied in 2001 in Ouagadougou, Burkina Faso. Preliminary qualitative work showed that individuals are aware of their close friends' induced abortions: women usually talk to their peers about the unintended pregnancy and ask them for help in locating illegal abortion providers. In a survey of 963 women of reproductive age representative of the city of Ouagadougou, we asked respondents to list their close relations, and. for each of them, and for each of the 5 years preceding the survey, whether they had an induced abortion. According to these data, there are 40 induced abortions per 1000 women aged 15-49 in Ouagadougou annually, and 60 per 1000 women aged 15-19. Adverse health consequences followed 60% of the reported induced abortions, and 14% of them received treatment in a hospital. Extrapolating these results to the entire city, we estimate that its hospitals treat about 1000 cases of abortion complications a year. Hospital data indicate that these centers admitted 984 induced abortions (adding all "certainly", "probably" and "possibly" induced abortions in the WHO protocol) in 2001, the age distribution of patients admitted for induced abortion also corresponds to the confidants method's projections ("certainly" induced abortions only). At least two biases could affect the abortion rates estimated by the confidants method, pertaining to the selection of the sample of relations and to the varying number of third parties involved in the abortion process. The confidants method, which is similar in its principle to the sisterhood method used to estimate maternal mortality levels, might generate accurate estimates of illegal abortion in certain contexts if these two biases are controlled for. Further testing is necessary. (c) 2005 Elsevier Ltd. All rights reserved.