Factors associated with repeat induced abortion in Kenya.
Factors associated with repeat induced abortion in Kenya.
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DOI：
10.1186/s12889-015-2400-3
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发表时间：
2015-10-12
影响因子：
4.5
通讯作者：
Sidze EM
中科院分区：
文献类型：
--
作者：
Maina BW;Mutua MM;Sidze EM
据报告，2008年非洲有600多万例人工流产，东非有200多万例人工流产。虽然该区域有相当大比例的妇女在其生育期内进行了一次以上的堕胎，但对与重复堕胎有关的因素的研究很少。这项研究的数据来自非洲人口与健康研究中心2012年在肯尼亚进行的不安全堕胎的规模和发生率研究。这项研究使用了具有全国代表性的350个设施(二级至六级)的样本，这些设施为人工流产和自然流产后的并发症提供堕胎后服务。保健提供者在328个设施中使用了一种前瞻性发病率调查工具，为所有接受堕胎后服务的患者收集有关社会人口学特征、生殖健康史和怀孕时避孕用具的信息。我们的分析是基于对769名被归类为人工流产的妇女的记录数据。据报道，在寻求人工流产后服务的妇女中，约有16%的人以前有过人工流产经历。分居或离婚或丧偶、没有受过教育、有过意外怀孕、有过1-2次生育经历以及使用传统避孕方法与再次人工流产的可能性较高。调查结果指出，需要解决第一次人工流产妇女没有必要的信息来防止意外怀孕和进一步人工流产的原因。应探讨与堕胎后计划生育质量和长效方法复盖面有关的可能解释。
Over six million induced abortions were reported in Africa in 2008 with over two million induced abortions occurring in Eastern Africa. Although a significant proportion of women in the region procure more than one abortion during their reproductive period, there is a dearth of research on factors associated with repeat abortion. Data for this study come from the Magnitude and Incidence of Unsafe Abortion Study conducted by the African Population and Health Research Center in Kenya in 2012. The study used a nationally-representative sample of 350 facilities (level II to level VI) that offer post-abortion services for complications following induced and spontaneous abortions. A prospective morbidity survey tool was used by health providers in 328 facilities to collect information on socio-demographic charateristics, reproductive health history and contraceptive use at conception for all patients presenting for post-abortion services. Our analysis is based on data recorded on 769 women who were classified as having had an induced abortion. About 16 % of women seeking post abortion services for an induced abortion reported to have had a previous induced abortion. Being separated or divorced or widowed, having no education, having unwanted pregnancy, having 1–2 prior births and using traditional methods of contraception were associated with a higher likelihood of a repeat induced abortion. The findings point to the need to address the reasons why women with first time induced abortion do not have the necessary information to prevent unintended pregnancies and further induced abortions. Possible explanations linked to the quality of post-abortion family planning and coverage of long-acting methods should be explored.