Reasons why women have induced abortions: Evidence from 27 countries
Reasons why women have induced abortions: Evidence from 27 countries
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DOI：
10.2307/3038208
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发表时间：
1998-09-01
期刊：
影响因子：
--
通讯作者：
Haas, T
中科院分区：
文献类型：
--
作者：
Bankole, A;Singh, S;Haas, T
背景：女性对寻求人工流产的直接解释通常是意外怀孕或意外怀孕。然而，构成这种解释的众多社会、经济和健康状况尚未得到充分探讨。 方法：使用来自 27 个国家的 32 项研究的结果来研究妇女堕胎的原因、这些原因的区域模式以及这些原因与妇女的社会和人口特征之间的关系。这些数据来自多种来源，包括全国代表性调查、官方政府统计数据、社区研究以及医院或诊所研究。 结果：在世界范围内，女性最常提到的堕胎原因是推迟或停止生育。第二个最常见的原因是社会经济问题，包括教育或就业中断；缺乏父亲的支持；希望为现有儿童提供学校教育；以及贫困、失业或无力抚养额外的孩子。此外，与丈夫或伴侣的关系问题以及女性认为自己太年轻也是其他重要原因。妇女的特征与其堕胎的原因相关：除少数例外，老年妇女和已婚妇女最有可能将限制生育视为堕胎的主要原因。结论：妇女寻求堕胎的原因往往比单纯不想怀孕要复杂得多；堕胎决定通常由多个因素推动。虽然改进避孕药具的使用有助于减少意外怀孕和堕胎，但由于妇女决定和控制生活中所有情况的能力有限，一些堕胎仍然难以预防。
Context: The immediate explanation that women often give for seeking induced abortion is that the pregnancy was unplanned or unwanted. However, the myriad social, economic and health circumstances that underlie such explanations have not yet been fully explored.Methods: Findings from 32 studies in 27 countries were used to examine the reasons that women give for having an abortion, regional patterns in these reasons and the relationship between such reasons and women's social and demographic characteristics. The data come from a range of sources, including nationally representative surveys, official government statistics, community-based studies and hospital- or clinic-based research.Results: Worldwide, the most commonly reported reason women cite for having an abortion is to postpone or stop childbearing. The second most common reason-socioeconomic concerns-includes disruption of education or employment; lack of support from the father; desire to provide schooling for existing children; and poverty, unemployment or inability to afford additional children. In addition, relationship problems with a husband or partner and a woman's perception that she is too young constitute other important categories of reasons. Women's characteristics are associated with their reasons for having an abortion: With few exceptions, older women and married women are the most likely to identify limiting childbearing as their main reason for abortion.Conclusions: Reasons women give for why they seek abortion are often far more complex than simply not intending to become pregnant; the decision to have an abortion is usually motivated by more than one factor While improved contraceptive use can help reduce unintended pregnancy and abortion, some abortions will remain difficult to prevent, because of limits to women's ability to determine and control all circumstances of their lives.