Reassessing the level of unintended pregnancy and its correlates in Vietnam.

Reassessing the level of unintended pregnancy and its correlates in Vietnam.
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重新评估越南的意外怀孕水平及其相关因素。

DOI:
--
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发表时间:
2004
影响因子:
2.1
通讯作者:
W. Bertrand
W. Bertrand
中科院分区:
医学2区
文献类型:
--
作者:
L. Le;R. Magnani;J. Rice;I. Speizer;W. Bertrand

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尽管避孕药具的使用迅速增加,生育率迅速下降,但意外怀孕和人工流产在越南仍然很常见。这项研究重新评估了越南意外怀孕的水平及其相关性,利用越南人口与健康调查II收集的回顾性日历数据。分析了13,540个结果和避孕实践“片段”的数据。根据日历数据,1994- 1997年期间估计有40%的怀孕是意外的,这一比例比根据报告的活产故意计算的普遍估计高出48%。如果考虑到隐瞒以人工流产结束的怀孕,越南的意外怀孕率可能接近发展中国家的水平。意外怀孕被发现与年龄,早婚,配偶年龄差异,活儿子的数量,过去的意外怀孕,地理区域,避孕药具使用怀孕前,和计划生育供应环境。研究结果表明,扩大社区层面的方法组合,针对高风险和服务不足的群体,以及扩大堕胎后咨询和服务可能会对越南的意外怀孕率产生巨大影响。
Despite rapidly increasing contraceptive use and rapidly declining fertility, unintended pregnancy and induced abortion remain common in Vietnam. This study reassesses the level of unintended pregnancy in Vietnam and its correlates, drawing on retrospective calendar data gathered for the Vietnam Demographic and Health Survey II. Data from 13,540 "segments" of outcomes and contraceptive practice were analyzed. Based on the calendar data, 40 percent of pregnancies during the 1994-97 period are estimated to have been unintended, a proportion 48 percent higher than the prevailing estimate calculated from the reported intendedness of live births. When concealment of pregnancies ending in induced abortions is taken into account, the unintended pregnancy rate in Vietnam is likely to approach levels found only in developing countries. Unintended pregnancy was found to be associated with age, early marriage, spousal age difference, number of living sons, past unintended pregnancy, geographic region, contraceptive use prior to pregnancy, and the family planning supply environment. The findings suggest that broadening the method mix at the community level, targeting high-risk and underserved groups, and expanding postabortion counseling and services are likely to have a dramatic impact on the unintended pregnancy rate in Vietnam.
1988 年美国出生意愿状况:母亲社会经济和人口特征的差异。
DOI: --
发表时间: 1995
期刊: Family planning perspectives.
影响因子: --
作者:
Kost,K;Forrest,JD
通讯作者: Forrest,JD