The Impact of Abortion Underreporting on Pregnancy Data and Related Research.

The Impact of Abortion Underreporting on Pregnancy Data and Related Research.
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DOI:
10.1007/s10995-021-03157-9
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发表时间:
2021-08
影响因子:
2.3
通讯作者:
Kost K
Kost K
中科院分区:
医学4区
文献类型:
--
作者:
Desai S;Lindberg LD;Maddow-Zimet I;Kost K

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对研究结果的影响,使用怀孕数据的调查与低报堕胎还没有得到很好的确定。我们估计了由于流产漏报而导致妇女自我报告的怀孕史中遗漏的所有怀孕的百分比。我们从2006-2015年全国家庭增长调查(NSFG)中获得了流产和胎儿丢失数据,从美国生命统计数据中获得了年度出生人数,并从古特马赫研究所获得了外部流产人数。与外部计数相比,我们估计了NSFG中流产报告的完整性,流产中妊娠消退的比例,以及NSFG中因流产缺失而缺失的妊娠比例。每项措施都进行了全面检查,并按年龄,种族/民族,工会地位和调查期间。在NSFG中报告了在受访者访谈前五个日历年内发生的不到一半的堕胎(40%,95% CI 36-44)。在2006-2015年,18%的怀孕在堕胎中解决,在人口统计学群体之间存在显着差异。近11%的妊娠(95% CI 10-11)由于流产漏报而从2006-2015年NSFG中缺失。失踪怀孕的程度因人口群体而异,在黑人妇女和未婚妇女中最高(各占18%);差异反映了堕胎漏报的模式和以堕胎告终的怀孕比例。妊娠报告不完整仍然是美国生育相关经验研究的一个根本缺陷。需要努力改进堕胎报告,以提高妊娠数据的质量,支持孕产妇、儿童和生殖健康研究。
The impact on research findings that use pregnancy data from surveys with underreported abortions is not well-established. We estimate the percent of all pregnancies missing from women’s self-reported pregnancy histories because of abortion underreporting. We obtained abortion and fetal loss data from the 2006–2015 National Survey of Family Growth (NSFG), annual counts of births from US vital statistics, and external abortion counts from the Guttmacher Institute. We estimated the completeness of abortion reporting in the NSFG as compared to the external counts, the proportion of pregnancies resolving in abortion, and the proportion of pregnancies missing in the NSFG due to missing abortions. Each measure was examined overall and by age, race/ethnicity, union status, and survey period. Fewer than half of abortions (40%, 95% CI 36–44) that occurred in the five calendar years preceding respondents’ interviews were reported in the NSFG. In 2006–2015, 18% of pregnancies resolved in abortion, with significant variation across demographic groups. Nearly 11% of pregnancies (95% CI 10–11) were missing from the 2006–2015 NSFG due to abortion underreporting. The extent of missing pregnancies varied across demographic groups and was highest among Black women and unmarried women (18% each); differences reflect both the patterns of abortion underreporting and the share of pregnancies ending in abortion. Incomplete reporting of pregnancy remains a fundamental shortcoming to the study of US fertility-related experiences. Efforts to improve abortion reporting are needed to strengthen the quality of pregnancy data to support maternal, child, and reproductive health research.
美国的堕胎报告: 对三项全国生育率调查的评估
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发表时间: 2020-06-01
期刊: DEMOGRAPHY
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