Factors Influencing Abortion Decision-Making Processes among Young Women
Factors Influencing Abortion Decision-Making Processes among Young Women
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DOI：
10.3390/ijerph15020329
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发表时间：
2018-02-01
影响因子：
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通讯作者：
Decat, Peter
中科院分区：
文献类型：
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作者：
Frederico, Monica;Michielsen, Kristien;Decat, Peter
背景：对于经历意外怀孕的年轻女性来说，关于是否以及如何终止妊娠的决定是一个两难选择。这些妇女受到社会文化和经济障碍的限制，自主权受到限制，容易受到影响或迫使她们作出堕胎决定的压力。目的：这项研究的目的是探讨莫桑比克青年妇女堕胎决策过程背后的个人、人际和环境因素。方法：在马普托和克利马内进行了定性研究。参与者是在对育龄妇女（15-49岁）进行横断面调查时确定的。共有14名年龄在15至24岁之间的堕胎妇女参加了深入访谈。采用了专题分析。结果如下：研究发现了不同层面的决定因素，包括妇女自主程度低、提供堕胎服务的保健设施有限以及保健服务缺乏以病人为中心。结论：根据研究结果，作者提出了一些战略，以增加对堕胎权利和服务的了解，并提高莫桑比克堕胎服务的质量和可及性。
Background: Decision-making about if and how to terminate a pregnancy is a dilemma for young women experiencing an unwanted pregnancy. Those women are subject to sociocultural and economic barriers that limit their autonomy and make them vulnerable to pressures that influence or force decisions about abortion. Objective: The objective of this study was to explore the individual, interpersonal and environmental factors behind the abortion decision-making process among young Mozambican women. Methods: A qualitative study was conducted in Maputo and Quelimane. Participants were identified during a cross-sectional survey with women in the reproductive age (15-49). In total, 14 women aged 15 to 24 who had had an abortion participated in in-depth interviews. A thematic analysis was used. Results: The study found determinants at different levels, including the low degree of autonomy for women, the limited availability of health facilities providing abortion services and a lack of patient-centeredness of health services. Conclusions: Based on the results of the study, the authors suggest strategies to increase knowledge of abortion rights and services and to improve the quality and accessibility of abortion services in Mozambique.