Unintended Pregnancy: Worldwide Levels, Trends, and Outcomes
Unintended Pregnancy: Worldwide Levels, Trends, and Outcomes
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DOI：
10.1111/j.1728-4465.2010.00250.x
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发表时间：
2010-12-01
影响因子：
2.1
通讯作者：
Hussain, Rubina
中科院分区：
文献类型：
--
作者：
Singh, Susheela;Sedgh, Gilda;Hussain, Rubina
意外怀孕会给妇女及其家人带来严重后果。我们根据 2008 年全球、区域和次区域层面的意向状态和结果估算了怀孕发生率，并评估了 1995 年以来的最新趋势。出生人数基于联合国的估计。人工流产是通过预测最近的趋势来估计的。基于模型的方法用于估计流产。计划生育状况是通过对 80 个国家进行的具有全国代表性的小规模调查来估计的。在 2008 年发生的 2.08 亿例怀孕中，我们估计 41% 是意外怀孕。发达地区意外怀孕率下降29%，发展中地区下降20%。东非和中非的意外怀孕率最高，南欧、西欧和东亚的意外怀孕率最低。北美是唯一一个整体怀孕率和意外怀孕率没有下降的地区。最后，我们简要讨论了全球和区域计划及政策影响。
Unintended pregnancy can carry serious consequences for women and their families. We estimate the incidence of pregnancy by intention status and outcome at worldwide, regional, and subregional levels for 2008, and we assess recent trends since 1995. Numbers of births are based on United Nations estimates. Induced abortions are estimated by projecting from recent trends. A model-based approach is used to estimate miscarriages. The planning status of births is estimated using nationally representative and small-scale surveys of 80 countries. Of the 208 million pregnancies that occurred in 2008, we estimate that 41 percent were unintended. The unintended pregnancy rate fell by 29 percent in developed regions and by 20 percent in developing regions. The highest unintended pregnancy rates were found for Eastern and Middle Africa and the lowest for Southern and Western Europe and Eastern Asia. North America is the only region in which overall and unintended pregnancy rates have not declined. We conclude with a brief discussion of global and regional program and policy implications.