Repeat induced abortion in 30 Chinese provinces : A cross-sectional study

© 2021 International Federation of Gynecology and Obstetrics..

OBJECTIVE: To report the proportion and determinants of repeat induced abortions in China.

METHODS: Cross-sectional data were collected of 79 954 women who received an induced abortion from 297 hospitals across 30 Chinese provinces in 2013, using a stratified cluster sampling design. Logistic and Poisson regression models were fitted to identify characteristics associated with repeat abortion. Putative factors included age, household registration (hukou) status, marital status, education, occupation, reproductive history, and current contraceptive practices.

RESULTS: Of all abortions, 65.2% were repeat induced abortions. The proportion of repeat abortions varied substantially across provinces, from 36.9% in Qinghai to 85% in Hubei. The strongest factors associated with repeat induced abortion were being older than 40 years (adjusted odds ratio [ORadj ] 7.0, 95% confidence interval [CI] 6.2-7.9), divorced or widowed (ORadj 2.1, 95% CI 1.6-2.7), and using oral contraceptives (ORadj 2.1, 95% CI 1.9-2.3).

CONCLUSION: A high proportion of repeat induced abortion was observed across many Chinese provinces, highlighting the need to reduce the incidence of unwanted pregnancy. Several sociodemographic and clinical factors were found to be significantly associated with repeat abortions and should be considered in post-abortion family planning services.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:154

Enthalten in:

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics - 154(2021), 3 vom: 12. Sept., Seite 532-539

Sprache:

Englisch

Beteiligte Personen:

Luo, Hao [VerfasserIn]
Wu, Shangchun [VerfasserIn]
Wang, Kun [VerfasserIn]
Xu, Jialin [VerfasserIn]
Tang, Longmei [VerfasserIn]
Temmerman, Marleen [VerfasserIn]
Zhang, Wei-Hong [VerfasserIn]
INPAC consortium [VerfasserIn]

Links:

Volltext

Themen:

China
Contraceptive
Demographic characteristics
Journal Article
Post-abortion family planning services
Repeat induced abortion

Anmerkungen:

Date Completed 19.08.2021

Date Revised 19.08.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/ijgo.13620

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320547361