Menezes Greice M S, Aquino Estela M L, da Silva Diorlene Oliveira
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia, Brasil.
Cad Saude Publica. 2006 Jul;22(7):1431-46. doi: 10.1590/s0102-311x2006000700008. Epub 2006 Jun 14.
This study aimed to identify the factors associated with induced abortion in the first pregnancy in young women and in the first time young men got their partners pregnant. The methodology was a household survey with face-to-face interviews in a probabilistic sample in three stages with 4,634 subjects, aged 18 to 24 years of age residing in the cities of Salvador, Rio de Janeiro, and Porto Alegre, Brazil. Logistic regression analysis was used with a hierarchical strategy for entering variables into the model. Abortion was the reported outcome of the first pregnancy for 16.7% of the women and 45.9% of the men (in relation to their partners). Key factors associated with abortion included higher schooling and the occasional nature of the relationship with the male or female partner in the respective pregnancy. Inclusion of males in the study provided new elements for understanding the abortion phenomenon, including in the gender issues in discussion of the theme. The authors recommend greater public investment to warrant access to information and means for young people to achieve their reproductive plans in a security and healthy way, respecting their sexual and reproductive rights.
本研究旨在确定与年轻女性首次怀孕及年轻男性致使伴侣首次怀孕后人工流产相关的因素。研究方法是在巴西萨尔瓦多、里约热内卢和阿雷格里港这三个城市,对4634名年龄在18至24岁的受试者进行概率抽样,开展面对面访谈的家庭调查。采用逻辑回归分析,并运用分层策略将变量纳入模型。报告显示,16.7%的女性和45.9%的男性(相对于其伴侣而言)首次怀孕的结局是人工流产。与人工流产相关的关键因素包括受教育程度较高,以及在各自怀孕过程中与男性或女性伴侣关系的偶然性。将男性纳入研究为理解人工流产现象提供了新的因素,包括在该主题讨论中的性别问题。作者建议加大公共投资,以确保年轻人能够获取信息和手段,在尊重其性权利和生殖权利的前提下,安全、健康地实现其生育计划。