Department of Community Health Services for Asylum Seekers, Netherlands Association for Community Health Services, PO Box 85300, 3508 AH Utrecht, The Netherlands.
J Epidemiol Community Health. 2009 Jul;63(7):528-33. doi: 10.1136/jech.2008.079368. Epub 2009 Feb 3.
Asylum seekers are assumed to be a vulnerable group with respect to sexual and reproductive health. The objective of this study was to quantify induced abortion and teenage birth indicators for this group.
The population comprised all female asylum seekers aged 15-49 in The Netherlands between September 2004 and August 2005. Information was collected about induced abortions from notification forms and electronic patient files. The central agency for the reception of asylum seekers provided population and birth data.
Among asylum seekers the abortion rate (14.4/1000 women) and teenage birth rate (49.1/1000) were higher than average in The Netherlands (8.6/1000 and 5.8/1000). Great differences were found between subgroups. High abortion rates were seen among women who were pregnant on arrival or got pregnant in the first months after arrival at the reception facilities. Abortion and teenage birth rates were particularly high among asylum seekers aged 15-19 from specific parts of Africa and Asia. Abortion ratios were high among asylum seekers aged 30-49 from parts of Europe and Asia. Decreases in the abortion rate and teenage birth rate were observed as the length of stay increased.
Abortions and teenage births were more common among asylum seekers than among the overall population of The Netherlands. Increased rates were a consequence of subgroups being at high risk. Abortion and teenage birth rates were very high among women who were pregnant on arrival or got pregnant in the first few months after arrival, but decreased as the length of stay increased.
寻求庇护者被认为是在性健康和生殖健康方面处于弱势地位的群体。本研究的目的是量化这一群体的人工流产和未成年生育指标。
研究对象为 2004 年 9 月至 2005 年 8 月期间在荷兰的所有 15-49 岁的女性寻求庇护者。从通知表和电子病历中收集人工流产信息。中央收容寻求庇护者机构提供人口和生育数据。
在寻求庇护者中，人工流产率（每 1000 名妇女 14.4 例）和未成年生育率（每 1000 名妇女 49.1 例）高于荷兰的平均水平（每 1000 名妇女 8.6 例和 5.8 例）。各亚组之间存在很大差异。那些在抵达时怀孕或抵达收容设施后头几个月怀孕的妇女人工流产率较高。来自非洲和亚洲特定地区的 15-19 岁寻求庇护者的人工流产率和未成年生育率特别高。来自欧洲和亚洲部分地区的 30-49 岁寻求庇护者的人工流产率较高。随着停留时间的增加，人工流产率和未成年生育率呈下降趋势。
寻求庇护者的人工流产和未成年生育比荷兰总人口更为常见。高发生率是由于高危亚组的存在所致。那些在抵达时怀孕或抵达收容设施后头几个月怀孕的妇女的人工流产率和未成年生育率非常高，但随着停留时间的增加而下降。
