Ruiz-Ramos Miguel, Ivañez-Gimeno Lourdes, García León Francisco Javier
Servicio de Información y Evaluación, Consejería de Salud de la Junta de Andalucía, Sevilla, España.
Gac Sanit. 2012 Nov-Dec;26(6):504-11. doi: 10.1016/j.gaceta.2011.11.017. Epub 2012 Mar 7.
To describe the variables associated with induced abortions in Andalusia (Spain) and the differences between native and foreign populations.
A cross-sectional population-based study was carried out. The files on deliveries and induced abortions were combined to create a single file for the period 2007-2010. A binary logistic regression model was employed. The dependent variable was whether the pregnancy ended in delivery or induced abortion. The independent variables were the year, province of residence, number of previous children, schooling, cohabitation and nationality. The raw and adjusted odds ratios and the 95% confidence intervals were calculated for native and foreign women.
Of 460,716 pregnancies, 17% ended in an induced abortion and 83% in delivery. The variables most closely associated with the risk of an induced abortion among native and foreign women in Andalusia were having three or more previous children (OR=23.06), being under 25 years old (OR=19.53), living alone (OR=10.04) and being an immigrant (OR=3.95), especially in African women. The rates of abortions, fecundity and fertility were higher in foreigners than in native women, with an increase in abortions and a decrease in fertility and fecundity.
The women at greatest risk of having an abortion in Andalusia are young foreign women, especially those from Africa, who live alone, have previous children and secondary education and reside in the province of Huelva.
描述西班牙安达卢西亚地区与人工流产相关的变量,以及本地人和外国人之间的差异。
开展了一项基于人群的横断面研究。将分娩和人工流产档案合并,创建了一个2007 - 2010年期间的单一档案。采用二元逻辑回归模型。因变量是妊娠结局为分娩还是人工流产。自变量是年份、居住省份、既往子女数、受教育程度、同居情况和国籍。计算了本地和外国女性的原始及调整后的优势比和95%置信区间。
在460,716例妊娠中,17%以人工流产告终,83%以分娩告终。在安达卢西亚,本地和外国女性中与人工流产风险最密切相关的变量是既往有三个或更多子女(优势比=23.06)、年龄在25岁以下(优势比=19.53)、独居(优势比=10.04)以及是移民(优势比=3.95),尤其是非洲女性。外国人的人工流产率、生育力和生育率高于本地女性,人工流产率上升,生育率和生育力下降。
在安达卢西亚,人工流产风险最高的女性是年轻的外国女性,尤其是来自非洲的女性,她们独居、有既往子女、接受中等教育且居住在韦尔瓦省。