Shah Iqbal H, Ahman Elisabeth
Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Reprod Health Matters. 2012 Jun;20(39):169-73. doi: 10.1016/S0968-8080(12)39598-0.
Each year, nearly 22 million women worldwide have an unsafe abortion, almost all of which occur in developing countries. This paper estimates the incidence and rates of unsafe abortion by five-year age groups among women aged 15-44 years in developing country regions in 2008. Forty-one per cent of unsafe abortions in developing regions are among young women aged 15-24 years, 15% among those aged 15-19 years and 26% among those aged 20-24 years. Among the 3.2 million unsafe abortions in young women 15-19 years old, almost 50% are in the Africa region. 22% of all unsafe abortions in Africa compared to 11% of those in Asia (excluding Eastern Asia) and 16% of those in Latin America and the Caribbean are among adolescents aged 15-19 years. The number of adolescent women globally is approaching 300 million. Adolescents suffer the most from the negative consequences of unsafe abortion. Efforts are urgently needed to provide contraceptive information and services to adolescents, who have a high unmet need for family planning, and to women of all ages, with interventions tailored by age group. Efforts to make abortion safe in developing countries are also urgently needed.
每年,全球有近2200万妇女进行不安全堕胎,其中几乎所有堕胎都发生在发展中国家。本文估计了2008年发展中国家地区15至44岁女性按五岁年龄组划分的不安全堕胎发生率和比率。发展中地区41%的不安全堕胎发生在15至24岁的年轻女性中,15%发生在15至19岁的女性中,26%发生在20至24岁的女性中。在15至19岁年轻女性的320万例不安全堕胎中,近50%发生在非洲地区。在非洲,15至19岁青少年的不安全堕胎占所有不安全堕胎的22%,相比之下,亚洲(不包括东亚)为11%,拉丁美洲和加勒比地区为16%。全球青少年女性人数接近3亿。青少年受不安全堕胎负面影响最大。迫切需要努力为对计划生育有很高未满足需求的青少年以及所有年龄段的妇女提供避孕信息和服务,并按年龄组进行有针对性的干预。同时,在发展中国家,使堕胎安全的努力也刻不容缓。