Picavet Charles, Goenee Maaike, Wijsen Ciel
Rutgers WPF , Utrecht , the Netherlands.
Eur J Contracept Reprod Health Care. 2013 Oct;18(5):327-34. doi: 10.3109/13625187.2013.820824. Epub 2013 Aug 22.
To explore the demographic characteristics of women having multiple abortions, in order to identify abortion clients who might be at increased risk of repeat abortion.
On the basis of the registration data of most Dutch abortion clinics, responsible for 64% of all such procedures, women who procured a first abortion were compared to those who had one or more previously. Results of bivariate analyses and a multivariate binary logistic regression analysis are presented.
Of all abortions, 36% were repeat abortions. Women aged over 20 were more likely to have repeat abortions, as were migrants, particularly those with a Caribbean background (from Surinam or the Netherlands Antilles) and women who had children. Effect sizes of other factors were very small. Surprisingly, women who had repeat abortions more often used contraception in the preceding six months than women who had a first abortion, but also this effect size was small as well. A multivariate logistic regression analysis led to similar results.
Abortion clients with a Caribbean background should be targeted for the prevention of more unwanted pregnancies. Not only should the use of reliable contraception be promoted, but also compliance and continuation.
探究多次堕胎女性的人口统计学特征，以识别可能有更高重复堕胎风险的堕胎者。
基于荷兰大多数堕胎诊所（负责所有此类手术的64%）的登记数据，将首次堕胎的女性与之前有过一次或多次堕胎经历的女性进行比较。呈现了双变量分析和多变量二元逻辑回归分析的结果。
在所有堕胎案例中，36%为重复堕胎。20岁以上的女性、移民，特别是有加勒比背景（来自苏里南或荷属安的列斯群岛）的移民以及育有子女的女性更有可能重复堕胎。其他因素的效应量非常小。令人惊讶的是，与首次堕胎的女性相比，重复堕胎的女性在前六个月更频繁地使用避孕措施，但这一效应量也很小。多变量逻辑回归分析得出了类似结果。
应针对有加勒比背景的堕胎者采取措施预防更多意外怀孕。不仅应推广可靠避孕措施的使用，还应提高其依从性和持续性。
