布基纳法索瓦加杜古医院寻求堕胎后护理的妇女堕胎的主要决定因素。
Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso.
机构信息
Département de Santé Publique, Unité de Recherche sur les Politiques et Systèmes de Santé, Centre Muraz, Bobo-Dioulasso, Burkina Faso ; Agence de Formation, de Recherche et d'Expertise en Santé pour l'Afrique (AFRICSanté), Bobo-Dioulasso, Burkina Faso ; Department of Community Medicine, University of Oslo, Oslo, Norway.
Département des Maladies Non Transmissibles, Unité de Formation et d'Appui Méthodologique, Centre Muraz, Bobo-Dioulasso, Burkina Faso.
出版信息
Int J Womens Health. 2014 May 29;6:565-72. doi: 10.2147/IJWH.S60709. eCollection 2014.
INTRODUCTION
Despite the universal recognition of unsafe abortion as a major public health problem, very little research has been conducted to document its precipitating factors in Burkina Faso. Our aim was to investigate the key determinants of induced abortion in a sample of women who sought postabortion care.
MATERIALS AND METHODS
A cross-sectional household survey was carried out from February to September 2012 in Ouagadougou, Burkina Faso. Data of 37 women who had had an induced abortion and 267 women who had had a spontaneous abortion were prospectively collected on sociodemographic characteristics, pregnancy and birth history, abortion experience, including previous abortion experience, and selected clinical information, including the type of abortion. A two-step regression analysis consisting of a univariate and a multivariate logistic regression was run on Stata version 11.2 in order to identify the key determinants of induced abortion.
RESULTS
The findings indicated that 12% of all abortions were certainly induced. Three key factors were significantly and positively associated with the probability of having an induced abortion: whether the woman reported that her pregnancy was unwanted (odds ratio [OR] 10.45, 95% confidence interval [CI] 3.59-30.41); whether the woman reported was living in a household headed by her parents (OR 6.83, 95% CI 2.42-19.24); and if the woman reported was divorced or widowed (OR 3.47, 95% CI 1.08-11.10). On the contrary, being married was protective against induced abortion, with women who reported being married having an 83% (OR 0.17, CI 0.03-0.89) lower chance of having an induced abortion, even when the pregnancy was unwanted.
CONCLUSION
This study has identified three major determinants of induced abortion in Ouagadougou, Burkina Faso. Improved targeted programs on family planning counseling, methods of contraception, and availability of contraceptives should be widely promoted.
简介
尽管不安全堕胎被普遍认为是一个主要的公共卫生问题，但在布基纳法索，很少有研究记录其促成因素。我们的目的是调查一组寻求堕胎后护理的妇女中人工流产的关键决定因素。
材料和方法
2012 年 2 月至 9 月，在布基纳法索瓦加杜古进行了一项横断面家庭调查。前瞻性收集了 37 名人工流产妇女和 267 名自然流产妇女的社会人口学特征、妊娠和分娩史、流产经历（包括以前的流产经历）和选定的临床信息，包括流产类型。使用 Stata 版本 11.2 进行了两阶段回归分析，包括单变量和多变量逻辑回归，以确定人工流产的关键决定因素。
结果
研究结果表明，所有流产中有 12%肯定是人工流产。有三个关键因素与人工流产的概率显著正相关：妇女报告怀孕不想要（优势比[OR]10.45，95%置信区间[CI]3.59-30.41）；妇女报告居住在由其父母为户主的家庭中（OR 6.83，95% CI 2.42-19.24）；以及妇女报告离婚或丧偶（OR 3.47，95% CI 1.08-11.10）。相反，已婚是人工流产的保护因素，报告已婚的妇女人工流产的机会降低 83%（OR 0.17，CI 0.03-0.89），即使怀孕不想要。
结论
本研究确定了布基纳法索瓦加杜古人工流产的三个主要决定因素。应广泛推广计划生育咨询、避孕方法和避孕药具的获取方面的有针对性的方案。
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