Hosseini Hatam, Erfani Amir, Nojomi Marzieh
Department of Social Sciences, Faculty of Economics and Social Sciences, Bu-Ali Sina University, Hamedan, Iran.
Department of Sociology and Anthropology, Nipissing University, Canada.
Arch Iran Med. 2017 May;20(5):282-287.
There is limited reliable information on abortion in Iran, where abortion is illegal and many women of reproductive age seek clandestine abortion to end their unintended pregnancy. This study aims to examine the determinants of induced abortion in the city of Hamedan, Iran.
The study utilizes recent data from the 2015 Hamedan Survey of Fertility, conducted in a representative sample of 3,000 married women aged 15-49 years in the city of Hamedan, Iran. Binary logistic regression models are used to examine factors associated with the incidence of abortion.
Overall, 3.8% of respondents reported having had an induced abortion in their life. Multivariate results showed that the incidence of abortion was strongly associated with women's education, type of contraceptive and family income level, after controlling for confounding factors. Women using long-acting contraceptive methods, those educated under high school diploma or postsecondary education, and those with high level of income were more likely to report having an induced abortion.
The high incidence of abortion among less or more educated women and those with high income level signifies unmet family planning needs among these women, which must be addressed by focused reproductive health and family planning programs.
在伊朗，堕胎相关的可靠信息有限，该国堕胎是非法行为，许多育龄妇女寻求秘密堕胎以终止意外怀孕。本研究旨在调查伊朗哈马丹市人工流产的决定因素。
该研究利用了2015年哈马丹生育调查的最新数据，该调查以伊朗哈马丹市3000名年龄在15 - 49岁的已婚妇女为代表性样本。采用二元逻辑回归模型来研究与堕胎发生率相关的因素。
总体而言，3.8%的受访者报告称其一生中曾有过人工流产经历。多变量结果显示，在控制混杂因素后，堕胎发生率与女性教育程度、避孕方式和家庭收入水平密切相关。使用长效避孕方法的女性、高中文凭以下或接受过高等教育的女性以及高收入女性更有可能报告有过人工流产经历。
受教育程度较低或较高的女性以及高收入女性中堕胎发生率较高，这表明这些女性的计划生育需求未得到满足，必须通过针对性的生殖健康和计划生育项目来解决。
