Aghaei Farideh, Shaghaghi Abdolreza, Sarbakhsh Parvin
Health Education & Promotion Department, Tabriz University of Medical Sciences, Tabriz, Iran.
Medical Education Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran.
Health Promot Perspect. 2017 Jun 14;7(3):117-123. doi: 10.15171/hpp.2017.22. eCollection 2017.
There are contrasting debates about abortions and prohibitory regulations posed serious public health challenges especially in underdeveloped and developing countries. Due to paucity of the empirical evidences this study was conducted to explore the existent cumulative knowledge with special focus on the applied methodology. A comprehensive review of published articles from January 1995 to December 2015 was performed. Several databases including: Embase, PubMed, Cochrane and also databasesof the Iranian medical journals were searched using combinations of relevant Medical Subject Headings (MeSH terms) and their equivalents, i.e., induced abortion, embryotomy, criminal abortion and illegal abortion. The STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) statement for appraisal of the cross-sectional studies and Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist for the qualitative reports were utilized. After removal of duplicates and irrelevant publications 36 articles remained for data analysis. A wide heterogeneity was observed in the utilized methodology with no standard data collection tool. Face to face interview and self-administered questionnaire were the most common reported data collection/tool respectively. Married and unemployed women of 26-30 years old age group with low socioeconomic backgrounds were the most typical illegal abortees in the included studies. Despite limitation in accessing all relevant publications and including only those reports written in English or Persian languages, the accumulated knowledge might be applicable to develop a potentially inclusive data collection tool and hence, improve the quality of data collection and/or application of a more robust study design in future investigations.
关于堕胎和禁令的争论存在分歧，这些禁令给公共卫生带来了严峻挑战，尤其是在不发达国家和发展中国家。由于实证证据匮乏，本研究旨在探索现有的累积知识，特别关注应用方法。对1995年1月至2015年12月发表的文章进行了全面综述。使用相关医学主题词（MeSH词）及其同义词组合，搜索了多个数据库，包括：Embase、PubMed、Cochrane以及伊朗医学期刊数据库，即人工流产、胚胎切割术、刑事堕胎和非法堕胎。采用流行病学观察性研究报告强化（STROBE）声明来评估横断面研究，并使用定性研究报告综合标准（COREQ）清单来评估定性报告。去除重复和不相关的出版物后，剩余36篇文章用于数据分析。在所使用的方法中观察到很大的异质性，没有标准的数据收集工具。面对面访谈和自填式问卷分别是最常报告的数据收集方式/工具。在纳入的研究中，年龄在26 - 30岁、社会经济背景较低的已婚失业女性是最典型的非法堕胎者。尽管在获取所有相关出版物方面存在限制，且仅纳入了用英语或波斯语撰写的报告，但积累的知识可能适用于开发一个潜在的包容性数据收集工具，从而提高数据收集质量和/或在未来调查中应用更稳健的研究设计。
