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堕胎问题在厄瓜多尔日益引起公众对健康的关注:一项基于十年人口数据的分析。

Abortion, an increasing public health concern in Ecuador, a 10-year population-based analysis.

作者信息

Ortiz-Prado Esteban, Simbaña Katherine, Gómez Lenin, Stewart-Ibarra Anna M, Scott Lisa, Cevallos-Sierra Gabriel

机构信息

OneHealth Research Group, Faculty of Medicine, Universidad De Las Americas, Quito, Ecuador.

Department of Cellular Biology, Physiology and Immunology, Institute of Biomedicine, Universitat de Barcelona, Spain.

出版信息

Pragmat Obs Res. 2017 Jul 13;8:129-135. doi: 10.2147/POR.S129464. eCollection 2017.

Abstract

OBJECTIVES

To describe the epidemiology of abortion in Ecuador from 2004 to 2014 and compare the prevalence between the public and the private health care systems.

METHODS

This is a cross-sectional analysis of the overall mortality and morbidity rate due to abortion in Ecuador, based on public health records and other government databases.

RESULTS

From 2004 to 2014, a total of 431,614 spontaneous abortions, miscarriage and other types of abortions were registered in Ecuador. The average annual rate of abortion was 115 per 1,000 live births. The maternal mortality rate was found to be 43 per 100,000 live births.

CONCLUSIONS

Abortion is a significant and wide-ranging problem in Ecuador. The study supports the perception that in spite of legal restrictions to abortion in Ecuador, women are still terminating pregnancies when they feel they need to do so. The public health system reported >84% of the national overall prevalence.

摘要

目的

描述2004年至2014年厄瓜多尔堕胎的流行病学情况,并比较公共卫生保健系统和私立卫生保健系统之间的患病率。

方法

这是一项基于公共卫生记录和其他政府数据库的厄瓜多尔堕胎所致总体死亡率和发病率的横断面分析。

结果

2004年至2014年,厄瓜多尔共登记了431,614例自然流产、流产及其他类型的堕胎。堕胎年平均率为每1000例活产中有115例。孕产妇死亡率为每100,000例活产中有43例。

结论

堕胎在厄瓜多尔是一个重大且广泛存在的问题。该研究支持这样一种观点,即尽管厄瓜多尔对堕胎有法律限制,但当女性认为有必要时,她们仍会终止妊娠。公共卫生系统报告的全国总体患病率超过84%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/5516879/64bc4e1d71b2/por-8-129Fig1.jpg

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