Väisänen Heini, Koponen Päivikki, Gissler Mika, Kontula Osmo
a Department of Social Statistics and Demography , University of Southampton , Southampton , UK.
b Department of Public Health Solutions , National Institute for Health and Welfare (THL) , Helsinki , Finland.
Eur J Contracept Reprod Health Care. 2018 Aug;23(4):274-281. doi: 10.1080/13625187.2018.1483019. Epub 2018 Jun 25.
Women's contraceptive choices may change after an induced abortion, due to contraceptive counselling or a behavioural change prompted by the experience. The effect may vary between women; sociocultural background, for example, may affect their subsequent reproductive choices.
We examined whether women's current contraceptive use was differently associated with a history of induced abortion among immigrant groups in Finland (Russian, Kurdish and Somali) and the general Finnish population.
We analysed data from two surveys, the Migrant Health and Wellbeing study and the Health 2011 study, linked to the Finnish register of induced abortions. Propensity score weighted logistic regression was used to analyse the data.
The likelihood of using contraceptives after an abortion varied depending on women's sociocultural background. A history of induced abortion increased contraceptive use among all groups, except Russian women, in whom there was no effect. The effect was particularly strong for Kurdish women.
Sociocultural background was an important determinant of post-abortion contraceptive use. Some immigrants may struggle to navigate the Finnish health care system due to language or literacy issues. Attention should be paid to improving access to family planning among these groups.
人工流产后，女性的避孕选择可能会因避孕咨询或此次经历引发的行为改变而发生变化。这种影响在不同女性之间可能有所不同；例如，社会文化背景可能会影响她们随后的生育选择。
我们研究了芬兰的移民群体（俄罗斯族、库尔德族和索马里族）以及芬兰普通人群中，女性当前的避孕方式与人工流产史之间的关联是否存在差异。
我们分析了两项调查的数据，即移民健康与福祉研究和2011年健康研究，并将其与芬兰人工流产登记册相联系。使用倾向得分加权逻辑回归分析数据。
人工流产后使用避孕药具的可能性因女性的社会文化背景而异。人工流产史增加了所有群体的避孕药具使用量，但俄罗斯女性除外，对她们没有影响。这种影响对库尔德女性尤为强烈。
社会文化背景是人工流产后避孕使用的重要决定因素。一些移民可能由于语言或识字问题而难以融入芬兰的医疗保健系统。应关注改善这些群体获得计划生育服务的机会。
