Al-Ridhwany Hajir, Aljawadi Asma, Abduljawad Muthanna
Department of Public Health Care, Nineveh Health Directorate, Erbil, Iraq.
Department of Family and Community Medicine, College of Medicine, University of Mosul, Mosul, Iraq.
East Mediterr Health J. 2018 Sep 6;24(7):644-652. doi: 10.26719/2018.24.7.644.
Induced abortion is a traditional method of birth control and it can indicate unmet maternal reproductive needs. Little is known about the use of induced abortion by married women in Iraq.
This cross-sectional study aimed to explore whether induced abortion is used for birth control by married women in Mosul, and to determine the sociodemographic and family characteristics associated with its use.
Multistage stratified sampling was used to recruit 1302 married women of child-bearing age (15-49 years) attending primary health care centres in Mosul. Women were interviewed using a validated questionnaire between April 2011 and 31 January 2012. Data collected included: use of induced abortion and method, social and family background, and contraceptive use. The χ2-test was used to assess the association of sociodemographic and cultural factors with the induced abortion.
Of the 1302 women, 13.5% had tried to induce an abortion at some time, by undertaking heavy physical activities (66.2%) or using of herbal remedies (22.2%) or pharmacological preparations (17.6%). The prevalence of reported induced abortion was significantly lower among women using contraceptives, older women, those with a higher education, working women, suburban and rural residents, those living in extended families, and women in consanguineous marriages and non-polygynous marriages (P < 0.05).
Over 10% of the married women had induced abortion to control births. Health education is recommended to encourage contraceptive use.
人工流产是一种传统的节育方法,它可能表明孕产妇未得到满足的生殖需求。关于伊拉克已婚妇女使用人工流产的情况知之甚少。
这项横断面研究旨在探讨摩苏尔的已婚妇女是否将人工流产用于节育,并确定与其使用相关的社会人口统计学和家庭特征。
采用多阶段分层抽样方法,招募了1302名年龄在15 - 49岁之间、前往摩苏尔初级卫生保健中心就诊的育龄已婚妇女。在2011年4月至2012年1月31日期间,使用经过验证的问卷对这些妇女进行了访谈。收集的数据包括:人工流产的使用情况及方法、社会和家庭背景以及避孕措施的使用情况。采用χ2检验来评估社会人口统计学和文化因素与人工流产之间的关联。
在1302名妇女中,13.5%的妇女曾在某个时候试图通过进行剧烈体育活动(66.2%)、使用草药疗法(22.2%)或药物制剂(17.6%)来人工流产。在使用避孕药具的妇女、年龄较大的妇女、受过高等教育的妇女、职业妇女、郊区和农村居民、生活在大家庭中的妇女以及近亲婚姻和非一夫多妻婚姻中的妇女中,报告的人工流产发生率显著较低(P < 0.05)。
超过10%的已婚妇女进行人工流产以控制生育。建议开展健康教育以鼓励使用避孕措施。