埃塞俄比亚选定城镇妇女对堕胎合法化的知识和态度：一项横断面研究。

Knowledge and attitude of women towards the legalization of abortion in the selected town of Ethiopia: a cross sectional study.

机构信息

Institute of Health, Faculty of public health, Department of Health Economics Management and Policy, Jimma University, Jimma, Ethiopia.

College of Medicine and Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia.

出版信息

Reprod Health. 2018 Nov 21;15(1):190. doi: 10.1186/s12978-018-0634-0.

DOI:10.1186/s12978-018-0634-0

PMID:30463567

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6249793/

Abstract

BACKGROUND

Unsafe abortion contributes to maternal deaths 13% globally and 25-35% of Ethiopia. By considering the problem of unsafe abortion, Ethiopia amended a law that permits abortion under certain circumstances. However, the country liberalized the service, women are still not using it. Therefore, the possible reason might be a lack of knowledge and attitude is a barrier that hinders women to use safe abortion.

METHODS

A community-based cross-sectional study was conducted in Arba Minch town from January 02 to 17, 2017. Women in the reproductive age groups (15-49) who reside in the town for more than six months were included in the study. The sample size was determined using a single population proportion formula. Five kebeles were selected using the lottery method from 11 kebeles. The proportional allocation of the sample was done for each kebeles. Data were collected using a structured questionnaire. Binary and multiple logistic analyses were carried out to identify factors associated with knowledge & attitude toward legalization of abortion.

RESULT

A total of 576 women were responded to the question. The finding of our study showed that only 23.4% of women have knowledge about the legalization of abortion. Of all the respondents 323(56%) prefer abortion on demand to be legalized while about 241 (41.9%) do not prefer to be legalized. Again about 57% of women believe that women can use it but the rest 43% believe even if allowed women do not use it. From all participants, 59% don't want to use by themselves and also, 53.3% don't think that women would have the right to use the service or terminate their pregnancy even if the pregnancy fulfill the criteria. Ethnicity, marital status, and family size were the factors significantly associated with knowledge. Again, educational status, marital status and having knowledge about the legalization of abortion were a statistically significant association with the attitude.

CONCLUSION

The study indicated that knowledge of women toward the legalization of abortion was low but more than half of respondents prefer abortion on demand to be legalized.

摘要

背景

不安全堕胎导致全球 13%的产妇死亡，在埃塞俄比亚占 25-35%。考虑到不安全堕胎的问题，埃塞俄比亚修订了一项法律，允许在某些情况下进行堕胎。然而，该国放宽了这项服务，女性仍然没有使用它。因此，可能的原因是缺乏知识和态度是阻碍女性使用安全堕胎的障碍。

方法

本研究为 2017 年 1 月 2 日至 17 日在阿瓦萨镇进行的一项基于社区的横断面研究。纳入研究的对象为居住在该城镇 6 个月以上的育龄妇女（15-49 岁）。采用单总体比例公式确定样本量。从 11 个乡镇中采用抽签法抽取 5 个乡镇。对每个乡镇进行样本的比例分配。使用结构化问卷收集数据。采用二项和多项逻辑分析来确定与对堕胎合法化的知识和态度相关的因素。

结果

共有 576 名妇女回答了问题。我们的研究结果表明，只有 23.4%的妇女了解堕胎合法化的情况。在所有受访者中，323 人（56%）希望按需堕胎合法化，而约 241 人（41.9%）不希望合法化。同样，约 57%的妇女认为妇女可以使用，但其余 43%的妇女认为即使允许，妇女也不会使用。在所有参与者中，59%的人不想自己使用，53.3%的人认为即使怀孕符合标准，妇女也没有权利使用该服务或终止妊娠。民族、婚姻状况和家庭规模是与知识相关的显著因素。此外，教育程度、婚姻状况和对堕胎合法化的了解与态度有统计学上的显著关联。