Pestvenidze Ekaterine, Stray-Pedersen Babill
Institute of Clinical Medicine, Rikshospitalet, Division of Women and Children, University of Oslo, Oslo, Norway,
Int J Womens Health. 2018 Nov 14;10:733-743. doi: 10.2147/IJWH.S181228. eCollection 2018.
While induced abortion practices are common in Georgia, the sociodemographic subgroups of women predominantly affected by abortion and their leading motives have not yet been explored. The study aims to understand differentials in women undergoing abortion according to background characteristics and get insight into their reasons for availing of abortion services.
We analyzed the data on 2,054 abortions from the Georgian Reproductive Health Survey 2010. We computed an abortion index (AI) to identify the subgroups of women with the highest relative abortion rates. We performed descriptive analysis of the reasons for pregnancy termination and assessed the statistical significance of differences in proportions using the chi-squared test. We applied multivariate binary logistic regression analyses to study the sociodemographic predictors of the four leading reasons for abortion.
In Georgia, women seeking abortion were predominantly those with two or more children (AI 1.9-2.2), from an Azeri ethnic group (AI 2.0), in the age category 25-34 years (AI 1.5), married (AI 1.5), or practicing Islam (AI 1.5). Unwillingness to have more children was the most commonly cited reason for the abortion decision (49.4%), followed by socioeconomic concerns (22.0%) and desire to space out pregnancies (18.1%). Health-related reasons were cited by only 7.5% as a leading motive for abortion.
Women with specific background characteristics are disproportionally affected by abortion and, thus, are in utmost need of support in successful birth planning. Desire to stop or space childbearing and socioeconomic challenges are the overriding motives for terminating unintended pregnancies. Planning and execution of effective family planning programs targeting those at greatest risk for abortion have the potential to reduce the burden of induced abortion in Georgia.
虽然人工流产在格鲁吉亚很常见，但尚未对受流产影响最严重的女性社会人口亚群体及其主要动机进行探讨。本研究旨在了解根据背景特征进行人工流产的女性之间的差异，并深入了解她们选择人工流产服务的原因。
我们分析了2010年格鲁吉亚生殖健康调查中2054例人工流产的数据。我们计算了一个流产指数（AI），以确定相对流产率最高的女性亚群体。我们对终止妊娠的原因进行了描述性分析，并使用卡方检验评估了比例差异的统计学意义。我们应用多变量二元逻辑回归分析来研究人工流产四个主要原因的社会人口预测因素。
在格鲁吉亚，寻求人工流产的女性主要是那些有两个或更多孩子的女性（AI 1.9 - 2.2）、阿塞拜疆族女性（AI 2.0）、年龄在25 - 34岁之间的女性（AI 1.5）、已婚女性（AI 1.5）或信奉伊斯兰教的女性（AI 1.5）。不愿意生育更多孩子是人工流产决定中最常提及的原因（49.4%），其次是社会经济方面的担忧（22.0%）和希望延长生育间隔（18.1%）。只有7.5%的人将与健康相关的原因作为人工流产的主要动机。
具有特定背景特征的女性受流产影响的比例过高，因此，她们在成功的生育计划方面急需支持。停止生育或延长生育间隔的愿望以及社会经济挑战是终止意外怀孕的首要动机。针对那些流产风险最高的人群制定和实施有效的计划生育项目，有可能减轻格鲁吉亚人工流产的负担。
