Department of Sociology and Anthropology, Nipissing University, North Bay, Canada.
Eur J Contracept Reprod Health Care. 2021 Jun;26(3):233-239. doi: 10.1080/13625187.2021.1876846. Epub 2021 Feb 22.
Induced abortion is highly restricted in Iran and many married women with unintended pregnancies resort to clandestine procedures, resulting in adverse health outcomes. As there is a lack of reliable data on abortion in Iran, this study aimed to examine factors predisposing women to practise abortion, factors facilitating the use of abortion and factors determining women's 'need' to use abortion to control their number of children.
The study used data from the 2014 Tehran Survey of Fertility, conducted among 3012 married women aged 15-49 years. Bivariate and multivariate binary logistic regression analyses were used.
About 6% of women reported that they had had an abortion. The proportion was higher among women who were in their later reproductive years, women who were employed, women who intended to continue their education, women who reported a low level of religiosity, women who had two children and women who wanted no/no more children. Multivariate analysis showed that abortion was twice as high among women who had conceived their most recent birth because of the failure of a modern contraceptive method, compared with women who had discontinued or did not use a contraceptive method.
The high risk of abortion among women experiencing failure of a modern contraceptive method indicates an unmet need for family planning counselling and education rather than a shortage of contraceptive methods.
伊朗对人工流产的限制非常严格，许多意外怀孕的已婚妇女都会寻求秘密堕胎，导致不良的健康后果。由于伊朗缺乏关于堕胎的可靠数据，本研究旨在调查导致妇女堕胎的倾向因素、促进堕胎的因素以及决定妇女需要堕胎来控制生育数量的因素。
本研究使用了 2014 年德黑兰生育调查的数据，该调查在 3012 名年龄在 15-49 岁的已婚妇女中进行。使用了双变量和多变量二元逻辑回归分析。
约 6%的妇女报告曾堕胎。在处于生育后期、有工作、打算继续接受教育、宗教信仰程度较低、有两个孩子且不想要/不再想要孩子的妇女中，这一比例更高。多变量分析显示，与因停用或未使用避孕方法而怀孕的妇女相比，因现代避孕方法失败而怀孕的妇女堕胎的比例要高出两倍。
因现代避孕方法失败而堕胎的妇女风险较高，这表明需要提供计划生育咨询和教育，而不是缺乏避孕方法。
