School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
Institute for Health Research and Communication (IHRC), P.O Box 1958, Lilongwe, Malawi.
BMC Womens Health. 2022 Jul 7;22(1):279. doi: 10.1186/s12905-022-01862-3.
Understanding the factors associated with the adoption of contraceptive methods among women of childbearing age is imperative to improving maternal health outcomes. This study aimed at exploring the association between history of abortion and contraceptive use among Mongolian women.
We analyzed cross-sectional data of 8373 women aged 15-49 years from the 2018 Mongolian Social Indicator Sample Survey (MSISS). Binary logistic regression models were used to assess the association between abortion history and current contraceptive use while accounting for both individual- and community- level factors.
A total of 4347 (51.92%) and 2525 (30.16%) reported current use of various contraceptive methods and a history of abortion in their lifetime, respectively. Women with a history of abortion were less likely to report current use of contraceptives (adjusted odds ratio (AOR) = 0.72, 95% confidence interval (CI) [0.58-0.89]). Specifically, women with a history of abortion were less likely to report use of IUD (AOR = 0.79, 95% CI [0.71-0.90)]) and injectables (AOR = 0.59, 95% CI [0.41-0.84]). History of abortion was associated with increased likelihood of using abstinence (OR = 1.82, 95% CI [1.31-2.53]) as a contraceptive method.
Our results demonstrated a significant association between history of abortion and contraceptive use. Public health interventions aiming to improve maternal health outcomes through contraceptive use should target women with a history of abortion to improve their uptake.
了解与育龄妇女避孕方法采用相关的因素对于改善母婴健康结局至关重要。本研究旨在探讨蒙古妇女堕胎史与避孕使用之间的关联。
我们分析了 2018 年蒙古社会指标抽样调查（MSISS）中 8373 名 15-49 岁女性的横断面数据。使用二元逻辑回归模型评估了堕胎史与当前避孕使用之间的关联，同时考虑了个体和社区层面的因素。
共有 4347（51.92%）和 2525（30.16%）名妇女报告了当前使用各种避孕方法和一生中堕胎的情况。有堕胎史的妇女报告当前使用避孕方法的可能性较低（调整后的优势比（AOR）=0.72，95%置信区间（CI）[0.58-0.89]）。具体而言，有堕胎史的妇女报告使用宫内节育器（IUD）的可能性较低（AOR=0.79，95%CI[0.71-0.90]）和注射剂（AOR=0.59，95%CI[0.41-0.84]）的可能性较低。堕胎史与更有可能使用禁欲（OR=1.82，95%CI[1.31-2.53]）作为避孕方法相关。
我们的研究结果表明，堕胎史与避孕使用之间存在显著关联。旨在通过避孕来改善母婴健康结局的公共卫生干预措施应针对有堕胎史的妇女，以提高其使用率。
