Health Research Group, Department of Statistics, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Bangladesh Bureau of Statistics (BBS), Ministry of Planning, Khulna, 9220, Bangladesh.
BMC Res Notes. 2024 Oct 14;17(1):307. doi: 10.1186/s13104-024-06935-0.
Undergoing women of pregnancy termination (PT) significantly faces the problem of physical and mental health. This study aims to assess the prevalence and socioeconomic disparity factors of PT in Bangladesh. This study analyzed data from the 2017-18 Bangladesh Demographic and Health Survey. Researchers employed chi-square tests to identify relationships between categorical variables and logistic regression to pinpoint factors associated with PT. To assess the socioeconomic variation of PT, the analysis utilized concentration curves, concentration indices, and decomposition techniques.
The study found that 21.0% of reproductive-aged women in Bangladesh had ever terminated a pregnancy. Our study revealed that women from Chittagong and Sylhet regions, with wealthier backgrounds, aged 30 or older, employed in business, taking short birth intervals, and whose husband/partner was 35 or older, were more likely to have had a pregnancy termination with statistical significance (p < 0.05). Besides, concentration curves showed a higher prevalence of PT among wealthier women (CCI = 0.029, p < 0.001). Decomposition of this inequality revealed that a woman's wealth status was the largest contributor (74.98%) to the observed disparities, followed by exposure to mass media (41.82%), place of residence (34.35%), occupation (24.81%), and preceding birth interval (6.53%). Our study recommended that, in mitigating the above disparities, we should foster open discussions about underlying factors contributing to PT in Bangladesh.
终止妊娠的女性（PT）面临着严重的身心健康问题。本研究旨在评估孟加拉国 PT 的流行情况和社会经济差异因素。本研究分析了 2017-18 年孟加拉国人口与健康调查的数据。研究人员采用卡方检验来确定分类变量之间的关系，采用逻辑回归来确定与 PT 相关的因素。为了评估 PT 的社会经济差异，分析采用了集中曲线、集中指数和分解技术。
研究发现，孟加拉国 21.0%的育龄妇女曾终止过妊娠。我们的研究表明，来自吉大港和锡尔赫特地区、经济状况较好、年龄在 30 岁及以上、从事商业活动、生育间隔较短、丈夫/伴侣年龄在 35 岁及以上的妇女，更有可能有过统计学意义上的妊娠终止（p<0.05）。此外，集中曲线显示，较富裕的妇女中 PT 的流行率更高（CCI=0.029，p<0.001）。这种不平等的分解表明，妇女的财富状况是造成这种差异的最大原因（74.98%），其次是接触大众媒体（41.82%）、居住地（34.35%）、职业（24.81%）和前次生育间隔（6.53%）。本研究建议，为了减轻上述差异，我们应该促进对孟加拉国 PT 背后因素的公开讨论。
