Rosnani Rosnani, Pradipta Rifky Octavia, Wiratama Bayu Satria, Fauk Nelsensius Klau, Ward Paul Russell, Kuswanto Heri, Sitorus Nikson, Haryanto Joni, Arifin Hidayat
Department of Maternity, School of Nursing, Politeknik Kesehatan Kemenkes Palembang, Palembang 30135, Indonesia.
Department of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya 60115, Indonesia.
Int J Environ Res Public Health. 2025 Apr 4;22(4):564. doi: 10.3390/ijerph22040564.
The consequences associated with pregnancy termination have garnered attention from healthcare professionals, particularly in Indonesia. However, national-level evidence on the factors driving pregnancy termination in Indonesia remains limited. This research aimed to identify patterns and characteristics associated with pregnancy termination among reproductive-age women in Indonesia. A cross-sectional study analyzed secondary data from the 2012 and 2017 Indonesian Demographic and Health Survey, involving women aged 15-49. The weighted sample included 42,269 individuals in 2012 and 47,001 in 2017. Binary logistic regression identified the correlates of pregnancy termination. Among 89,270 women of reproductive age, the prevalence of pregnancy termination was 12.68% in 2012 and 12.95% in 2017. Pregnancy termination was more frequently reported among women aged 44-49 years (adjusted odds ratio (AOR): 4.34, 95% confidence interval (CI): 3.54-5.33), those with secondary education (AOR: 1.29, 95% CI: 1.14-1.46), married women (AOR: 195.40, 95% CI: 114.70-332.90), employed women (AOR: 1.05, 95% CI: 1.00-1.09), individuals with health insurance (AOR: 1.07, 95% CI: 1.02-1.11), those who had experienced domestic violence (AOR: 1.07, 95% CI: 1.02-1.11), and regular television viewers (AOR: 1.10, 95% CI: 1.05-1.15). Conversely, pregnancy termination was less commonly reported among women with 1-2 living children (AOR: 0.80, 95% CI: 0.74-0.87), those who expressed no preference for having more children (AOR: 0.89, 95% CI: 0.84-0.94), and women using modern contraception (AOR: 0.76, 95% CI: 0.72-0.80). The findings revealed that the prevalence did not observe any changes in the incidence of pregnancy terminations between 2012 and 2017. Further evaluation by healthcare professionals is crucial to understanding the reasons behind pregnancy termination, especially among women of reproductive age. Insights into factors related to pregnancy termination, especially sociodemographic factors, can help mitigate the pregnancy termination in this population.
与终止妊娠相关的后果已引起医疗保健专业人员的关注，在印度尼西亚尤其如此。然而，关于印度尼西亚推动终止妊娠的因素的国家级证据仍然有限。本研究旨在确定印度尼西亚育龄妇女中与终止妊娠相关的模式和特征。一项横断面研究分析了2012年和2017年印度尼西亚人口与健康调查的二手数据，涉及15至49岁的女性。加权样本在2012年包括42269人，在2017年包括47001人。二元逻辑回归确定了终止妊娠的相关因素。在89270名育龄妇女中，2012年终止妊娠的患病率为12.68%，2017年为12.95%。在44至49岁的女性中终止妊娠的报告更为频繁（调整优势比（AOR）：4.34，95%置信区间（CI）：3.54 - 5.33），受过中等教育的女性（AOR：1.29，95%CI：1.14 - 1.46），已婚女性（AOR：195.40，95%CI：114.70 - 332.90），就业女性（AOR：1.05，95%CI：1.00 - 1.09），有健康保险的个人（AOR：1.07，95%CI：1.02 - 1.11），经历过家庭暴力的人（AOR：1.07，95%CI：1.02 - 1.11），以及经常看电视的人（AOR：1.10，95%CI：1.05 - 1.15）。相反，在有1 - 2个在世子女的女性中终止妊娠的报告较少（AOR：0.80，95%CI：0.74 - 0.87），那些表示不想要更多孩子的女性（AOR：0.89，95%CI：0.84 - 0.94），以及使用现代避孕方法的女性（AOR：0.76，95%CI：0.72 - 0.80）。研究结果显示，2012年至2017年期间终止妊娠的发生率没有观察到任何变化。医疗保健专业人员进行进一步评估对于理解终止妊娠背后的原因至关重要，尤其是在育龄妇女中。对与终止妊娠相关的因素，特别是社会人口学因素的深入了解，可以帮助减少该人群中的终止妊娠情况。
