scholarly journals Comparison of the Contraceptive Use and Its Related Factors Among Women Seeking Repeat and First-Time Induced Abortions in Iran

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Roghieh Bayrami ◽  
Mojgan Javadnoori
Author(s):  
Longmei Tang ◽  
Shangchun Wu ◽  
Dianwu Liu ◽  
Marleen Temmerman ◽  
Wei-Hong Zhang

Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [ORadj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [ORadj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (ORadj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IRadj: 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IRadj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.


2020 ◽  
Vol 2 (2) ◽  
pp. 22-29
Author(s):  
S. CHHABRA ◽  
Jain S ◽  
Thool K

Background Induced abortions are globally sought, whether permitted, or not permitted. Community based information about abortion seeking by rural tribal women is scarce. Objectives Community based study was carried out to know the magnitude, profile, reasons, places, persons performing IA for rural tribal women. Material Methods Study was conducted in 118 villages to get the study subjects . Women from every fourth house were interviewed for desired information. Results and Conclusion Of all abortions, 2.17% in Melghat and 24.38 %in Sewagram were IA. Most women who had IA were young and 19% in Melghat region, 2.6% in Sewagram region were illiterate. Majority of Sewagram region, were housewives of low middle class, in Melghat unskilled workers of low economic class. In Melghat region all women reported seeking IA at health facilities,63% Private hospitals (PH), 18.5% Sub centres (SC), 7.4% Medical College (MC), 7.4% District hospital(DH), 3.7% Primary Health Centres (PHCs) and In Sewagram region 58% PH, 23% MC, 6.7% PHCs, 3.9% DH, 3.9% SCs and 3.9% at home. Most women said they had IA for spacing with no contraceptive use or contraceptive failure, poor health, poverty, IA were done medically in 76.2%, surgically 23%. No sex–selective IA were reported and there was no evidence Many women lacked awareness and had misconceptions, more so in Melghat region. In focus group discussions, common reasons for disfavoring IA were personal beliefs (34%), practice restrictions (19%). There was extreme poverty, still PH were used. Lot of awareness is required.


2021 ◽  
Vol 29 (2) ◽  
pp. 94-98
Author(s):  
Marina Baig ◽  
Sadia Abbas Ali ◽  
Kiran Mubeen ◽  
Arusa Lakhani

Unintended pregnancies due to low prevalence of contraceptive use in Pakistan leads to a huge burden of induced abortions. These abortions are a major cause of concern, as a majority of these abortions are performed in an unhygienic environment by untrained providers, leading to maternal morbidities and mortalities. Some of the contributing factors of unsafe abortions are lack of availability of quality services, financial barriers, stigma associated with abortion and lack of awareness about abortion law. Therefore, there is an urgent need to invest on family planning and post-abortion care services through health system strengthening approach. The proposed comprehensive strategy for actions at the individual, facility, community and policy levels can address the issue of unsafe abortion in the country.


2016 ◽  
Vol 136 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Meenakshi Bhilwar ◽  
Panna Lal ◽  
Nandini Sharma ◽  
Preena Bhalla ◽  
Ashok Kumar

2015 ◽  
Vol 25 (1) ◽  
pp. 33-38
Author(s):  
Juozas Raistenskis ◽  
Zdislav Skvarciany ◽  
Romualdas Gurevičius

Declining birth rates, increasing number of diseases and injuries among children, socio-economical change in the situation of the country, as well as other social, health - and economics-related factors are the main reasons for greater interest of scientists in research on the social and health disparities in the counties (municipalities and districts). This paper analyzes the inequalities in first-time recognized children’s disability in counties of Lithuania during the period of 2007-2011. Aim of the study. To analyze incidences of the firsttime recognized children’s disability in Lithuania from 2007 to 2011 and to compare the parameters of the first-time recognized children’s disability incidence in 10 counties, taking into account variability of disability incidence inside the counties. Methods. The study used the data on the initial determination of disability in children, taken from Disability and Working Capacity Assessment Office under the Ministry of Social Security and Labor from 2007-2011. For the usage of further statistical index, the information on the number of citizens was taken from the database of Department of Statistics of the Republic of Lithuania. The indicators were age-standardized using the direct standardization method and the statistical program “WinPepi”. For the variation analysis of country’s regional disparities the One-way ANOVA test was applied. Results. During the analyzed period (2007-2011) in Lithuania some form of disability was found in 10649 children under the age of 18, of whom 6,219 - boys (58,0 percent) and 4,430 - girls (42,0 percent). The largest newly-recognized children’s disability averages in 2007-2011 were found in the region of Šiauliai (43,68 ± 1,70), Panevėžys county (41,55 ± 1,96) and Utena county (41,53 ± 6,27). In boys’ group - Šiauliai county (51,64 ± 1,53), Telšiai county (47,72 ± 10,61), Utena county (46,69 ± 7,83) and Panevėžys county (45,61 ± 2,59). In girls’ group - Panevėžys (37,14 ± 2,31 ), Šiauliai (35,33 ± 2,47), and Utena (36,16 ± 5,11) c o unties. In both girls’ and boys’ groups statistically significant differences (p0.05) in newly recognized children’s disability incidence in the country’s counties were found. Conclusions. The conducted variation analysis of children’s disability at t h e age of 0-17 y.o. in the period of 2007-2011 throughout the country’s counties, revealed inequalities among the counties. The biggest differences in newly determined disability in children in comparison with other counties of the country were found among Šiauliai, Utena, and Panevėžys counties.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249177
Author(s):  
Saradiya Mukherjee ◽  
Bidhubhusan Mahapatra ◽  
Niranjan Saggurti

Introduction Contextual understanding of reasons for non-use of contraceptives is key to devising family planning (FP) strategies. This study aimed to understand the reasons for non-use of contraceptives among women in the context of male out-migration. Methods Focus Group Discussions (FGDs) were conducted in two high male out-migration districts in Bihar, namely Nawada and Gopalganj. Twenty-five FGDs were conducted with currently married women with migrant husbands, currently married men and Accredited Social Health Activists (ASHAs) during April-June 2019. Data were analysed by using a thematic approach through Atlas.ti-6.2. Results The reasons for contraceptive non-use in areas with high male out-migration were complex, as this included barriers to contraceptive use unique to high-migration areas and reasons commonly found in other rural settings. Non-use of contraceptives among women with migrant husbands was mostly driven by lack of contraceptive preparedness before husband’s arrival, inability to procure contraceptives due to inaccessibility to health facilities and stigma to procure when husband was away. Other migration environment related factors included low ASHA outreach, myths and side effects of contraceptives, community fertility norms and poor spousal communications around FP. Conclusion The reasons for non-use of contraceptives are multifaceted, complex and interlinked. Exploration of these reasons in migration context suggest that FP programs in migration affected areas need to address a range of barriers to contraceptive use at multiple levels.


2013 ◽  
Vol 13 (2) ◽  
pp. 142-159
Author(s):  
José jaime Castaño castrillón ◽  
Carlos mario Arias trujillo ◽  
Isabel cristina Carmona serna ◽  
Andrés felipe Castro torres ◽  
Audrey nathalie Ferreira gonzález ◽  
...  

Objetivo: Analizar la funcionalidad familiar, y factores relacionados en un grupo de adolescentes embarazadas que asisten a control prenatal en los centros de atención de ASSBASALUD ESE (Manizales, Colombia). Materiales y métodos:Estudiode corte transversal con una población de 190 adolescentes embarazadas entre los 12 y 21 años, el instrumento utilizado fue una encuesta escrita, anónima, que interrogaba sobre variables sociodemográficas, relación con sus padres, tipo de educación recibida, situaciones conflictivas en la familia y funcionalidad familiar. Resultados: Promedio de edad de 18 años, el 72,1% de la población presentó disfuncionalidad familiar de leve a severa, 46,9% tenían una relación con el padre entre ninguna y regular, 25,3% con la madre, 38,9% presentaban antecedentes de violencia familiar, 25,8% depresión, 23,2% de consumo de alcohol, 36,3% pensaban que no iban a quedar embarazadas, 26,8% deseaban tener hijos, la buena funcionalidad familiar tuvo relación significativa con no empleo de métodos anticonceptivos (p=0,000), alto número de embarazos (p=0,025), alto número de abortos (p=0,007) entre otras. Conclusiones: La población de adolescentes gestantes estudiada tiene características similares a las poblaciones de otras ciudades de Colombia, y otros países. Se demuestra que, como prácticamente en todos los ámbitos del ser humano, en este también la familia es decisiva y determinante en la presencia de embarazo precoz en estas adolescentes. Objective: To examine family functioning and related factors in a group of pregnantadolescents attending prenatal-control care in ASSBASALUD ESE centers (Manizales,Colombia). Materials and Methods: Cross-sectional study with a population of 190pregnant adolescents between 12 and 21 years, the instrument used was a writtensurvey, anonymously, which questioned about sociodemographic variables, relationshipwith parents, type of education, conflict situations in the family and family functioning.Results: Average age 18 years, 72.1% of the population had family dysfunction frommild to severe, 46.9% had none or a moderate relationship with the father and 25.3%with the mother, 38, 9% had a history of family violence, depression 25.8%, 23.2%for alcohol, 36.3% thought they would not get pregnant, 26.8% wanted children. Agood family functioning was significantly related with no presence of family violence(p=0,000), with no pregnancies < 17 years (p=0,020), no use of contraceptive methods(p = 0.000), a high number of pregnancies (p=0,025), no induced abortions (p=0,007),discussions about pregnancies and sexuality with parents (p=0,000). Conclusions: Thestudied population of pregnant teenagers has characteristics similar to the populationsof other cities of Colombia, and other countries. It is demonstrated that, as practicallyin all areas of the human being, in this the family is also crucial and decisive in thepresence of early pregnancy in these adolescents.


2019 ◽  
Vol 2 (2) ◽  
pp. 110-120 ◽  
Author(s):  
Kwangsoo Park ◽  
Jeong-Yeol Park ◽  
Robin M. Back

Purpose The purpose of this paper is to explore the determinants of Marathon event spending by estimated expenditure models. Design/methodology/approach This study analyzes the impact of socio-demographic and travel-context factors on aggregated and disaggregated expenditures by event visitors who participated in the Fargo Marathon in Fargo, North Dakota. Findings The results indicate that event satisfaction does not have an influence on any types of expenditure. As the planning time increases, however, there is a positive effect on total expenditure. First-time visitors are shown to spend more money, especially on food and beverage, lodging and total expenditure. Conversely, the number of past experiences of the event had a negative influence on these expenditure types. Originality/value In addition to travel-related factors and socio-demographic variables, researchers had not examined the influence of repeat visits on travelers’ spending. The originality of this study lies in revealing that repeat visits decrease spending in specific categories, especially in the case of a Marathon event.


Parasitology ◽  
2020 ◽  
Vol 147 (12) ◽  
pp. 1320-1329
Author(s):  
Sónia Rocha ◽  
Luís F. Rangel ◽  
Graça Casal ◽  
Carlos Azevedo ◽  
Pedro Rodrigues ◽  
...  

AbstractFour new actinospore types belonging to the sphaeractinomyxon collective group (Cnidaria, Myxosporea) are described from the coelomic cavity of a marine Baltidrilus sp. (Oligochaeta, Naididae) inhabiting a northern Portuguese estuary. Host identification supports the usage of marine oligochaetes, namely of the family Naididae Ehrenberg, 1828, as definitive hosts for myxosporeans inhabiting estuarine/marine environments. The absence of mixed infections in the host specimens analysed is suggested to reflect the influence of host-, parasite- and environmental-related factors regulating myxosporean–annelid interactions. Molecular analyses matched the SSU rDNA sequences of three of the four new types with those of mugiliform-infecting Myxobolus spp., namely Myxobolus mugiliensis and a Myxobolus sp. from flathead grey mullet Mugil cephalus, and Myxobolus labrosus from thicklip grey mullet Chelon labrosus. These results directly link, for the first time, the sphaeractinomyxon collective group to a myxospore counterpart, further confirming their previously hypothesized specific involvement in the life cycle of myxobolids that infect mullets. Acknowledging this life cycle relationship, the functionality of the sphaeractinomyxon morphotype is suggested to have been decisive for the evolutionary hyperdiversification of the genus Myxobolus in mullets. Unlike other actinospore morphotypes, sphaeractinomyxon lack valvular processes, which implies a limited capability for buoyancy. Considering the benthic-feeding nature of mullets, this feature is most likely crucial in promoting successful transmission to the vertebrate host.


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