Characteristics of women undergoing induced abortion: cross-sectional survey in 30 provinces in China
ESC Congress Library. Zhang W. 05/28/14; 50438; A-020 Disclosure(s): INPAC is a collaborative research project funded by European Commission (EC) under the Seventh Framework Programme (FP7). This project will run from 2012 to 2016. INPAC consortium: - International Centre for Reproductive Health (ICRH), Ghent University, Belgium; - Chinese Society for Family Planning - Chinese Medical Association (CSFP-CMA); - Fudan University (FU), China; - National Research Institute for Family Planning (NRIFP), China; - Sichuan University (SCU), China; - Aarhus University - Danish Epidemiology School Centre (AU-DESC), Denmark; - Liverpool School of Tropical Medicine (LSTM), UK.
Prof. Dr. Wei-Hong Zhang
Prof. Dr. Wei-Hong Zhang
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Abstract
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Objectives:


Galloping economic growth and reform in China over the past 30 years has led to dramatic social changes. Attitudes towards sex and sexual behaviour have changed, and premarital sex has become more acceptable. The methods of contraception have changed, while the use of highly effective or long acting contraceptive methods tends to decrease, especially in the urban area. The current National Family Planning Programme targets married couples only and young and unmarried people have little access to information or advice about contraception.  Abortion is commonly used to end unintended pregnancy. This study aimed to examine the characteristics of women who had induced abortions in 30 provinces in China.


Methods


The data were collected as the first component of the project: Integrating Post-Abortion Family Planning services into China's existing abortion services in hospital settings (INPAC), supported by the 7th European Union (EU) Research and Development Framework Programme.  This study has been conducted in 295 randomly selected hospitals across 30 provinces in China, between April and August 2013.  Data were collected using a questionnaire filled by the abortion service providers for all women seeking abortion within 12 weeks of pregnancy during a period of two months; the information included self-reported demographic & economic characteristics, history of induced abortion and practices regarding contraception.


Results


Of those 79,174 participants, the mean age was 28, 9 years (SD, 1, 7; range 13-58). The rate of repeated induced abortions were high among participants, 27134 (34, 6%) were undergoing a first induced abortion, 28637 (36,5%) a second abortion, and 22682 (28,9%) a third or subsequent abortion. One third of participants (31, 4%) were unmarried and more than half (61%) were not local residents. Near half of participants (49,7%)  has completed junior or senior middle school, 46,3% had a college or higher levels education, only 3,9% of  women had primary or less education.  The primary reasons for the current unintended pregnancy were contraception failure (50,3%) and non-use of contraception ( 44,4%) respectively.


Conclusions


This study is the first nationwide large-scale investigation related to abortion services and was carried out in 30 provinces in China. The repeated induced abortion rate was high and unintended pregnancy was mainly due to contraception failure and non-use of contraception. The INPAC PMT: Belgium: Marleen Temmerman, Wei-Hong Zhang;  China: Jian Li,  Xu Qian;  Shangchun Wu; Lina Hu; Denmark: Jørn Olsen; United Kingdom: Rachel Tolhurst.

 


Objectives:


Galloping economic growth and reform in China over the past 30 years has led to dramatic social changes. Attitudes towards sex and sexual behaviour have changed, and premarital sex has become more acceptable. The methods of contraception have changed, while the use of highly effective or long acting contraceptive methods tends to decrease, especially in the urban area. The current National Family Planning Programme targets married couples only and young and unmarried people have little access to information or advice about contraception.  Abortion is commonly used to end unintended pregnancy. This study aimed to examine the characteristics of women who had induced abortions in 30 provinces in China.


Methods


The data were collected as the first component of the project: Integrating Post-Abortion Family Planning services into China's existing abortion services in hospital settings (INPAC), supported by the 7th European Union (EU) Research and Development Framework Programme.  This study has been conducted in 295 randomly selected hospitals across 30 provinces in China, between April and August 2013.  Data were collected using a questionnaire filled by the abortion service providers for all women seeking abortion within 12 weeks of pregnancy during a period of two months; the information included self-reported demographic & economic characteristics, history of induced abortion and practices regarding contraception.


Results


Of those 79,174 participants, the mean age was 28, 9 years (SD, 1, 7; range 13-58). The rate of repeated induced abortions were high among participants, 27134 (34, 6%) were undergoing a first induced abortion, 28637 (36,5%) a second abortion, and 22682 (28,9%) a third or subsequent abortion. One third of participants (31, 4%) were unmarried and more than half (61%) were not local residents. Near half of participants (49,7%)  has completed junior or senior middle school, 46,3% had a college or higher levels education, only 3,9% of  women had primary or less education.  The primary reasons for the current unintended pregnancy were contraception failure (50,3%) and non-use of contraception ( 44,4%) respectively.


Conclusions


This study is the first nationwide large-scale investigation related to abortion services and was carried out in 30 provinces in China. The repeated induced abortion rate was high and unintended pregnancy was mainly due to contraception failure and non-use of contraception. The INPAC PMT: Belgium: Marleen Temmerman, Wei-Hong Zhang;  China: Jian Li,  Xu Qian;  Shangchun Wu; Lina Hu; Denmark: Jørn Olsen; United Kingdom: Rachel Tolhurst.

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