Women's decision-making related to induced abortion - a cross sectional study during a period of Covid-19 pandemic, in Sweden.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-02-01 DOI:10.1080/13625187.2022.2150047

M Makenzius, C Obern, T Tydén, M Larsson, K Gemzell-Danielsson, I Sundström-Poromaa, M Ekstrand Ragnar

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引用次数: 2

Abstract

Objectives: To investigate women's decision-making on induced abortion.

Materials and methods: A multi-centre cross-sectional survey among 623 abortion-seeking women in Sweden (2021). The perceived difficulty to decide on abortion was measured using a 7-point Likert scale, and analysed with univariate and multivariate analysis (odds ratios [OR], 95% confidence intervals [CI]).

Results: About half (n = 322;52%) scored 1-4, suggesting the decision was perceived as easier compared to those (n = 292;48%) who scored 5-7. Reasons for the abortion were: poor economy (n = 166;27%), too early in the relationship (n = 154;25.1%), want to work first (n = 147;23.9%), want to study first (n = 132;21.5%), uncertain about the relationship (104;16.9%), and too young (n = 104;16.9%). Predictors for perceiving the decision as difficult: partner's hesitance (OR = 3.18, CI:1.76-5.73), being born outside the Nordic countries (OR = 2.23, CI:1.28-3.87), having discussed the decision with someone (OR = 2.42, CI:1.67-3.50), age ≥30 (OR = 2.22, CI:1.03-4.76), the Covid-19 pandemic (OR = 2.08, CI:1.20-3.59), and the desire to have children in the future (OR = 1.96, CI:1.18-3.28). After confirmed pregnancy, poor mental well-being was more common among those who scored 5-7 (n = 140;47.9%) compared to those who scored 1-4 (n = 122;37.9), p = .029.

Conclusion: Women's decision-making on abortion is complex; in times of crises, the decision procedure may be even more difficult. This valuable knowledge could be used to improve and promote satisfactory counselling beyond medical routines.

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妇女与人工流产相关的决策——瑞典Covid-19大流行期间的横断面研究

目的:探讨妇女对人工流产的决策。材料和方法:对瑞典623名寻求堕胎的妇女进行多中心横断面调查(2021年)。采用7点李克特量表测量决定堕胎的感知困难程度，并采用单因素和多因素分析(优势比[OR]， 95%可信区间[CI])进行分析。结果:大约一半(n = 322, 52%)得分为1-4分，这表明与得分为5-7分的人(n = 292, 48%)相比，他们更容易做出决定。流产的原因为经济条件差(n = 166;27%)、结婚太早(n = 154;25.1%)、先工作(n = 147;23.9%)、先学习(n = 132;21.5%)、对婚姻关系不确定(n = 104;16.9%)、太年轻(n = 104;16.9%)。预测因子的感知决定困难:伴侣的犹豫(或= 3.18,CI: 1.76 - -5.73),出生在北欧国家(或= 2.23,CI: 1.28 - -3.87),讨论了决定和某人(或= 2.42,CI: 1.67 - -3.50),年龄≥30岁(或= 2.22,CI: 1.03 - -4.76), Covid-19大流行(或= 2.08,CI: 1.20 - -3.59),和渴望将来有孩子(或= 1.96,置信区间:1.18—-3.28)。在确认怀孕后，与得分为1-4分的女性(n = 122;37.9)相比，得分为5-7分的女性(n = 140;47.9%)的心理健康状况较差，p = 0.029。结论:妇女堕胎决策复杂;在危机时期，决策程序可能更加困难。这些宝贵的知识可用于改进和促进医疗常规之外的令人满意的咨询。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.