Identifying Profiles of Support for Legal Abortion Services in Zambia: A Latent Class Analysis.

IF 1.9 3区医学 Q2 DEMOGRAPHY

Studies in Family Planning Pub Date : 2024-03-01 Epub Date: 2024-02-13 DOI:10.1111/sifp.12257

Joseph G Rosen, Michael T Mbizvo, Nachela Chelwa, Lyson Phiri, Jenny A Cresswell, Veronique Filippi, Nkomba Kayeyi

{"title":"Identifying Profiles of Support for Legal Abortion Services in Zambia: A Latent Class Analysis.","authors":"Joseph G Rosen, Michael T Mbizvo, Nachela Chelwa, Lyson Phiri, Jenny A Cresswell, Veronique Filippi, Nkomba Kayeyi","doi":"10.1111/sifp.12257","DOIUrl":null,"url":null,"abstract":"<p><p>Relative to neighboring countries, Zambia has among the most progressive abortion policies, but numerous sociopolitical constraints inhibit knowledge of pregnancy termination rights and access to safe abortion services. Multistage cluster sampling was used to randomly select 1,486 women aged 15-44 years from households in three provinces. We used latent class analysis (LCA) to partition women into discrete groups based on patterns of endorsed support for legalized abortion on six socioeconomic and health conditions. Predictors of probabilistic membership in latent profiles of support for legal abortion services were identified through mixture modeling. A three-class solution of support patterns for legal abortion services emerged from LCA: (1) legal abortion opponents (∼58 percent) opposed legal abortion across scenarios; (2) legal abortion advocates (∼23 percent) universally endorsed legal protections for abortion care; and (3) conditional supporters of legal abortion (∼19 percent) only supported legal abortion in circumstances where the pregnancy threatened the fetus or mother. Advocates and Conditional supporters reported higher exposure to family planning messages compared to opponents. Relative to opponents, advocates were more educated, and Conditional supporters were wealthier. Findings reveal that attitudes towards abortion in Zambia are not monolithic, but women with access to financial/social assets exhibited more receptive attitudes towards legal abortion.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"45-59"},"PeriodicalIF":1.9000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10960669/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Studies in Family Planning","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/sifp.12257","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/13 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"DEMOGRAPHY","Score":null,"Total":0}

引用次数: 0

Abstract

Relative to neighboring countries, Zambia has among the most progressive abortion policies, but numerous sociopolitical constraints inhibit knowledge of pregnancy termination rights and access to safe abortion services. Multistage cluster sampling was used to randomly select 1,486 women aged 15-44 years from households in three provinces. We used latent class analysis (LCA) to partition women into discrete groups based on patterns of endorsed support for legalized abortion on six socioeconomic and health conditions. Predictors of probabilistic membership in latent profiles of support for legal abortion services were identified through mixture modeling. A three-class solution of support patterns for legal abortion services emerged from LCA: (1) legal abortion opponents (∼58 percent) opposed legal abortion across scenarios; (2) legal abortion advocates (∼23 percent) universally endorsed legal protections for abortion care; and (3) conditional supporters of legal abortion (∼19 percent) only supported legal abortion in circumstances where the pregnancy threatened the fetus or mother. Advocates and Conditional supporters reported higher exposure to family planning messages compared to opponents. Relative to opponents, advocates were more educated, and Conditional supporters were wealthier. Findings reveal that attitudes towards abortion in Zambia are not monolithic, but women with access to financial/social assets exhibited more receptive attitudes towards legal abortion.

查看原文本刊更多论文

识别赞比亚合法堕胎服务的支持特征：潜类分析。

与邻国相比，赞比亚的堕胎政策最为进步，但众多社会政治限制因素阻碍了人们对终止妊娠权利的了解和安全堕胎服务的获得。我们采用多阶段聚类抽样法从三个省的家庭中随机抽取了 1486 名 15-44 岁的女性。我们采用潜类分析法（LCA），根据六项社会经济和健康条件对合法堕胎的认可支持模式，将妇女划分为不同的群体。通过混合建模，确定了支持合法堕胎服务的潜在特征中的概率成员预测因素。从 LCA 中得出了合法堕胎服务支持模式的三类解决方案：（1）合法堕胎反对者（58%）在各种情况下都反对合法堕胎；（2）合法堕胎倡导者（23%）普遍支持堕胎护理的法律保护；（3）合法堕胎有条件支持者（19%）仅在怀孕威胁到胎儿或母亲的情况下支持合法堕胎。与反对者相比，倡导者和有条件支持者表示接触过更多的计划生育信息。与反对者相比，支持者受教育程度更高，有条件支持者更富有。研究结果表明，在赞比亚，人们对堕胎的态度并不是一成不变的，但拥有经济/社会资产的妇女对合法堕胎表现出更容易接受的态度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Studies in Family Planning Multiple-

CiteScore

4.00

自引率

9.50%

发文量

期刊介绍： Studies in Family Planning publishes public health, social science, and biomedical research concerning sexual and reproductive health, fertility, and family planning, with a primary focus on developing countries. Each issue contains original research articles, reports, a commentary, book reviews, and a data section with findings for individual countries from the Demographic and Health Surveys.