Association of socioeconomic status with unintended pregnancy and induced abortion in married couples: An analysis of the 2021 national survey data in Japan

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2024-10-06 DOI:10.1016/j.cegh.2024.101814

Tasuku Okui

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引用次数: 0

Abstract

Background

An association of the major indicators of socioeconomic status with unintended pregnancy and induced abortion in married couples has not been investigated in Japan, and we investigated it using recent nationwide survey data in Japan.

Methods

Data from the National Fertility Survey in 2021 in Japan, which evaluated the outcomes and intentions of previous pregnancies in married couples, were used. Number of unintended pregnancies, induced abortions, and unintended pregnancies ending in induced abortion was used as outcomes, and the number of unintended pregnancies ending in induced abortion was analyzed among couples who experienced an unintended pregnancy. Associations with current educational attainment, employment status, and household income were investigated using Poisson regression analysis. A complete-case analysis was conducted for dealing with missing data, as well as an analysis using multiple imputation.

Results

The average number of unintended pregnancy and induced abortion per pregnancy of junior high school graduates was the highest among educational attainments of wives and husbands. The adjusted regression analysis showed that junior high school graduate in husbands was significantly associated with higher number of unintended pregnancies and induced abortions, regardless of the missing data analysis methods. In addition, high school or training school graduate in husbands was significantly associated with higher number of induced abortions. A significant association between socioeconomic status and the unintended pregnancy ending in induced abortion was not observed.

Conclusion

This study showed that a lower educational attainment in husband was associated with higher number of unintended pregnancies and induced abortions in Japan.

查看原文本刊更多论文

社会经济地位与已婚夫妇意外怀孕和人工流产的关系：日本 2021 年全国调查数据分析

背景日本尚未研究过社会经济地位的主要指标与已婚夫妇意外怀孕和人工流产的关系，我们利用日本最近的全国性调查数据进行了研究。方法我们使用了2021年日本全国生育率调查的数据，该调查评估了已婚夫妇之前怀孕的结果和意向。意外怀孕次数、人工流产次数和以人工流产告终的意外怀孕次数作为结果，以人工流产告终的意外怀孕次数在经历过意外怀孕的夫妇中进行分析。使用泊松回归分析法调查了与当前教育程度、就业状况和家庭收入的关系。结果在妻子和丈夫的教育程度中，初中毕业生意外怀孕和人工流产的平均次数最高。调整后的回归分析显示，无论采用哪种缺失数据分析方法，丈夫的初中毕业学历都与较高的意外怀孕和人工流产次数显著相关。此外，高中或培训学校毕业的丈夫与人工流产次数较多也有明显关系。结论本研究表明，在日本，丈夫的教育程度越低，意外怀孕和人工流产的数量就越高。

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

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.