Prevalence and determinants of induced abortion among women migrant workers in an industrial zone in Vietnam: A cross-sectional study.

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Toan Ha, Thien Quy Pham, Nam Nguyen, Roman Shrestha, Stephen L Schensul
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引用次数: 0

Abstract

Migrant women workers in Vietnam face significant barriers in accessing subsidized sexual and reproductive health services, as these are frequently linked to their official residence status. This lack of access increases their vulnerability to unintended pregnancies and unsafe induced abortions due to limited availability of contraception. This study examined the prevalence of induced abortion and associated factors among sexually active women migrant workers working in the industrial zones (IZs) in Vietnam. A cross-sectional study was conducted from January 2019 to November 2020 among 512 sexually active female migrant workers aged 18 to 29 living in rent clusters and dormitories in Thang Long Industrial Park, Hanoi, Vietnam. The primary outcome was self-reported induced abortion. Multivariable logistic regression identified factors associated with induced abortion. Participants had a mean age of 24.8 years; 42.0% were single, and 85.4% lived in rent clusters. Among 512 sexually active female migrant workers, 10.5% reported having had an induced abortion. Compared to single women, married women had significantly higher odds of abortion (adjusted odds ratio [aOR] = 8.13, 95% confidence interval [CI]: 2.44-27.05). Longer duration since first sexual intercourse (aOR = 1.30, 95% CI: 1.12-1.52), and lower monthly income (aOR = 0.994, 95% CI: 0.99-1.00) were also associated with abortion. In addition, belonging to a non-Kinh ethnic group was associated with lower odds of abortion (aOR = 0.32, 95% CI: 0.16-0.62). This study reveals significant reproductive health challenges, including a high prevalence of abortion, among sexually active women migrant workers in a Vietnamese IZ, particularly for married women. These findings underscore the urgent need for targeted interventions such as accessible contraception, extending service hours into evenings or weekends, offering mobile sexual and reproductive health services near IZs, culturally sensitive comprehensive education, and programs addressing gender inequities to reduce unintended pregnancies and lower abortion rates. For routine practice, prioritize accessible contraception and culturally sensitive sexuality education in Vietnamese IZs. In addition, stronger monitoring and enforcement of regulations for private clinics are needed to ensure the safety and quality of abortion services. Future research should investigate contraceptive use, cohabitation dynamics, and unsafe abortion rates within this population to inform more effective interventions.

越南某工业区女工人工流产的患病率和决定因素:一项横断面研究。
越南的移徙女工在获得补贴的性健康和生殖健康服务方面面临重大障碍,因为这些服务往往与她们的正式居留身份有关。由于避孕手段有限,这种缺乏渠道的情况使她们更容易遭受意外怀孕和不安全人工流产。本研究调查了在越南工业区(IZs)工作的性活跃女工中人工流产的患病率及其相关因素。本研究于2019年1月至2020年11月对越南河内市上隆工业园区512名年龄在18岁至29岁的性活跃女性农民工进行了横断面研究。主要结局是自我报告的人工流产。多变量logistic回归确定了与人工流产相关的因素。参与者的平均年龄为24.8岁;42.0%的人是单身,85.4%的人住在租房区。在512名性活跃的女性农民工中,10.5%的人报告有过人工流产。已婚妇女的流产率明显高于单身妇女(调整优势比[aOR] = 8.13, 95%可信区间[CI]: 2.44-27.05)。距第一次性交时间较长(aOR = 1.30, 95% CI: 1.12-1.52)和月收入较低(aOR = 0.994, 95% CI: 0.99-1.00)也与流产有关。此外,属于非京族族群与流产几率较低相关(aOR = 0.32, 95% CI: 0.16-0.62)。这项研究揭示了越南工业区性活跃的移徙女工,特别是已婚妇女面临的重大生殖健康挑战,包括堕胎率很高。这些发现强调了有针对性的干预措施的迫切需要,如可获得的避孕措施,将服务时间延长到晚上或周末,在工业区附近提供流动性健康和生殖健康服务,文化敏感的综合教育,以及解决性别不平等问题的方案,以减少意外怀孕和降低堕胎率。对于常规做法,优先考虑在越南IZs获得避孕和文化敏感的性教育。此外,需要加强对私人诊所法规的监测和执行,以确保堕胎服务的安全和质量。未来的研究应该调查这一人群的避孕使用、同居动态和不安全堕胎率,以提供更有效的干预措施。
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
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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