The Prevalence of Induced Abortion and Its Causes in Iran: A Systematic Review and Meta-Analysis Study

IF 2.5 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2026-03-02 Epub Date: 2025-12-05 DOI:10.1002/hpm.70047

Maedeh Sharafoddin, Azam Bazrafshan, Maryam Azimzadeh, Neda Malek Mohammadi, Maryam Chegeni, Leili Abedi Gheshlaghi, Ali Reza Moghadami, Shirin Nasri, Nahid Bagheri, Mahdiyeh Hassanzadeh, Mahdiyeh Afrashteh

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引用次数: 0

Abstract

Introduction

Abortion is one of the major public health problems among women during pregnancy and is regarded as the third cause of death in many societies such as Iran. To this end, this systematic review aimed to estimate the prevalence of induced abortion and its causes in Iran.

Methods

PubMed, Scopus, Web of Science, and national Persian databases such as SID, Magiran, and Elmnet were searched from inception to March 11, 2023. In addition, the relevant conference abstracts in Elmnet, Scopus, and Embase were searched. The pooled prevalence of abortions (induced, spontaneous, and therapeutic) and related factors were calculated at a 95% confidence interval.

Results

Of 310 papers retrieved from seven electronic databases, 34 were included in the quantitative synthesis (meta-analysis). The pooled prevalence of abortion 18.1% (95% CI: 14.5%–21.7%). The prevalence of induced abortion was 27.4% in the central areas of Iran. A short preceding birth interval, economic hardship situation, adequate number of previous alive children, low level of education, academic education, younger parents, maternal occupation, older age (> 35), and low knowledge about contraceptive use were the most frequent reasons for induced abortion.

Conclusion

The prevalence of induced abortion was 18%, showing a high rate for a religious country. Thus, policies and programs to reduce unwanted pregnancies should focus on increasing women's knowledge and access to suitable contraceptives, especially for women with a low socio-economic status.

查看原文本刊更多论文

伊朗人工流产的患病率及其原因：一项系统回顾和荟萃分析研究。

导言：堕胎是怀孕期间妇女面临的主要公共卫生问题之一，在伊朗等许多社会被视为第三大死因。为此，本系统综述旨在估计伊朗人工流产的患病率及其原因。方法：检索PubMed、Scopus、Web of Science以及SID、Magiran、Elmnet等国家波斯语数据库，检索时间为建库至2023年3月11日。检索Elmnet、Scopus、Embase中相关会议摘要。以95%置信区间计算人工流产、自然流产和治疗流产的总发生率及相关因素。结果：从7个电子数据库中检索到310篇论文，34篇被纳入定量综合（meta分析）。流产总发生率为18.1% （95% CI: 14.5%-21.7%）。伊朗中部地区人工流产率为27.4%。产前间隔时间短、经济困难、以前活产儿数量充足、受教育程度低、学历教育程度高、父母年龄小、母亲职业、年龄较大（35岁以下）和避孕药具使用知识低是人工流产最常见的原因。结论：人工流产率为18%，在一个宗教国家中，人工流产率很高。因此，减少意外怀孕的政策和方案应侧重于增加妇女的知识和获得适当避孕药具的机会，特别是对社会经济地位较低的妇女。

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

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.