{"title":"多次人工流产——瑞典多中心横断面研究对咨询和避孕服务的影响。","authors":"Cerisa Obern, Maria Ekstrand Ragnar, Tanja Tydén, Margareta Larsson, Jenny Niemeyer Hultstrand, Kristina Gemzell-Danielsson, Inger Sundström-Poromaa, Marlene Makenzius","doi":"10.1080/13625187.2023.2178257","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To investigate factors associated with multiple induced abortions.</p><p><strong>Materials and methods: </strong>A multi-centre cross-sectional survey among abortion-seeking women (<i>n</i> = 623;14-47y) in Sweden, 2021. 'Multiple abortions' was defined as having had ≥2 induced abortions. This group was compared to women with a previous experience of 0-1 induced abortion. Regression analysis was conducted to determine independent factors associated with multiple abortions.</p><p><strong>Results: </strong>67.4% (<i>n</i> = 420) reported previous experience of 0-1 abortion, and 25.8% (<i>n</i> = 161) ≥2 abortions (42 women chose to not respond). Several factors were associated with multiple abortions, but when adjusted in the regression model, the following factors remained; parity ≥1 (OR = 2.96, 95%CI [1.63, 5.39]), low education (OR = 2.40, 95%CI [1.40, 4.09]), tobacco use (OR = 2.50, 95%CI [1.54, 4.07]) and exposure to violence over the last year (OR = 2.37, 95%CI [1.06, 5.29]). More women in the group who had 0-1 abortion (<i>n</i> = 109/420) believed they could not become pregnant at the time of conception, compared to women who had ≥2 abortions (<i>n</i> = 27/161), <i>p</i>=.038. Mood swings, as a contraceptive side-effect, were more often reported among women with ≥2 abortions (<i>n</i> = 65/161), compared to those with 0-1 abortion (<i>n</i> = 131/420), <i>p</i>=.034.</p><p><strong>Conclusion: </strong>Multiple abortions is associated with vulnerability. Sweden provides high quality and accessible comprehensive abortion care; however, counselling must be improved both to achieve contraceptive adherence and identify and address domestic violence.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Multiple induced abortions - implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden.\",\"authors\":\"Cerisa Obern, Maria Ekstrand Ragnar, Tanja Tydén, Margareta Larsson, Jenny Niemeyer Hultstrand, Kristina Gemzell-Danielsson, Inger Sundström-Poromaa, Marlene Makenzius\",\"doi\":\"10.1080/13625187.2023.2178257\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To investigate factors associated with multiple induced abortions.</p><p><strong>Materials and methods: </strong>A multi-centre cross-sectional survey among abortion-seeking women (<i>n</i> = 623;14-47y) in Sweden, 2021. 'Multiple abortions' was defined as having had ≥2 induced abortions. This group was compared to women with a previous experience of 0-1 induced abortion. Regression analysis was conducted to determine independent factors associated with multiple abortions.</p><p><strong>Results: </strong>67.4% (<i>n</i> = 420) reported previous experience of 0-1 abortion, and 25.8% (<i>n</i> = 161) ≥2 abortions (42 women chose to not respond). Several factors were associated with multiple abortions, but when adjusted in the regression model, the following factors remained; parity ≥1 (OR = 2.96, 95%CI [1.63, 5.39]), low education (OR = 2.40, 95%CI [1.40, 4.09]), tobacco use (OR = 2.50, 95%CI [1.54, 4.07]) and exposure to violence over the last year (OR = 2.37, 95%CI [1.06, 5.29]). More women in the group who had 0-1 abortion (<i>n</i> = 109/420) believed they could not become pregnant at the time of conception, compared to women who had ≥2 abortions (<i>n</i> = 27/161), <i>p</i>=.038. Mood swings, as a contraceptive side-effect, were more often reported among women with ≥2 abortions (<i>n</i> = 65/161), compared to those with 0-1 abortion (<i>n</i> = 131/420), <i>p</i>=.034.</p><p><strong>Conclusion: </strong>Multiple abortions is associated with vulnerability. Sweden provides high quality and accessible comprehensive abortion care; however, counselling must be improved both to achieve contraceptive adherence and identify and address domestic violence.</p>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13625187.2023.2178257\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13625187.2023.2178257","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
Multiple induced abortions - implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden.
Objectives: To investigate factors associated with multiple induced abortions.
Materials and methods: A multi-centre cross-sectional survey among abortion-seeking women (n = 623;14-47y) in Sweden, 2021. 'Multiple abortions' was defined as having had ≥2 induced abortions. This group was compared to women with a previous experience of 0-1 induced abortion. Regression analysis was conducted to determine independent factors associated with multiple abortions.
Results: 67.4% (n = 420) reported previous experience of 0-1 abortion, and 25.8% (n = 161) ≥2 abortions (42 women chose to not respond). Several factors were associated with multiple abortions, but when adjusted in the regression model, the following factors remained; parity ≥1 (OR = 2.96, 95%CI [1.63, 5.39]), low education (OR = 2.40, 95%CI [1.40, 4.09]), tobacco use (OR = 2.50, 95%CI [1.54, 4.07]) and exposure to violence over the last year (OR = 2.37, 95%CI [1.06, 5.29]). More women in the group who had 0-1 abortion (n = 109/420) believed they could not become pregnant at the time of conception, compared to women who had ≥2 abortions (n = 27/161), p=.038. Mood swings, as a contraceptive side-effect, were more often reported among women with ≥2 abortions (n = 65/161), compared to those with 0-1 abortion (n = 131/420), p=.034.
Conclusion: Multiple abortions is associated with vulnerability. Sweden provides high quality and accessible comprehensive abortion care; however, counselling must be improved both to achieve contraceptive adherence and identify and address domestic violence.
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.
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