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Is Repeat Abortion a Public Health Problem among Chinese Adolescents? A Cross-Sectional Survey in 30 Provinces

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Listed:
  • Jinlin Liu

    (Department of Public Health and Primary Care, International Centre for Reproductive Health (ICRH), Ghent University, 9000 Ghent, Belgium
    School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

  • Shangchun Wu

    (The National Research Institute for Family Planning (NRIFP), Beijing 100081, China)

  • Jialin Xu

    (Chengde Nursing Vocational College, Chengde 067000, China)

  • Marleen Temmerman

    (Department of Public Health and Primary Care, International Centre for Reproductive Health (ICRH), Ghent University, 9000 Ghent, Belgium
    The Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi 00100, Kenya)

  • Wei-Hong Zhang

    (Department of Public Health and Primary Care, International Centre for Reproductive Health (ICRH), Ghent University, 9000 Ghent, Belgium
    Research Laboratory for Human Reproduction, Faculty of Medicine, School of Public Health Université Libre de Bruxelles (ULB), 1070 Brussels, Belgium
    Research Centre for Public Health, Tsinghua University, Beijing 100084, China)

  • The INPAC Group

    (The INPAC Group, International Centre for Reproductive health (ICRH), Ghent University, 9000 Ghent, Belgium)

Abstract

The Chinese Family Planning (FP) programme mainly focuses on married couples, and young unmarried women have limited access. This cross-sectional study aims to identify risk factors related to repeat abortions in Chinese adolescents receiving abortions. Data were collected using a questionnaire for all women seeking abortions within 12 weeks of pregnancy during a period of 2 months in 297 participating hospitals randomly selected across 30 provinces of China in 2013. Only the adolescents (younger than the minimum legal married age of 20 years) were included in this study. Of the 2370 adolescents who were receiving abortions, 927 (39%) were undergoing repeat abortions. The primary reason for the current unintended pregnancies was non-use of contraception (68%). Adolescents receiving abortions who had an increased risk of repeat abortions were those who had children (OR 2.57, 95% CI 1.80–3.67), those who resided in a middle-developed region (OR 1.81, 95% CI 1.30–2.50), those who resided in a relatively poor region (OR 2.40, 95% CI 1.78–3.23), and those who had used contraception during the 6 months preceding the survey (OR 1.38, 95% CI 1.12–1.71 for condom use). The occupation as a student was a protective factor for adolescents (OR 0.64, 95% CI 0.50–0.83). Adolescents should be offered equal access to FP to that of married women in China to reduce unintended pregnancies and repeat abortions. Correct and consistent contraception practice should be promoted.

Suggested Citation

  • Jinlin Liu & Shangchun Wu & Jialin Xu & Marleen Temmerman & Wei-Hong Zhang & The INPAC Group, 2019. "Is Repeat Abortion a Public Health Problem among Chinese Adolescents? A Cross-Sectional Survey in 30 Provinces," IJERPH, MDPI, vol. 16(5), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:794-:d:210959
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    References listed on IDEAS

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    1. Chi Zhang, 2017. "Population in China," Europe-Asia Studies, Taylor & Francis Journals, vol. 69(8), pages 1333-1334, September.
    2. Jon Øyvind Odland, 2018. "Teenage Reproductive Health: Pregnancy, Contraception, Unsafe Abortion, Fertility," IJERPH, MDPI, vol. 15(6), pages 1-4, June.
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    Cited by:

    1. Longmei Tang & Shangchun Wu & Dianwu Liu & Marleen Temmerman & Wei-Hong Zhang, 2021. "Repeat Induced Abortion among Chinese Women Seeking Abortion: Two Cross Sectional Studies," IJERPH, MDPI, vol. 18(9), pages 1-11, April.

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