IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i9p4446-d541259.html
   My bibliography  Save this article

Repeat Induced Abortion among Chinese Women Seeking Abortion: Two Cross Sectional Studies

Author

Listed:
  • Longmei Tang

    (School of Public Health, Hebei Medical University, Shijiazhuang 050017, China
    Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang 050017, China
    International Centre for Reproductive Health (ICRH), Ghent University, 9000 Ghent, Belgium)

  • Shangchun Wu

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

  • Dianwu Liu

    (School of Public Health, Hebei Medical University, Shijiazhuang 050017, China
    Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang 050017, China)

  • Marleen Temmerman

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

  • Wei-Hong Zhang

    (International Centre for Reproductive Health (ICRH), Ghent University, 9000 Ghent, Belgium)

Abstract

Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [OR adj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [OR adj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (OR adj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IR adj : 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IR adj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4446-:d:541259
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/9/4446/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/9/4446/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Chi Zhang, 2017. "Population in China," Europe-Asia Studies, Taylor & Francis Journals, vol. 69(8), pages 1333-1334, September.
    2. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ordoñez, Pablo J., 2020. "Power Plants, Air Pollution, and Health in Colombia," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304284, Agricultural and Applied Economics Association.
    2. Jia Zhang & Xiaoshu Chen & Shiwei Huang & Yi Wang & Wei Lin & Rui Zhou & He Zou, 2018. "Two-minute walk test: Reference equations for healthy adults in China," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-10, August.
    3. Zhongqiang Bai & Juanle Wang & Mingming Wang & Mengxu Gao & Jiulin Sun, 2018. "Accuracy Assessment of Multi-Source Gridded Population Distribution Datasets in China," Sustainability, MDPI, vol. 10(5), pages 1-15, April.
    4. Zhen Wang & Mingzhi Hu & Yu Zhang & Zhuo Chen, 2022. "Housing Security and Settlement Intentions of Migrants in Urban China," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    5. Yanjun Yang & Rui Xue & Dong Yang, 2020. "Does market segmentation necessarily discourage energy efficiency?," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-19, May.
    6. Yishu, Li, 2019. "A photovoltaic ecosystem: improving atmospheric environment and fighting regional poverty," Technological Forecasting and Social Change, Elsevier, vol. 140(C), pages 69-79.
    7. Wen Liu & Guosheng Han & Xiangzi Yan & Xuan Zhang & Guangjie Ning & Armigon Ravshanovich Akhmedov & William Cannon Hunter, 2021. "The Impact of Mental Health Status on Health Consumption of the Elderly in China," IJERPH, MDPI, vol. 18(12), pages 1-17, June.
    8. Huimin Du & Jing Song & Si-ming Li, 2021. "‘Peasants are peasants’: Prejudice against displaced villagers in newly-built urban neighbourhoods in China," Urban Studies, Urban Studies Journal Limited, vol. 58(8), pages 1598-1614, June.
    9. Luyao Wang & Hong Fan & Yankun Wang, 2018. "Estimation of consumption potentiality using VIIRS night-time light data," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-19, October.
    10. Pengyu Chen & Guanglin He & Xing Zou & Mengge Wang & Fuquan Jia & Huiru Bai & Jida Li & Jian Yu & Yanyan Han, 2018. "Forensic characterization and genetic polymorphisms of 19 X-chromosomal STRs in 1344 Han Chinese individuals and comprehensive population relationship analyses among 20 Chinese groups," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-21, September.
    11. Ling Zhang & Xiaodong Tan, 2021. "Educational Assortative Mating and Health: A Study in Chinese Internal Migrants," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    12. Bin Du & Ying Wang & Jiaxin He & Wai Li & Xiaohong Chen, 2021. "Spatio-Temporal Characteristics and Obstacle Factors of the Urban-Rural Integration of China’s Shrinking Cities in the Context of Sustainable Development," Sustainability, MDPI, vol. 13(8), pages 1-16, April.
    13. Dianxi Wang & Yufeng Zhao, 2021. "A potential new pattern of pathway to adulthood is emerging in China," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 44(42), pages 1023-1056.
    14. JIANG, Qijun & FLORKOWSKI, Wojciech Jan, 2021. "Factors Limiting Quality Assurance Program Implementation In Food Manufacturing Companies In Shanghai, China," Review of Agricultural and Applied Economics (RAAE), Faculty of Economics and Management, Slovak Agricultural University in Nitra, vol. 24(1), March.
    15. Jinjing Wu & Shelby Deaton & Boshen Jiao & Zohn Rosen & Peter A Muennig, 2018. "The cost-effectiveness analysis of the New Rural Cooperative Medical Scheme in China," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-13, December.
    16. Xin Lao & Hengyu Gu, 2020. "Unveiling various spatial patterns of determinants of hukou transfer intentions in China: A multi‐scale geographically weighted regression approach," Growth and Change, Wiley Blackwell, vol. 51(4), pages 1860-1876, December.
    17. Youliang Jin & Chen Cheng & Huixiang Zeng, 2020. "Is evil rewarded with evil? The market penalty effect of corporate environmentally irresponsible events," Business Strategy and the Environment, Wiley Blackwell, vol. 29(3), pages 846-871, March.
    18. Zhishan Ma & Susu Zhang & Sidong Zhao, 2021. "Study on the Spatial Pattern of Migration Population in Egypt and Its Flow Field Characteristics from the Perspective of “Source-Flow-Sink”," Sustainability, MDPI, vol. 13(1), pages 1-27, January.
    19. Jin Liu & Bingdong Hou & Xiao-Wei Ma & Hua Liao, 2018. "Solid fuel use for cooking and its health effects on the elderly in rural China," CEEP-BIT Working Papers 111, Center for Energy and Environmental Policy Research (CEEP), Beijing Institute of Technology.
    20. Jaqueson K. Galimberti, 2020. "Forecasting GDP Growth from Outer Space," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 82(4), pages 697-722, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4446-:d:541259. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.