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Women's Risk of Repeat Abortions Is Strongly Associated with Alcohol Consumption: A Longitudinal Analysis of a Russian National Panel Study, 1994–2009

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  • Katherine Keenan
  • Emily Grundy
  • Michael G Kenward
  • David A Leon

Abstract

Abortion rates in Russia, particularly repeat abortions, are among the highest in the world, and abortion complications make a substantial contribution to the country's high maternal mortality rate. Russia also has a very high rate of hazardous alcohol use. However, the association between alcohol use and abortion in Russia remains unexplored. We investigated the longitudinal predictors of first and repeat abortion, focussing on women's alcohol use as a risk factor. Follow-up data from 2,623 women of reproductive age (16–44 years) was extracted from 14 waves of the Russian Longitudinal Monitoring Survey (RLMS), a nationally representative panel study covering the period 1994–2009. We used discrete time hazard models to estimate the probability of having a first and repeat abortion by social, demographic and health characteristics at the preceding study wave. Having a first abortion was associated with demographic factors such as age and parity, whereas repeat abortions were associated with low education and alcohol use. After adjustment for demographic and socioeconomic factors, the risk of having a repeat abortion increased significantly as women's drinking frequency increased (P

Suggested Citation

  • Katherine Keenan & Emily Grundy & Michael G Kenward & David A Leon, 2014. "Women's Risk of Repeat Abortions Is Strongly Associated with Alcohol Consumption: A Longitudinal Analysis of a Russian National Panel Study, 1994–2009," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
  • Handle: RePEc:plo:pone00:0090356
    DOI: 10.1371/journal.pone.0090356
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    References listed on IDEAS

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    1. Barbara Mensch & Denise Kandel, 1992. "Drug use as a risk factor for premarital teen pregnancy and abortion in a National Sample of Young White Women," Demography, Springer;Population Association of America (PAA), vol. 29(3), pages 409-429, August.
    2. D. Philipov & E. Andreev & T Kharkova & V. Shkolnikov, 2004. "Induced Abortion in Russia: Recent Trends and Underreporting in Surveys," European Journal of Population, Springer;European Association for Population Studies, vol. 20(2), pages 95-117, June.
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    1. Dolgikh, Sofiia & Potanin, Bogdan, 2022. "Estimating the effect of higher education on abortion," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 68, pages 117-139.
    2. Sarah C.M. Roberts, 2019. "The Presence and Consequences of Abortion Aversion in Scientific Research Related to Alcohol Use during Pregnancy," IJERPH, MDPI, vol. 16(16), pages 1-10, August.

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