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In Mexico, studies have been undertaken to improve estimates of induced abortion but the determinants of unsafe abortion have not been explored.Methods We analysed data from the 2006 Mexican National Demographic Survey.The sample comprises 14 859 reported pregnancies in women between 15 and 55 years old, of which 966 report having had an abortion in the 5 years preceding the survey.
Findings We estimate that 44% of abortions have been induced and 16.5% of those were unsafe.
We find three variables to be positively and significantly associated with the probability of having an induced abortion: (1) whether the woman reported that the pregnancy was mistimed (OR = 4.5, 95% CI = 1.95–10.95); (2) whether the woman reported that the pregnancy was unwanted (OR = 2.86, 95% CI = −1.40–5.88); and (3) if the woman had three or more children at the time of the abortion (OR = 3.73, 95% CI = 1.20–11.65).
Monitoring trends in unsafe abortion practices as well as sharing countries’ experience on policies and interventions that have been successful in reducing unsafe abortions is crucial, as the half-way point towards achieving the MDGs has been reached.
It is estimated that 22% of all pregnancies worldwide end in an induced abortion—approximately 50 million each year around the year 2000 (Guttmacher Institute 1999).
ENADID is an interviewer-administered household survey which is representative at state level.
Thesis Statement And Purpose Statement - Research Proposal On Unsafe Abortion
It is designed to collect detailed information on women aged between 15 and 55 years on social and demographic characteristics, child health and a range of reproductive health issues, including family planning, fertility, contraceptive knowledge and use.In this paper we explore the ENADID survey to identify the determinants of unsafe abortion.Data for this study come from the ENADID survey ( which was conducted in 2006 (INEGI 2006).There is a steep socio-economic gradient in the probability of having an unsafe abortion: poorer women are more likely to have an unsafe abortion than richer women (OR = 2.48, 95% CI = 1.09–5.63); women with 6–9 years of education (OR = 0.30, 95% CI = 0.11–0.81) and with more than 13 years of education are less likely to have an unsafe abortion (OR = 0.065, 95% CI = 0.01–0.43), and women with indigenous origin are more likely to have an unsafe abortion (OR = 5.44, 95% CI = 1.91–15.51).Thus, the probability for poor women with less than 5 years of education and indigenous origin is nine times higher compared with rich, educated and not indigenous women.Respondents were asked: (1) if the abortion was a mistimed or unwanted birth, (2) whether the abortion was spontaneous, induced by medication, induced by injection or other procedure, (3) the type of provider who performed the abortion (doctor, nurse, auxiliary worker, traditional birth attendant, the respondent herself or other) and (4) the facility where the abortion was performed (social security, public or private clinic or hospital, traditional birth attendant’s residence or in the respondent’s home).The survey did not collect information on the reason for the termination of the pregnancy or on the use of contraception methods during the cycle of conception.About 20 million of these abortions are estimated to be performed in unsafe conditions, and almost all of them (97%) take place in developing countries (Henshaw 1999).The number of women who die from an unsafe abortion each year is estimated to be 68 000, accounting for 13% of all maternal deaths around the world, and 17% in Latin America (World Health Organization 2004; Khan 2005), with a median unsafe abortion mortality ratio of 34 per 100 000 live births in countries where abortion is illegal (Berer 2004). In some states abortion is legal when a woman has been raped, her life or health are in danger, or when there are foetal defects, and under request within the first 12 weeks of pregnancy in the Federal District (where abortion was recently legalized) (GIRE 2005; Organo del Gobierno del Distrito Federal 2007).Further efforts are required to improve the measurement and monitoring of trends in unsafe abortions in developing countries.2006; Ronsmans and Graham 2006).Reducing unsafe abortions and the complications resulting from them is not only closely linked to the health-related MDGs, such as the reduction of maternal mortality, but also to the MDGs related to other aspects of development, including poverty reduction, gender equality and women’s empowerment.