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Factors associated with pregnancy termination in women of childbearing age in 36 low-and middle-income countries

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  • Djibril M Ba
  • Yue Zhang
  • Omrana Pasha-Razzak
  • Chachrit Khunsriraksakul
  • Mamoudou Maiga
  • Vernon M Chinchilli
  • Paddy Ssentongo

Abstract

Lack of access to safe, affordable, timely and adequate pregnancy termination care, and the stigma associated with abortion in low-middle income countries (LMICs), pose a serious risk to women’s physical and mental well-being throughout the lifespan. Factors associated with pregnancy termination and their heterogeneity across countries in LMICs previously have not been thoroughly investigated. We aim to determine the relative significance of factors associated with pregnancy termination in LMICs and its variation across countries. Analysis of cross-sectional nationally representative household surveys carried out in 36 LMICs from 2010 through 2018. The weighted population-based sample consisted of 1,236,330 women of childbearing aged 15–49 years from the Demographic and Health Surveys. The outcome of interest was self-report of having ever had a pregnancy terminated. We used multivariable logistic regression models to identify factors associated with pregnancy termination. The average pooled weighted prevalence of pregnancy termination in the present study was 13.3% (95% CI: 13.2%-13.4%), ranging from a low of 7.8 (95% CI: 7.2, 8.4%) in Namibia to 33.4% (95% CI: 32.0, 34.7%) in Pakistan. Being married showed the strongest association with pregnancy termination (adjusted OR, 2.94; 95% CI, 2.84–3.05; P

Suggested Citation

  • Djibril M Ba & Yue Zhang & Omrana Pasha-Razzak & Chachrit Khunsriraksakul & Mamoudou Maiga & Vernon M Chinchilli & Paddy Ssentongo, 2023. "Factors associated with pregnancy termination in women of childbearing age in 36 low-and middle-income countries," PLOS Global Public Health, Public Library of Science, vol. 3(2), pages 1-13, February.
    • Handle: RePEc:plo:pgph00:0001509
    DOI: 10.1371/journal.pgph.0001509
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    1. Abdul-Aziz Seidu & Bright Opoku Ahinkorah & Edward Kwabena Ameyaw & Amu Hubert & Wonder Agbemavi & Ebenezer Kwesi Armah-Ansah & Eugene Budu & Francis Sambah & Vivian Tackie, 2020. "What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-17, July.
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