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Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records

BACKGROUND: Migrant Asian women reportedly have low levels of contraceptive use and high rates of abortion in New Zealand. Chinese make up the largest proportion of migrant Asian in New Zealand. This study aimed to describe the contraceptive choices of Chinese women seeking abortion; to examine meth...

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Autores principales: Rose, Sally B., Wei, Zhang, Cooper, Annette J., Lawton, Beverley A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387017/
https://www.ncbi.nlm.nih.gov/pubmed/22768231
http://dx.doi.org/10.1371/journal.pone.0040103
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author Rose, Sally B.
Wei, Zhang
Cooper, Annette J.
Lawton, Beverley A.
author_facet Rose, Sally B.
Wei, Zhang
Cooper, Annette J.
Lawton, Beverley A.
author_sort Rose, Sally B.
collection PubMed
description BACKGROUND: Migrant Asian women reportedly have low levels of contraceptive use and high rates of abortion in New Zealand. Chinese make up the largest proportion of migrant Asian in New Zealand. This study aimed to describe the contraceptive choices of Chinese women seeking abortion; to examine method choice in relation to demographic characteristics (including length of stay) and to determine whether Chinese women were over-represented among abortion clinic attendees. METHODS: Retrospective review of medical records at a public hospital abortion clinic involving 305 Chinese women. Previously collected data for European (n = 277) and Maori women (n = 128) were used for comparative analyses. Regression analyses explored correlates of contraceptive method choice. Population census data were used to calculate rates of clinic attendance across ethnic groups. RESULTS: Chinese women were not over-represented among clinic attendees, and had similar rates of contraceptive non-use pre-abortion as women in comparison groups. Use of the oral contraceptive pill by Chinese was lower pre-abortion than for other ethnic groups, but choice of this method post-abortion was similar for Chinese (46.9%, 95% CI 41–52.7) and European women (43.7%, 95% CI 37.8–49.7). Post-abortion choice of an intrauterine device did not differ significantly between Chinese (28.9%, 95% CI 23.8–34.3) and Maori women (37%, 95% CI 28.4–45.7), but was higher than uptake of this method by European women (21.7%, 95% CI 17–27.0). Age, parity and previous abortion were significant predictors of post-abortion method choice by Chinese women (p<0.05). CONCLUSIONS: Following contraceptive counseling at the clinic, Chinese women chose more effective contraceptive methods for use post-abortion than they had used previously. As the population of migrant Chinese in New Zealand continues to increase, strategies are urgently needed to provide new arrivals with appropriate information and advice about contraception and where to access it, so women can be better prepared to avoid unplanned pregnancy.
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spelling pubmed-33870172012-07-05 Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records Rose, Sally B. Wei, Zhang Cooper, Annette J. Lawton, Beverley A. PLoS One Research Article BACKGROUND: Migrant Asian women reportedly have low levels of contraceptive use and high rates of abortion in New Zealand. Chinese make up the largest proportion of migrant Asian in New Zealand. This study aimed to describe the contraceptive choices of Chinese women seeking abortion; to examine method choice in relation to demographic characteristics (including length of stay) and to determine whether Chinese women were over-represented among abortion clinic attendees. METHODS: Retrospective review of medical records at a public hospital abortion clinic involving 305 Chinese women. Previously collected data for European (n = 277) and Maori women (n = 128) were used for comparative analyses. Regression analyses explored correlates of contraceptive method choice. Population census data were used to calculate rates of clinic attendance across ethnic groups. RESULTS: Chinese women were not over-represented among clinic attendees, and had similar rates of contraceptive non-use pre-abortion as women in comparison groups. Use of the oral contraceptive pill by Chinese was lower pre-abortion than for other ethnic groups, but choice of this method post-abortion was similar for Chinese (46.9%, 95% CI 41–52.7) and European women (43.7%, 95% CI 37.8–49.7). Post-abortion choice of an intrauterine device did not differ significantly between Chinese (28.9%, 95% CI 23.8–34.3) and Maori women (37%, 95% CI 28.4–45.7), but was higher than uptake of this method by European women (21.7%, 95% CI 17–27.0). Age, parity and previous abortion were significant predictors of post-abortion method choice by Chinese women (p<0.05). CONCLUSIONS: Following contraceptive counseling at the clinic, Chinese women chose more effective contraceptive methods for use post-abortion than they had used previously. As the population of migrant Chinese in New Zealand continues to increase, strategies are urgently needed to provide new arrivals with appropriate information and advice about contraception and where to access it, so women can be better prepared to avoid unplanned pregnancy. Public Library of Science 2012-06-29 /pmc/articles/PMC3387017/ /pubmed/22768231 http://dx.doi.org/10.1371/journal.pone.0040103 Text en Rose et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Rose, Sally B.
Wei, Zhang
Cooper, Annette J.
Lawton, Beverley A.
Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records
title Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records
title_full Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records
title_fullStr Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records
title_full_unstemmed Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records
title_short Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records
title_sort peri-abortion contraceptive choices of migrant chinese women: a retrospective review of medical records
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387017/
https://www.ncbi.nlm.nih.gov/pubmed/22768231
http://dx.doi.org/10.1371/journal.pone.0040103
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