Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion

BACKGROUND: The study aimed to describe the overall and age-specific trends of induced abortions from 1996 to 2011 with an emphasis on socio-demographic characteristics and contraceptive use of women having had repeat abortions in Estonia. METHODS: Data were retrieved from the Estonian Medical Birth...

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Autores principales: Laanpere, Made, Ringmets, Inge, Part, Kai, Allvee, Kärt, Veerus, Piret, Karro, Helle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099403/
https://www.ncbi.nlm.nih.gov/pubmed/25005363
http://dx.doi.org/10.1186/1472-6874-14-81
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author Laanpere, Made
Ringmets, Inge
Part, Kai
Allvee, Kärt
Veerus, Piret
Karro, Helle
author_facet Laanpere, Made
Ringmets, Inge
Part, Kai
Allvee, Kärt
Veerus, Piret
Karro, Helle
author_sort Laanpere, Made
collection PubMed
description BACKGROUND: The study aimed to describe the overall and age-specific trends of induced abortions from 1996 to 2011 with an emphasis on socio-demographic characteristics and contraceptive use of women having had repeat abortions in Estonia. METHODS: Data were retrieved from the Estonian Medical Birth and Abortion Registry and Statistics Estonia. Total induced abortion numbers, rates, ratios and age-specific rates are presented for 1996–2011. The percentage change in the number of repeat abortions within selected socio-demographic subgroups, contraception use and distribution of induced abortions among Estonians and non-Estonians for the first, second, third, fourth and subsequent abortions were calculated for the periods 1996–2003 and 2004–2011. RESULTS: Observed trends over the 16-year study period indicated a considerable decline in induced abortions with a reduction in abortion rate of 57.1%, which was mainly attributed to younger cohorts. The percentage of women undergoing repeat abortions fell steadily from 63.8% during 1996–2003 to 58.0% during 2004–2011. The percentage of women undergoing repeat abortions significantly decreased over the 16 years within all selected socio-demographic subgroups except among women with low educational attainment and students. Within each time period, a greater percentage of non-Estonians than Estonians underwent repeat abortions and obtained third and subsequent abortions. Most women did not use any contraceptive method prior to their first or subsequent abortion. CONCLUSION: A high percentage of women obtaining repeat abortions reflects a high historical abortion rate. If current trends continue, a rapid decline in repeat abortions may be predicted. To decrease the burden of sexual ill health, routine contraceptive counselling, as standard care in the abortion process, should be seriously addressed with an emphasis on those groups - non-Estonians, women with lower educational attainment, students and women with children - vulnerable with respect to repeat abortion.
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spelling pubmed-40994032014-07-17 Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion Laanpere, Made Ringmets, Inge Part, Kai Allvee, Kärt Veerus, Piret Karro, Helle BMC Womens Health Research Article BACKGROUND: The study aimed to describe the overall and age-specific trends of induced abortions from 1996 to 2011 with an emphasis on socio-demographic characteristics and contraceptive use of women having had repeat abortions in Estonia. METHODS: Data were retrieved from the Estonian Medical Birth and Abortion Registry and Statistics Estonia. Total induced abortion numbers, rates, ratios and age-specific rates are presented for 1996–2011. The percentage change in the number of repeat abortions within selected socio-demographic subgroups, contraception use and distribution of induced abortions among Estonians and non-Estonians for the first, second, third, fourth and subsequent abortions were calculated for the periods 1996–2003 and 2004–2011. RESULTS: Observed trends over the 16-year study period indicated a considerable decline in induced abortions with a reduction in abortion rate of 57.1%, which was mainly attributed to younger cohorts. The percentage of women undergoing repeat abortions fell steadily from 63.8% during 1996–2003 to 58.0% during 2004–2011. The percentage of women undergoing repeat abortions significantly decreased over the 16 years within all selected socio-demographic subgroups except among women with low educational attainment and students. Within each time period, a greater percentage of non-Estonians than Estonians underwent repeat abortions and obtained third and subsequent abortions. Most women did not use any contraceptive method prior to their first or subsequent abortion. CONCLUSION: A high percentage of women obtaining repeat abortions reflects a high historical abortion rate. If current trends continue, a rapid decline in repeat abortions may be predicted. To decrease the burden of sexual ill health, routine contraceptive counselling, as standard care in the abortion process, should be seriously addressed with an emphasis on those groups - non-Estonians, women with lower educational attainment, students and women with children - vulnerable with respect to repeat abortion. BioMed Central 2014-07-09 /pmc/articles/PMC4099403/ /pubmed/25005363 http://dx.doi.org/10.1186/1472-6874-14-81 Text en Copyright © 2014 Laanpere et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Laanpere, Made
Ringmets, Inge
Part, Kai
Allvee, Kärt
Veerus, Piret
Karro, Helle
Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion
title Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion
title_full Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion
title_fullStr Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion
title_full_unstemmed Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion
title_short Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion
title_sort abortion trends from 1996 to 2011 in estonia: special emphasis on repeat abortion
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099403/
https://www.ncbi.nlm.nih.gov/pubmed/25005363
http://dx.doi.org/10.1186/1472-6874-14-81
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