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Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019
INTRODUCTION: Internationally comparable estimates of unintended pregnancy and abortion incidence can illuminate disparities in sexual and reproductive health and autonomy. Country-specific estimates are essential to enable international comparison, and to inform country-level policy and programming...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943721/ https://www.ncbi.nlm.nih.gov/pubmed/35332057 http://dx.doi.org/10.1136/bmjgh-2021-007151 |
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author | Bearak, Jonathan Marc Popinchalk, Anna Beavin, Cynthia Ganatra, Bela Moller, Ann-Beth Tunçalp, Özge Alkema, Leontine |
author_facet | Bearak, Jonathan Marc Popinchalk, Anna Beavin, Cynthia Ganatra, Bela Moller, Ann-Beth Tunçalp, Özge Alkema, Leontine |
author_sort | Bearak, Jonathan Marc |
collection | PubMed |
description | INTRODUCTION: Internationally comparable estimates of unintended pregnancy and abortion incidence can illuminate disparities in sexual and reproductive health and autonomy. Country-specific estimates are essential to enable international comparison, and to inform country-level policy and programming. METHODS: We developed a Bayesian model which jointly estimated unintended pregnancy and abortion rates using information on contraceptive needs and use, contraceptive method mix, birth rates, the proportions of births from unintended pregnancies and abortion incidence data. Main outcomes were the estimated rates of unintended pregnancy and abortion for 150 countries and territories, reported for the 5-year period 2015–2019, as annual averages per 1000 women aged 15–49 years. RESULTS: Estimated unintended pregnancy rates ranged from 11 (80% uncertainty interval: 9 to 13) in Montenegro to 145 (131 to 159) in Uganda per 1000 women aged 15–49 years. Between-country heterogeneity was substantial in all Sustainable Development Goal (SDG) regions, but was greatest in sub-Saharan Africa. Estimated abortion rates ranged from 5 (5 to 6) in Singapore to 80 (55 to 113) in Georgia. Variation between country estimates was similar in all SDG regions except for Europe and Northern America, where estimated abortion rates were generally lower. CONCLUSION: The estimates reflect variation in the degree to unintended pregnancy and abortion that are experienced in countries throughout the world. This evidence highlights the importance of investing in access to contraception and comprehensive abortion care, including in regions which may have lower rates of unintended pregnancy or abortion, respectively, as countries may differ substantially from regional averages. |
format | Online Article Text |
id | pubmed-8943721 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-89437212022-04-08 Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 Bearak, Jonathan Marc Popinchalk, Anna Beavin, Cynthia Ganatra, Bela Moller, Ann-Beth Tunçalp, Özge Alkema, Leontine BMJ Glob Health Original Research INTRODUCTION: Internationally comparable estimates of unintended pregnancy and abortion incidence can illuminate disparities in sexual and reproductive health and autonomy. Country-specific estimates are essential to enable international comparison, and to inform country-level policy and programming. METHODS: We developed a Bayesian model which jointly estimated unintended pregnancy and abortion rates using information on contraceptive needs and use, contraceptive method mix, birth rates, the proportions of births from unintended pregnancies and abortion incidence data. Main outcomes were the estimated rates of unintended pregnancy and abortion for 150 countries and territories, reported for the 5-year period 2015–2019, as annual averages per 1000 women aged 15–49 years. RESULTS: Estimated unintended pregnancy rates ranged from 11 (80% uncertainty interval: 9 to 13) in Montenegro to 145 (131 to 159) in Uganda per 1000 women aged 15–49 years. Between-country heterogeneity was substantial in all Sustainable Development Goal (SDG) regions, but was greatest in sub-Saharan Africa. Estimated abortion rates ranged from 5 (5 to 6) in Singapore to 80 (55 to 113) in Georgia. Variation between country estimates was similar in all SDG regions except for Europe and Northern America, where estimated abortion rates were generally lower. CONCLUSION: The estimates reflect variation in the degree to unintended pregnancy and abortion that are experienced in countries throughout the world. This evidence highlights the importance of investing in access to contraception and comprehensive abortion care, including in regions which may have lower rates of unintended pregnancy or abortion, respectively, as countries may differ substantially from regional averages. BMJ Publishing Group 2022-03-23 /pmc/articles/PMC8943721/ /pubmed/35332057 http://dx.doi.org/10.1136/bmjgh-2021-007151 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Bearak, Jonathan Marc Popinchalk, Anna Beavin, Cynthia Ganatra, Bela Moller, Ann-Beth Tunçalp, Özge Alkema, Leontine Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 |
title | Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 |
title_full | Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 |
title_fullStr | Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 |
title_full_unstemmed | Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 |
title_short | Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 |
title_sort | country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019 |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943721/ https://www.ncbi.nlm.nih.gov/pubmed/35332057 http://dx.doi.org/10.1136/bmjgh-2021-007151 |
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