M Makenzius, C Obern, T Tydén, M Larsson, K Gemzell-Danielsson, I Sundström-Poromaa, M Ekstrand Ragnar
{"title":"妇女与人工流产相关的决策——瑞典Covid-19大流行期间的横断面研究","authors":"M Makenzius, C Obern, T Tydén, M Larsson, K Gemzell-Danielsson, I Sundström-Poromaa, M Ekstrand Ragnar","doi":"10.1080/13625187.2022.2150047","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To investigate women's decision-making on induced abortion.</p><p><strong>Materials and methods: </strong>A multi-centre cross-sectional survey among 623 abortion-seeking women in Sweden (2021). The perceived difficulty to decide on abortion was measured using a 7-point Likert scale, and analysed with univariate and multivariate analysis (odds ratios [OR], 95% confidence intervals [CI]).</p><p><strong>Results: </strong>About half (<i>n</i> = 322;52%) scored 1-4, suggesting the decision was perceived as easier compared to those (<i>n</i> = 292;48%) who scored 5-7. Reasons for the abortion were: poor economy (<i>n</i> = 166;27%), too early in the relationship (<i>n</i> = 154;25.1%), want to work first (<i>n</i> = 147;23.9%), want to study first (<i>n</i> = 132;21.5%), uncertain about the relationship (104;16.9%), and too young (<i>n</i> = 104;16.9%). Predictors for perceiving the decision as difficult: partner's hesitance (OR = 3.18, CI:1.76-5.73), being born outside the Nordic countries (OR = 2.23, CI:1.28-3.87), having discussed the decision with someone (OR = 2.42, CI:1.67-3.50), age ≥30 (OR = 2.22, CI:1.03-4.76), the Covid-19 pandemic (OR = 2.08, CI:1.20-3.59), and the desire to have children in the future (OR = 1.96, CI:1.18-3.28). After confirmed pregnancy, poor mental well-being was more common among those who scored 5-7 (<i>n</i> = 140;47.9%) compared to those who scored 1-4 (<i>n</i> = 122;37.9), <i>p</i> = .029.</p><p><strong>Conclusion: </strong>Women's decision-making on abortion is complex; in times of crises, the decision procedure may be even more difficult. This valuable knowledge could be used to improve and promote satisfactory counselling beyond medical routines.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Women's decision-making related to induced abortion - a cross sectional study during a period of Covid-19 pandemic, in Sweden.\",\"authors\":\"M Makenzius, C Obern, T Tydén, M Larsson, K Gemzell-Danielsson, I Sundström-Poromaa, M Ekstrand Ragnar\",\"doi\":\"10.1080/13625187.2022.2150047\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To investigate women's decision-making on induced abortion.</p><p><strong>Materials and methods: </strong>A multi-centre cross-sectional survey among 623 abortion-seeking women in Sweden (2021). The perceived difficulty to decide on abortion was measured using a 7-point Likert scale, and analysed with univariate and multivariate analysis (odds ratios [OR], 95% confidence intervals [CI]).</p><p><strong>Results: </strong>About half (<i>n</i> = 322;52%) scored 1-4, suggesting the decision was perceived as easier compared to those (<i>n</i> = 292;48%) who scored 5-7. Reasons for the abortion were: poor economy (<i>n</i> = 166;27%), too early in the relationship (<i>n</i> = 154;25.1%), want to work first (<i>n</i> = 147;23.9%), want to study first (<i>n</i> = 132;21.5%), uncertain about the relationship (104;16.9%), and too young (<i>n</i> = 104;16.9%). Predictors for perceiving the decision as difficult: partner's hesitance (OR = 3.18, CI:1.76-5.73), being born outside the Nordic countries (OR = 2.23, CI:1.28-3.87), having discussed the decision with someone (OR = 2.42, CI:1.67-3.50), age ≥30 (OR = 2.22, CI:1.03-4.76), the Covid-19 pandemic (OR = 2.08, CI:1.20-3.59), and the desire to have children in the future (OR = 1.96, CI:1.18-3.28). After confirmed pregnancy, poor mental well-being was more common among those who scored 5-7 (<i>n</i> = 140;47.9%) compared to those who scored 1-4 (<i>n</i> = 122;37.9), <i>p</i> = .029.</p><p><strong>Conclusion: </strong>Women's decision-making on abortion is complex; in times of crises, the decision procedure may be even more difficult. This valuable knowledge could be used to improve and promote satisfactory counselling beyond medical routines.</p>\",\"PeriodicalId\":50491,\"journal\":{\"name\":\"European Journal of Contraception and Reproductive Health Care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2023-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Contraception and Reproductive Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13625187.2022.2150047\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Contraception and Reproductive Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13625187.2022.2150047","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Women's decision-making related to induced abortion - a cross sectional study during a period of Covid-19 pandemic, in Sweden.
Objectives: To investigate women's decision-making on induced abortion.
Materials and methods: A multi-centre cross-sectional survey among 623 abortion-seeking women in Sweden (2021). The perceived difficulty to decide on abortion was measured using a 7-point Likert scale, and analysed with univariate and multivariate analysis (odds ratios [OR], 95% confidence intervals [CI]).
Results: About half (n = 322;52%) scored 1-4, suggesting the decision was perceived as easier compared to those (n = 292;48%) who scored 5-7. Reasons for the abortion were: poor economy (n = 166;27%), too early in the relationship (n = 154;25.1%), want to work first (n = 147;23.9%), want to study first (n = 132;21.5%), uncertain about the relationship (104;16.9%), and too young (n = 104;16.9%). Predictors for perceiving the decision as difficult: partner's hesitance (OR = 3.18, CI:1.76-5.73), being born outside the Nordic countries (OR = 2.23, CI:1.28-3.87), having discussed the decision with someone (OR = 2.42, CI:1.67-3.50), age ≥30 (OR = 2.22, CI:1.03-4.76), the Covid-19 pandemic (OR = 2.08, CI:1.20-3.59), and the desire to have children in the future (OR = 1.96, CI:1.18-3.28). After confirmed pregnancy, poor mental well-being was more common among those who scored 5-7 (n = 140;47.9%) compared to those who scored 1-4 (n = 122;37.9), p = .029.
Conclusion: Women's decision-making on abortion is complex; in times of crises, the decision procedure may be even more difficult. This valuable knowledge could be used to improve and promote satisfactory counselling beyond medical routines.
期刊介绍:
The Official Journal of the European Society of Contraception and Reproductive Health, The European Journal of Contraception and Reproductive Health Care publishes original peer-reviewed research papers as well as review papers and other appropriate educational material.