International Journal of Public Health
Volume 61, Issue 7, 2016, Pages 829-836

Induced abortion in a Southern European region: examining inequalities between native and immigrant women (Article)

Rodriguez-Alvarez E.* , Borrell L.N. , González-Rábago Y. , Martín U. , Lanborena N.
  • a Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Spain, Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain
  • b Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain, Department of Health Sciences, Lehman College, City University of New York, Bronx, NY, United States
  • c Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain, Department of Sociology 2, University of the Basque Country (UPV/EHU), Leioa, Spain
  • d Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain, Department of Sociology 2, University of the Basque Country (UPV/EHU), Leioa, Spain
  • e Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Spain, Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain

Abstract

Objectives: To examine induced abortion (IA) inequalities between native and immigrant women in a Southern European region and whether these inequalities depend on a 2010 Law facilitating IA. Methods: We conducted two analyses: (1) prevalence of total IAs, repeat and second trimester IA, in native and immigrant women aged 12–49 years for years 2009–2013 according to country of origin; and (2) log-binomial regression was used to quantify the association of place of origin with repeat and second trimester IAs among women with IAs. Results: Immigrants were more likely to have an IA than Spanish women, with the highest probability in Sub-Saharan Africa (PR 8.32 95 % CI 3.66–18.92). Immigrant women with an IA from countries other than Maghreb and Asia have higher probabilities of a repeat IA than women from Spain. Women from Europe non-EU/Romania were 50 % (95 % CI 0.30–0.79) less likely to have a second trimester IA, while women from Central America/Caribbean were 45 % (95 % CI 1.11–1.89) more likely than Spanish women. The 2010 Law did not affect these associations. Conclusions: There is a need for parenthood planning programs and more information and access to contraception methods especially in immigrant women to help decrease IAs. © 2016, Swiss School of Public Health (SSPH+).

Author Keywords

inequalities Repeat induced abortion Second trimester induced abortion Induced abortion Immigration

Index Keywords

induced abortion Abortion, Induced human epidemiology middle aged statistics and numerical data Young Adult Humans migrant Adolescent Emigrants and Immigrants Spain female Socioeconomic Factors socioeconomics prevalence adult age Age Factors gestational age Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958779132&doi=10.1007%2fs00038-016-0799-7&partnerID=40&md5=e798d254f5e519544172302ddb2352ba
DOI: 10.1007/s00038-016-0799-7
ISSN: 16618556
Cited by: 6
Original Language: English