Unsafe abortion: social determinants and health inequities in a vulnerable population in São Paulo, Brazil

Cadernos de Saúde Pública

Carmen L. B. Fusco¹  Rebeca De Souza E Silva¹  Solange Andreoni¹ 

[1] ,Universidade Federal de São PauloSão Paulo,Brasil

关键词: Abortion;    Social Inequity;    Social Medicine;    Epidemiologic Factors;    Aborto;    Iniquidade Social;    Medicina Social;    Fatores Epidemiológicos;   

DOI  :  10.1590/S0102-311X2012000400010

来源: SciELO

【 摘 要 】

This cross-sectional population-based study in a peripheral low-income community in São Paulo, Brazil, aimed to estimate the prevalence of unsafe abortion and identify the socio-demographic characteristics associated with it and its morbidity. The article discusses the study's results, based on univariate and multiple multinomial logistic regression analyses. The final regression models included: age at first intercourse < 16 years (OR = 4.80); > 2 sex partners in the previous year (OR = 3.63); more live born children than the woman's self-reported ideal number (OR = 3.09); acceptance of the abortion due to insufficient economic conditions (OR = 4.07); black ethnicity/color (OR = 2.67); and low schooling (OR = 2.46), all with p < 0.05. The discussion used an approach to social determinants of health based on the concept and model adopted by the WHO and the health inequities caused by such determinants in the occurrence of unsafe abortion. According to the findings, unsafe abortion and socio-demographic characteristics are influenced by the social determinants of health described in the study, generating various levels of health inequities in this low-income population.

【 授权许可】

CC BY   
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