Constrains for seeking post-abortion care among adolescents and young women in Guangzhou, China: a cross-sectional study

BMC Health Services Research

Yiding Wang¹  Jinzhi Liu¹  Yan Liu¹  Ribo Xiong² 

[1] Department of gynecology &obstetrics, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China;Department of rehabilitation, Nanhai Hospital, Southern Medical University, Foshan, China;

关键词: Abortion;    Post-abortion care;    Utilization;    Stigma;    Adolescents;    Young women;    China;   

DOI  :  10.1186/s12913-021-06263-0

来源: Springer

【 摘 要 】

BackgroundIn China, post-abortion care (PAC) services mainly focus on married couples, such that adolescents and unmarried young women have limited access to those services for contraception counseling. The provision of youth-friendly PAC services in public hospitals is a new concept in China. This study examined the magnitude of PAC services utilization as well as factors influencing its uptake among adolescents and young women in Guangzhou, China.MethodsA cross-sectional study was performed from 1st March 2020 to 30th September 2020 using an anonymous self-administered questionnaire among 688 women aged 15–24 years in Tianhe district, Guangzhou. The Multivariate logistic regression was used to determine factors that were significantly associated with the uptake of PAC services.ResultsThe magnitude of PAC services utilization was 35.9% among adolescents and young women in Guangzhou, China. Students were 69.0% significantly less likely to use PAC services compared to women who had no job. Immigrants were 59.0% significantly less likely to use PAC services than their native counterparts. Women who had a feeling of stigma were 70.0% significantly less likely to use PAC services compared to those who did not feel stigmatized.ConclusionsThe study highlights the need to strengthen youth-friendly PAC services provision, and emphasizes the importance of education about both family planning and abortion services among disadvantaged subgroups of women in the study setting.

【 授权许可】

CC BY