The role of birthplace and educational attainment on induced abortion inequalities

BMC Public Health

Research Article

Luisa N. Borrell¹  Elena Rodriguez-Alvarez²  Unai Martín³  Yolanda González-Rábago³ 

[1] Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, NY, USA;Social Determinants of Health and Demographic Change - Opik, Leioa, Spain;Department of Nursing I, University of the Basque Country UPV/EHU, Barrio Sarriena s/n 48940, Leioa, Spain;Social Determinants of Health and Demographic Change - Opik, Leioa, Spain;Department of Sociology 2, University of the Basque Country UPV/EHU, Barrio Sarriena s/n 48940, Leioa, Spain;Social Determinants of Health and Demographic Change - Opik, Leioa, Spain;

关键词: Induced abortion;    Immigration;    Education;    Inequalities;    Repeat induced abortion;    Second trimester induced abortion;   

DOI  :  10.1186/s12889-016-3984-y

 received in 2016-08-17, accepted in 2016-12-22,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundInduced abortion (IA) has shown social inequality related to birthplace and education with higher rates of IAs in immigrant and in less educated women relative to their native and highly educated counterparts. This study examined the independent and joint effects of birthplace and education on IA, repeated and IA performed during the 2nd trimester of pregnancy among women residing in the Basque Country, Spain.MethodsWe conducted a cross-sectional population-based study of IA among women aged 25–49 years residing in the Basque Country, Spain, between 2011 and 2013. Log-binomial regression was used to quantify the independent and joint effects of birthplace and education attainment on all outcomes.ResultsImmigrant women exhibited higher probability of having an IAs (PR: 5.31), a repeated (PR: 7.23) or a 2nd trimester IAs (PR: 4.07) than women born in Spain. We observed higher probabilities for all outcomes among women with a primary or less education relative to those with a graduate education (All IAs PR: 2.51; repeated PR: 6.00; 2nd trimester PR: 3.08). However, no significant heterogeneity was observed for the effect of education on the association of birthplace with IAs, repeated or 2nd trimester IAs.ConclusionsBirthplace and education are key factors to explain not only an IA decision but also having a repeated or a 2nd trimester IA. However, the effects of birthplace and education may be independent from each other on these outcomes. A better understanding of these factors on IAs is needed when designing programs for sexual and reproductive health aimed to reduce inequalities among women.

【 授权许可】

CC BY   
© The Author(s). 2017