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Instituto Nacional de Salud Pública

2012, Number 4

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salud publica mex 2012; 54 (4)

Factors associated with the seeking of legal induced abortion services in Mexico City in 2010

Figueroa-Lara A, Aracena-Genao B, Reyes-Morales H, Lamadrid-Figueroa H

Language: Spanish
References: 29
Page: 401-409
PDF size: 189.42 Kb.


ABSTRACT

Objective. To identify factors associated with the seeking of the legal-interruption-pregnancy (LIP) services in Mexico City. Materials and methods. We used a case-control design. Users who utilized the LIP were defined as cases, while users of the antenatal care service with gestational age 13 or more weeks and who reported having an unwanted pregnancy were defined as controls. Logistic regressions were fitted to estimate odds ratios. Results. Higher level of education (OR=1.47, 95% CI:1.04-2.07), women’s occupation (being student OR=7.31, 95% CI:1.58-33.95; worker OR=13.43, 95% CI:2.04-88.54), and number of previous abortions (OR=11.41, 95% CI:1.65-79.07) were identified as factors associated with the lookup of LIP. Conclusions. In Mexico City context, empowered women with a higher level of education, or having a work activity are the users of LIP services. Strategies for improving access of women with low empowerment conditions are needed.


REFERENCES

  1. World Health Organization. Unsafe abortion. Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. 6a. edición. Ginebra: WHO, 2011.

  2. United Nations Population Division. World population prospects. The 2002 revision. New York: UN, 2002.

  3. Singh S, Wulf D, Hussain R, Bankole A, Sedgh G. Abortion worldwide: a decade of uneven progress. Nueva York: Guttmacher Institute, 2009.

  4. Espinoza H, López C. Aborto inseguro en América Latina y el Caribe: definición del problema y su prevención. Gac Med Mex 2003;139 suppl 1:9-16.

  5. Consejo Nacional de Población. Cuadernos de salud reproductiva: República mexicana. Ciudad de México: CONAPO, 2000.

  6. Gobierno del Distrito Federal. Gaceta oficial del Distrito Federal 2007; 75. 2010 [consultado 2012 febrero 09]. Disponible en: http://www.ordenjuridico.gob.mx/Estatal/DISTRITO%20FEDERAL/Lineamientos/DFLIN26.pdf

  7. Gobierno del Distrito Federal. Gaceta oficial del Distrito Federal 2007; 70. [consultado 2010 diciembre 26]. Disponible en: http://www.gire.org.mx/publica2/GacetaGDF_Aborto260407.pdf

  8. Aracena-Genao B, Wilches-Gutiérrez JL, Figueroa-Lara A, Sanhueza- Smith P, Ávila-Burgos L, Sauceda AL, et al. Interrupción legal del embarazo. Recursos disponibles en la Secretaría de Salud del Distrito Federal. Cuernavaca: INSP, 2009.

  9. Juarez F, Singh S, Garcia SG, Olavarrieta CD. Estimates of induced abortion in Mexico: what’s changed between 1990 and 2006? Int Fam Plan Perspect 2008; 34(4):158-168.

  10. Instituto de las Mujeres del Distrito Federal. Cifras sobre la interrupción legal del embarazo [monografía en internet]. Ciudad de México: Inmujeres, 2010 [consultado 2010 diciembre 9]. Disponible en: http://www.inmujer.df.gob.mx/wb/inmujeres/estadisticas_sobre_ile

  11. Langer-Glas A. Embarazo no deseado y el aborto inseguro: su impacto sobre la salud en México. Gac Med Mex 2003;139 suppl 1:3-8.

  12. Simonds W, Ellertson C, Springer K, Winikoff B. Abortion, revised: participants in the U.S. clinical trials evaluate mifepristone. Soc Sci Med 1998;46(10):1313-1323.

  13. Harden A, Ogden J. Young women’s experiences of arranging and having abortions. Sociol Health Illn 1999;21(4):426-444.

  14. Larsson M, Aneblom G, Odlind V, Tydén T. Reasons for pregnancy termination, contraceptive habits and contraceptive failure among Swedish women requesting an early pregnancy termination. Acta Obstet Gynecol Scand 2002;81(1):64-71.

  15. Liamputtong P. Abortion—It is for some women only! Hmong women’s perceptions of abortion. Health Care for Women Int 2003;24(3):230–-241.

  16. Mogilevkina I, Hellberg D, Nordstrom M, Odlind V. Factors associated with pregnancy termination in Ukrainian women. Acta Obstet Gybecol Scand 2000;79:1126-1131.

  17. Rodgers S, Downie J. Abortion: ensuring access. CMAJ 2006;175(1): 9.

  18. Andersen RM, Davidson P. Improving access to care in America. En: Andersen RM, Rice T, Kominski G, eds. Changing the U.S. health care system: key issues in health services policy and management. 3a. edición. San Francisco: Jossey-Bass, 2007: 3-31.

  19. Hosmer D, Lemeshow S. Applied logistic regression. 2nd Edition. Hoboken: Wiley, 2000.

  20. Worthington E, Wade N, Hight T, Ripley J, McCullough M, Berry J, et al. The religious commitment inventory-10: development, refinement and validation of a brief scale for research and counceling. J Couns Phsychol 2003;50(1):84-96.

  21. Lee E, Clements S, Ingham R, Stone N. A matter of choice? Explaining national variations in teenage abortion and motherhood [monografía en internet]. York: Joseph Rowntree Foundation, 2004 [consultado 2011 enero 9]. Disponible en: http://www.jrf.org.uk/sites/files/jrf/1859351824.pdf

  22. Alianza Nacional por el Derecho a Decidir. Preguntas frecuentes sobre la ILE [monografía en internet]. Ciudad de México: ANDAR, 2010. [consultado 2011 enero 18]. Disponible en: http://www.andar.org.mx/minisitio%20andar/preguntasfrecuentes.htm.

  23. Rash V, Wielandt H, Knudsen L. Living conditions, contraceptive use and the choice of induced abortion among pregnant women in Denmark. Scand J Public Health 2002; 30:293-299.

  24. Díaz-Díaz E, Álvarez-Vázques L, Farnot-Cardoso U. Factores de riesgo demográficos y sociales del aborto. Rev Cubana Salud Pública 2001;27(1):26-35.

  25. Castañeda-Abascal I, Molina-Estévez M. Factores biosociales que influyen en la aparición del aborto provocado. Rev Cubana Obstet Ginecol 1999; 25(1):55-60.

  26. Cabezas-García E, Langer-Glass A, Alvarez-Vázquez L, Bustamante P. Perfil sociodemográfico del aborto inducido. Salud Publica Mex 1998;40: 265-271.

  27. Lie M, Robson S, May C. Experiences of abortion: a narrative review of qualitative studies. BMC Health Serv Res 2008;8:150.

  28. Grupo de Información en Reproducción Elegida. Cifras sobre el aborto en el DF 2007-2011 [monografía en internet]. Ciudad de México: GIRE, 2011 [Consultado: 2011 enero 6] Disponible en: http://www.gire.org.mx/contenido.php?informacion=222

  29. Sousa A, Lozano R, Gakidou E. Exploring the determinants of unsafe abortion: improving the evidence base in Mexico. Health Policy Plan 2010; 25(4):1-11.




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