Estimating abortion incidence among adolescents and differences in postabortion care by age: a cross-sectional study of postabortion care patients in Uganda

Contraception
Elizabeth A SullyAkinrinola Bankole

Abstract

To provide the first estimate of adolescents' abortion incidence in Uganda and to assess differences in the abortion experiences and morbidities of adolescent and nonadolescent postabortion care (PAC) patients. We used the age-specific Abortion Incidence Complications Method, drawing from three surveys conducted in Uganda in 2013: a nationally representative Health Facilities Survey (n=418), a Health Professionals Survey (n=147) and a Prospective Morbidity Survey of PAC patients (n=2169). Multivariable logistic and Cox proportional hazard models were used to compare adolescent and nonadolescent PAC patients on dimensions including pregnancy intention, gestational age, abortion safety, delays to care, severity of complications and receipt of postabortion family planning. We included an interaction term between adolescents and marital status to assess heterogeneity among adolescents. Adolescent women have the lowest abortion rate among women less than 35 years of age (28.4 abortions per 1000 women 15-19) but the highest rate among recently sexually active women (76.1 abortions per 1000 women 15-19). We do not find that adolescents face greater disadvantages in their abortion care experiences as compared to older women. However, u...Continue Reading

Citations

Apr 20, 2019·Reproductive Health·Gilda Sedgh, Sarah C Keogh
Sep 8, 2020·BMC Public Health·Anthony Idowu Ajayi, Henrietta Chinelo Ezegbe
Jan 25, 2020·Reproductive Health·Razieh PourkazemiFiroozeh Mostafavi
Jul 11, 2019·The International Journal of Health Planning and Management·Shallon Atuhaire

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