Inequities in the incidence and safety of abortion in Nigeria

Datos Bibliográficos

ID21879261
AutoresSuzanne O Bell (0000-0002-7650-5940, Johns Hopkins University, autor de correspondencia), Elizabeth Omoluabi (0000-0003-1754-5384, Development Research and Projects Centre), Funmilola M Olaolorun (0000-0001-5544-2875, University of Ibadan), Funmilola Olaolorun (University of Ibadan), Mridula Shankar (0000-0002-4652-6396, Johns Hopkins University), Claire Moreau (0000-0002-8637-6249, Johns Hopkins University)
Año2020
Volumen5
Número1
Páginase001814
Fecha de publicación2020-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMJ Global Health (JOURNAL)
Identificadores de la revistaISSN: 2059-7908 • E-ISSN: 2059-7908
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2019-001814
PMID32133166
OpenAlexW2999993166
IdiomaEN
Citas recibidas17
Referencias citadas26

Background: We know little about the frequency, correlates and conditions under which women induce abortions in Nigeria. This study seeks to estimate the 1-year induced abortion incidence and proportion of abortions that are unsafe overall and by women's background characteristics using direct and indirect methodologies. Methods: Data for this study come from a population-based, nationally representative survey of reproductive age women (15-49) in Nigeria. Interviewers asked women to report on the abortion experiences of their closest female confidante and themselves. We adjusted for potential biases in the confidante data. Analyses include estimation of 1-year induced abortion incidence and unsafe abortion, as well as bivariate and multivariate assessment of their correlates. Results: A total of 11 106 women of reproductive age completed the female survey; they reported on 5772 confidantes. The 1-year abortion incidence for respondents was 29.0 (95% CI 23.3 to 34.8) per 1000 women aged 15-49 while the confidante incidence was 45.8 (95% CI 41.0-50.6). The respondent and confidante abortion incidences revealed similar correlates, with women in their 20s, women with secondary or higher education and women in urban areas being the most likely to have had an abortion in the prior year. The majority of respondent and confidante abortions were the most unsafe (63.4% and 68.6%, respectively). Women aged 15-19, women who had never attended school and the poorest women were significantly more likely to have had the most unsafe abortions. Conclusion: Results indicate that abortion in Nigeria is a public health concern and an issue of social inequity. Efforts to expand the legal conditions for abortion in Nigeria are critical. Simultaneously, efforts to increase awareness of the availability of medication abortion drugs to more safely self-induce can help mitigate the toll of unsafe abortion-related morbidity and mortality

Abortion · Economic growth · Economics · Environmental health · Family planning · Political science · Population · Pregnancy · Research methodology · Unsafe abortion · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Reproductive Health and Contraception