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Illegal abortion in Mexico: client perceptions.

S P de Weiss1, H P David

  • 1Transnational Family Research Institute, Bethesda, MD 20817.

American Journal of Public Health
|June 1, 1990
PubMed
Summary
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Client choice for abortion services in Mexico depended on quality for physicians and cost/anonymity for nonphysicians. "Too young" was the primary reason cited for pregnancy termination.

Area of Science:

  • Reproductive Health
  • Sociology of Health
  • Public Health Policy

Background:

  • Understanding factors influencing abortion service choices is crucial for improving access and quality of care.
  • Previous research has highlighted various determinants of service selection, but regional specificities, like those in Mexico, require further exploration.

Purpose of the Study:

  • To explore the perceptions of abortion clients in Mexico regarding their choices of service providers (physicians vs. nonphysicians).
  • To identify the primary reasons influencing the selection of physicians versus nonphysicians for abortion services.
  • To document the commonly cited reasons for seeking abortion and the associated costs.

Main Methods:

  • An exploratory study design was employed.
  • Data were collected from 156 abortion clients in Mexico.
Keywords:
Empirical ApproachGenetics and Reproduction

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  • Perceptions, reasons for termination, and costs were investigated through client interviews or surveys.
  • Main Results:

    • Perceived quality of service was the predominant factor for choosing physicians.
    • Cost and anonymity were the primary drivers for selecting nonphysicians.
    • "Too young" was the most frequently reported reason for pregnancy termination, followed by economic concerns and existing family size.
    • Physician charges were approximately three times higher than those of nonphysicians, averaging three to four weeks of minimum wage.

    Conclusions:

    • Client choices for abortion services are multifactorial, balancing quality, cost, and privacy concerns.
    • Significant cost disparities exist between physician and nonphysician providers, impacting accessibility.
    • Socioeconomic and demographic factors, such as age and existing family structure, are key determinants of the decision to terminate a pregnancy.