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Novel approaches to estimating abortion incidence
1Guttmacher Institute, 125 Maiden Lane 7th Floor, New York, NY, 10038, USA.
Reproductive Health
|April 20, 2019
Summary
Estimating abortion incidence in restrictive settings requires innovative methods. New approaches like the Confidante Approach and modified AICM offer improved accuracy for clandestine or self-induced abortions.
Area of Science:
- Public Health
- Demography
- Reproductive Health
Background:
- Accurate estimation of abortion incidence is crucial in regions with legal restrictions or clandestine practices to highlight the reality of abortion.
- Innovations in estimating stigmatized behaviors and evolving abortion contexts necessitate a review of current methods and proposal of new approaches.
Purpose of the Study:
- To review and propose innovative methods for estimating abortion incidence in countries with restrictive abortion laws.
- To discuss the assumptions, strengths, and weaknesses of various estimation approaches.
Main Methods:
- Reviewed prevailing methods: direct questioning and the Abortion Incidence Complications Method (AICM).
- Evaluated emerging methods: the List Experiment.
- Proposed new methods: the Confidante Approach and a modified AICM.
Main Results:
- Direct questioning often underreports abortions; normalization may improve reporting.
- The modified AICM enhances capture of self-induced abortions by analyzing complications.
- The List Experiment ensures anonymity but limits subgroup analysis; the Confidante Approach relies on reported confidante abortions.
Conclusions:
- No single method is perfect; multiple methodologies may be needed for comprehensive abortion incidence measurement.
- Strategies for validity assessment include cross-method comparisons, objective measure validation, and sensitivity analyses.
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