バングラデシュでは,より良い家族計画サービスによって中絶が減るのか?
M Rahman1, J DaVanzo, A Razzaque
1Pathfinder International, 9 Galen St, Ste 217, Watertown, MA 02472, USA. MRahman@pathfind.org
Lancet (London, England)
|October 9, 2001
まとめ
家族計画サービスの改善により,バングラデシュの農村部における中絶率が著しく低下した. 避妊へのアクセスは,予期せぬ妊娠を減少させ,予期せぬ妊娠に対する中絶の可能性の増加を相殺しました.
科学分野:
- デモグラフィー デモグラフィー 人口統計
- 公衆衛生は公衆衛生である.
- 生殖器保健は,生殖器の健康についてです.
背景:
- 生育率の低下は,避妊と中絶の増加と相関しているが,非実験データから因果関係は不明である.
- 妊娠中絶率に対する家族計画サービスの影響を評価することは,妊娠中絶の移行を理解するために不可欠です.
研究 の 目的:
- バングラデシュの農村部における中絶率に対する強化された家族計画サービスの影響を評価する.
- 意図された妊娠と意図しない妊娠における中絶率を区分する.
主な方法:
- バングラデシュの2つの比較可能な農村地域の1979年から1998年のMatlab人口監視システム (DSS) データを活用した.
- 妊娠の結果を分析し,それを生育好みのデータと関連付け,意図的および意図しない妊娠を特定しました.
主要な成果:
- 優良な家族計画サービスがある地域では,中絶率はかなり低く,1996-98年の1000人当たり2.3対6.8であった).
- 予期せぬ妊娠の中絶は同様でしたが,避妊薬の使用の増加は,介入地域における予期せぬ妊娠と全般的な中絶を減少させました.
- 両地域とも,予期せぬ妊娠を中絶する確率が高まっているにもかかわらず,介入地域における予期せぬ妊娠の減少はより大きな影響を与えました.
結論:
- 質の高い家族計画サービスの広範な利用は,生殖能力の転換期における中絶の増加を防ぐために不可欠です.
- 家族計画プログラムは,意図しない妊娠を減らすことで,中絶率を効果的に減らすことができます.
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