在孟加拉国,更好的计划生育服务是否能减少堕胎?
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
概括
改善的计划生育服务显著降低了孟加拉农村的堕胎率. 获得避孕措施降低了意外怀孕,抵消了意外怀孕中堕胎可能性的增加.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 生育率下降与避孕和堕胎的增加相关,但因果关系从非实验数据中不清楚.
- 评估计划生育服务对堕胎率的影响对于理解生育过渡至关重要.
研究的目的:
- 评估加强计划生育服务对孟加拉农村堕胎率的影响.
- 为了区分预期和意外怀孕的堕胎率.
主要方法:
- 利用马特拉布人口监测系统 (DSS) 的1979-1998年的数据,对比了孟加拉国两个相似的农村地区.
- 分析了怀孕结果,并将其与生育偏好数据联系起来,以识别预期和意外怀孕.
主要成果:
- 在拥有优质计划生育服务的地区,堕胎率明显较低 (1996-1998年每1000名妇女中有2.3名,而每1000名妇女中有6.8名).
- 虽然意外怀孕的流产情况类似,但在干预区域,增加避孕药的使用减少了意外怀孕和整体流产.
- 尽管在这两个地区堕胎的可能性越来越高,但干预区域的意外怀孕减少更具影响力.
结论:
- 广泛获得优质的计划生育服务对于防止在生育过渡期间堕胎增加至关重要.
- 计划生育计划可以通过降低意外怀孕来有效地降低堕胎率.
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