通过使用Heckman Probit模型,重新审视印度不安全堕胎的倾向性,启用性和需要因素
Margubur Rahaman1, Avijit Roy2, Pradip Chouhan3
1Department of Migration & Urban Studies, International Institute for Population Sciences (IIPS), Mumbai, India.
Journal of biosocial science
|November 20, 2023
概括
不安全的堕胎影响了印度31%的妇女,主要预测因素包括年龄,儿童性别组成和地区. 干预措施必须解决区域和社会动态,以获得更安全的堕胎.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会学 社会学 社会学
背景情况:
- 不安全的堕胎在印度仍然是一个重大的公共卫生问题.
- 以前的研究已经确定了预测因素,但往往忽视了样本选择偏差.
- 解决这些偏见对于准确的理解和有效的干预至关重要.
研究的目的:
- 评估印度不安全堕胎的主要原因.
- 用最新的国家调查数据调整样本选择偏差.
- 为减少不安全堕胎而制定有针对性的公共卫生战略提供信息.
主要方法:
- 利用了国家家庭健康调查 (2019-2021) 的数据.
- 包括15-49岁的女性,在五年内终止怀孕.
- 使用描述性统计,双变量分析和Heckman Probit模型来解释样本选择偏差.
主要成果:
- 发现印度不安全堕胎的流行率为31%.
- 重要的预测因素包括妇女的年龄,活着的孩子的性别组成,妊娠阶段,计划生育的使用和地理区域.
- 不安全的堕胎经常在怀孕早期进行,有时是通过自给药,通常是由于意外怀孕或健康问题.
结论:
- 迫切需要针对性干预,解决影响不安全堕胎的区域,人口和社会因素.
- 研究结果强调了在生殖健康研究中考虑样本选择偏差的重要性.
- 改善获得安全堕胎服务和计划生育的机会至关重要.
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