尼日利亚安全堕胎护理的决定因素和障碍:混合方法研究
Sunday M Abatan1, Soladoye S Asa2
1Department of Demography and Social Statistics, Federal University Oye-Ekiti, Ekiti State, Nigeria.
African journal of reproductive health
|February 25, 2026
概括
尼日利亚安全堕胎护理的障碍导致孕产妇死亡. 不安全的堕胎很常见,特别是在年轻,受教育程度较低的妇女中,突出显著的社会法律障碍.
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:
- 安全堕胎护理的障碍在尼日利亚的孕产妇死亡率,发病率和残疾率中起着重大作用.
- 了解这些障碍对于改善生殖健康结果至关重要.
研究的目的:
- 通过混合方法的方式调查尼日利亚安全堕胎护理的决定因素和障碍.
- 确定影响尼日利亚妇女安全堕胎实践的因素.
主要方法:
- 从尼日利亚绩效监测行动 (PMA) 数据集 (2019-2020) 中对1388名妇女的堕胎经验进行定量分析.
- 在尼日利亚西南部的两家教学医院接受20名寻求堕胎后治疗的妇女进行了定性深度访谈 (IDI).
主要成果:
- 据报道,大约30%的堕胎是不安全的.
- 年轻女性获得安全堕胎护理的几率较低 (OR=0.64,p<0.05).
- 高等教育水平显著增加了安全堕胎护理的几率 (初级:OR=1.83,p<0.05;二级:OR=2.62,p<0.001;更高:OR=3.84,p<0.001).
- 调查显示,大多数堕胎发生在非传统的私人环境中.
- 低社会经济地位,社会文化规范和立法约束是主要的障碍.
结论:
- 尼日利亚的安全堕胎护理受到社会经济,社会文化和立法因素的阻碍.
- 解决这些障碍,特别是对于年轻和受教育程度较低的女性来说,至关重要.
- 政府对社会法律障碍的评估是必要的,以提高获得安全堕胎服务的机会.
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