Induced abortion:: estimated rates and trends worldwide

被引:293
|
作者
Sedgh, Gilda [1 ]
Henshaw, Stanley
Singh, Susheela
Ahman, Elisabeth
Shah, Iqbal H.
机构
[1] Alan Guttmacher Inst, New York, NY 10038 USA
[2] WHO, CH-1211 Geneva, Switzerland
来源
LANCET | 2007年 / 370卷 / 9595期
关键词
D O I
10.1016/S0140-6736(07)61575-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Information on incidence of induced abortion is crucial for identifying policy and programmatic needs aimed at reducing unintended pregnancy. Because unsafe abortion is a cause of maternal morbidity and mortality, measures of its incidence are also important for monitoring progress towards Millennium Development Goal 5. We present new worldwide estimates of abortion rates and trends and discuss their implications for policies and programmes to reduce unintended pregnancy and unsafe abortion and to increase access to safe abortion. Methods The worldwide and regional incidences of safe abortions in 2003 were calculated by use of reports from official national reporting systems, nationally representative surveys, and published studies. Unsafe abortion rates in 2003 were estimated from hospital data, surveys, and other published studies. Demographic techniques were applied to estimate numbers of abortions and to calculate rates and ratios for 2003. UN estimates of female populations and livebirths were the source for denominators for rates and ratios, respectively. Regions are defined according to UN classifications. Trends in abortion rates and incidences between 1995 and 2003 are presented. Findings An estimated 42 million abortions were induced in 2003, compared with 46 million in 1995. The induced abortion rate in 2003 was 29 per 1000 women aged 15-44 years, down from 35 in 1995. Abortion rates were lowest in western Europe (12 per 1000 women). Rates were 17 per 1000 women in northern Europe, 18 per 1000 women in southern Europe, and 21 per 1000 women in northern America (USA and Canada). In 2003, 48% of all abortions worldwide were unsafe, and more than 97% of all unsafe abortions were in developing countries. There were 31 abortions for every 100 livebirths worldwide in 2003, and this ratio was highest in eastern Europe (105 for every 100 livebirths). Interpretation Overall abortion rates are similar in the developing and developed world, but unsafe abortion is concentrated in developing countries. Ensuring that the need for contraception is met and that all abortions are safe win reduce maternal mortality substantially and protect maternal health.
引用
收藏
页码:1338 / 1345
页数:8
相关论文
共 50 条
  • [21] Characteristics of women who obtain induced abortion: A worldwide review
    Bankole, A
    Singh, S
    Haas, T
    [J]. INTERNATIONAL FAMILY PLANNING PERSPECTIVES, 1999, 25 (02): : 68 - 77
  • [22] The incidence of abortion worldwide
    Henshaw, SK
    Singh, S
    Haas, T
    [J]. INTERNATIONAL FAMILY PLANNING PERSPECTIVES, 1999, 25 : S30 - S38
  • [23] SAFETY OF ABORTION WORLDWIDE
    不详
    [J]. LANCET, 1981, 1 (8231): : 1221 - 1221
  • [24] CORRECTING SPONTANEOUS-ABORTION RATES FOR THE PRESENCE OF INDUCED-ABORTION
    FIGATALAMANCA, I
    REPETTO, F
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1988, 78 (01) : 40 - 42
  • [25] TRENDS IN INDUCED-ABORTION IN ENGLAND AND WALES
    ASHTON, JR
    MACHIN, D
    OSMOND, C
    BALAJARAN, R
    ADAM, SA
    DONNAN, SPB
    [J]. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1983, 37 (02) : 105 - 110
  • [26] Induced abortion in Italy: Levels, trends and characteristics
    Bettarini, SS
    DAndrea, SS
    [J]. FAMILY PLANNING PERSPECTIVES, 1996, 28 (06): : 267 - &
  • [27] Induced abortion in Matlab, Bangladesh: Trends and determinants
    Ahmed, MK
    Rahman, M
    van Ginneken, J
    [J]. INTERNATIONAL FAMILY PLANNING PERSPECTIVES, 1998, 24 (03): : 128 - 132
  • [28] TRENDS IN INDUCED-ABORTION IN ENGLAND AND WALES
    ASHTON, JR
    [J]. BRITISH MEDICAL JOURNAL, 1983, 287 (6398): : 1001 - 1002
  • [29] A METHOD FOR CALCULATING RATES OF INDUCED-ABORTION
    FOREIT, KG
    NORTMAN, DL
    [J]. DEMOGRAPHY, 1992, 29 (01) : 127 - 137
  • [30] How should induced abortion rates be measured?
    James, WH
    [J]. BRITISH JOURNAL OF FAMILY PLANNING, 1998, 24 (01): : 29 - 29