PMID- 38305505
OWN - NLM
STAT- MEDLINE
DCOM- 20240219
LR  - 20240327
IS  - 1326-5377 (Electronic)
IS  - 0025-729X (Linking)
VI  - 220
IP  - 3
DP  - 2024 Feb 19
TI  - The prevalence of and factors associated with prior induced abortion among women 
      who gave birth in Victoria, 2010-2019.
PG  - 138-144
LID - 10.5694/mja2.52202 [doi]
AB  - OBJECTIVE: To assess the prevalence of a history of induced abortion among women 
      who gave birth in Victoria during 2010-2019; to assess the association of 
      socio-demographic factors with a history of induced abortion. STUDY DESIGN: 
      Retrospective cohort study; analysis of cross-sectional perinatal data in the 
      Victorian Perinatal Data Collection (VPDC). SETTING, PARTICIPANTS: All women who 
      gave birth (live or stillborn) in Victoria, 1 January 2010 - 31 December 2019. 
      MAIN OUTCOME MEASURES: Self-reported induced abortions prior to the index birth; 
      outcome of the most recent pregnancy preceding the index pregnancy. RESULTS: Of 
      the 766 488 women who gave birth during 2010-2019, 93 251 reported induced 
      abortions (12.2%), including 36 938 of 338 547 nulliparous women (10.9%). Women 
      living in inner regional (adjusted odds ratio [aOR], 0.94; 95% confidence 
      interval [CI], 0.93-0.96) or outer regional/remote/very remote areas (aOR, 0.86; 
      95% CI, 0.83-0.89) were less likely than women in major cities to report induced 
      abortions. The likelihood increased steadily with age at the index birth and with 
      parity, and was also higher for women without partners at the index birth (aOR, 
      2.20; 95% CI, 2.16-2.25) and Aboriginal and Torres Strait Islander women (aOR, 
      1.32; 95% CI, 1.25-1.40). The likelihood was lower for women born in most areas 
      outside Australia than for those born in Australia. The likelihood of a history 
      of induced abortion declined across the study period overall (2019 v 2010: 0.93; 
      95% CI, 0.90-0.96) and for women in major cities (0.88; 95% CI, 0.84-0.91); rises 
      in inner regional and outer regional/remote/very remote areas were not 
      statistically significant. CONCLUSIONS: Access to abortion care in Victoria 
      improved during 2010-2019, but the complex interplay between contraceptive use, 
      unintended pregnancy, and induced abortion requires further exploration by 
      remoteness of residence. Robust information about numbers of unintended 
      pregnancies and access to reproductive health services are needed to guide 
      national sexual and reproductive health policy and practice.
CI  - (c) 2024 The Authors. Medical Journal of Australia published by John Wiley & Sons 
      Australia, Ltd on behalf of AMPCo Pty Ltd.
FAU - Edvardsson, Kristina
AU  - Edvardsson K
AUID- ORCID: 0000-0001-6883-3664
AD  - Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, 
      Melbourne, VIC.
FAU - Black, Kirsten I
AU  - Black KI
AD  - The University of Sydney, Sydney, NSW.
FAU - Bateson, Deborah
AU  - Bateson D
AD  - The University of Sydney, Sydney, NSW.
FAU - Norman, Wendy V
AU  - Norman WV
AD  - The University of British Columbia, Vancouver, Canada.
AD  - London School of Hygiene and Tropical Medicine, London, United Kingdom.
FAU - Shankar, Mridula
AU  - Shankar M
AD  - Nossal Institute for Global Health, University of Melbourne, Melbourne, VIC.
FAU - Hooker, Leesa
AU  - Hooker L
AD  - Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, 
      Melbourne, VIC.
AD  - La Trobe Rural Health School, La Trobe University, Bendigo, VIC.
FAU - Li, Xia
AU  - Li X
AD  - La Trobe University, Melbourne, VIC.
FAU - Taft, Angela J
AU  - Taft AJ
AUID- ORCID: 0000-0002-6350-843X
AD  - Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, 
      Melbourne, VIC.
LA  - eng
GR  - APP1153592/National Health and Medical Research Council/
GR  - CPP-329455-07837/The Canadian Institutes of Health Research/
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20240202
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
SB  - IM
MH  - Pregnancy
MH  - Female
MH  - Humans
MH  - Victoria/epidemiology
MH  - Prevalence
MH  - Cross-Sectional Studies
MH  - Retrospective Studies
MH  - *Abortion, Induced
OTO - NOTNLM
OT  - Abortion
OT  - Contraception
OT  - induced
EDAT- 2024/02/02 12:44
MHDA- 2024/02/19 06:42
CRDT- 2024/02/02 09:35
PHST- 2023/04/21 00:00 [received]
PHST- 2023/10/08 00:00 [accepted]
PHST- 2024/02/19 06:42 [medline]
PHST- 2024/02/02 12:44 [pubmed]
PHST- 2024/02/02 09:35 [entrez]
AID - 10.5694/mja2.52202 [doi]
PST - ppublish
SO  - Med J Aust. 2024 Feb 19;220(3):138-144. doi: 10.5694/mja2.52202. Epub 2024 Feb 2.