Prevalence of artificial abortion and its influential factors among rural married reproductive women

Objective To explore current situation of artificial abortion and its influential factors among rural married reproductive women for making specific intervention strategies.Methods Using multi-stage cluster sampling method,920 married reproductive women under the age of 49 years were recruited in rural areas of Hebei province and their artificial abortion status was investigated with a self-made questionnaire by face-to-face interview.Logistic regression model was used for multiple factor analysis.Results There were 36.3%(334/920)of the women reporting at least one artificial abortion,with 14.9% reporting 2 or more artificial abortions.The main reasons for the artificial abortion were violating family planning policy and contraceptive failure causing accidental pregnancy(76%)in total.The main places of the abortion operations were township hospital(32.6%),general hospital at or above county level(19.2%),maternal and child health hospital(16.5%),and family planning service centre(15.3%).In addition,10.8% of the women with artificial abortion chose village clinics and 5.7% chose private clinics.There were about 95.0% of the women surveyed considering adverse effects of artificial abortion on women's health.Multivariate logistic regression analyses showed that the women with high education level,high annual family income,few pregnant times,and contraceptive measure had low rate of artificial abortion.ConclusionEducation on family planning policy,contraception knowledge,and contraceptive measures need to be promoted to reduce abortion rate among rural married reproductive women.