June 5th, 2020

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Title:
Factors Associated with Repeat Induced Abortion and Implications for Family Planning Improvement in a Population from Guangzhou, China
Authors:  Ribo Xiong, Ph.D., Yan Liu, M.D., and Aiwen Deng, M.D.
  OBJECTIVE: To investigate the incidence of repeat induced abortion (RIA) and to explore the potential factors influencing RIA in women from Guangzhou, China.

STUDY DESIGN: An anonymous, self-administered questionnaire regarding risk factors was administered to all participants who had undergone an RIA. Binary logistic regression using stepwise method was used to determine factors that were significantly associated with RIA.

RESULTS: Among the targeted women, 30.1% had RIAs. The odds of RIA rose exponentially with age, lower education, number of complete pregnancies, number of ever-adopted contraceptive methods, and number of sons. Migrant women had a greater risk of experiencing RIAs. The adoption of emergency contraception had protective effects on the occurrence of RIAs. Older age, lower education, migrant status, higher parity, more contraceptive methods adopted, and preference for a son carried an increased risk of RIA.

CONCLUSION: Older age, lower education, migrant status, higher parity, more contraceptive methods adopted, and preference for a son carried an increased risk of RIA. There is an urgent need to improve the awareness of appropriate use of contraceptives and emergency contraception.
Keywords:  abortion; abortion, induced; adolescent; adult; China; consumer health information; contraception/methods; contraception behavior; educational status; emergency contraception; factor; family planning; health knowledge, attitudes, practice; health policy; incidence; pregnancy; repeat induced abortion; reproductive history; urban health
   
   
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