Research Article: Association between perceived social support and induced abortion: A study in maternal health centers in Lima, Peru

Date Published: April 12, 2018

Publisher: Public Library of Science

Author(s): Luis E. Sánchez-Siancas, Angélica Rodríguez-Medina, Alejandro Piscoya, Antonio Bernabe-Ortiz, Dongmei Li.

http://doi.org/10.1371/journal.pone.0192764

Abstract

This study aimed to assess the association between perceived social support and induced abortion among young women in Lima, Peru. In addition, prevalence and incidence of induced abortion was estimated.

A cross-sectional study enrolling women aged 18–25 years from maternal health centers in Southern Lima, Peru, was conducted. Induced abortion was defined as the difference between the total number of pregnancies ended in abortion and the number of spontaneous abortions; whereas perceived social support was assessed using the DUKE-UNC scale. Prevalence and incidence of induced abortion (per 100 person-years risk) was estimated, and the association of interest was evaluated using Poisson regression models with robust variance. A total of 298 women were enrolled, mean age 21.7 (± 2.2) years. Low levels of social support were found in 43.6% (95%CI 38.0%–49.3%), and 17.4% (95%CI: 13.1%– 21.8%) women reported at least one induced abortion. The incidence of induced abortion was 2.37 (95%CI: 1.81–3.11) per 100 person-years risk. The multivariable model showed evidence of the association between low perceived social support and induced abortion (RR = 1.94; 95%CI: 1.14–3.30) after controlling for confounders.

There was evidence of an association between low perceived social support and induced abortion among women aged 18 to 25 years. Incidence of induced abortion was similar or even greater than rates of countries where abortion is legal. Strategies to increase social support and reduce induced abortion rates are needed.

Partial Text

According to the World Health Organization (WHO), induced abortion is defined as the intentional termination of a pregnancy before the fetus can live independently [1]. Worldwide, every year, 35 abortions occurred per 1000 women aged 15 to 44 years, and around 56.3 million women sought for abortion between 2010 and 2014 [2].

A total of 298 women were enrolled in the study, mean age 21.7 (± 2.2) years, 179 (60.1%) had incomplete secondary (<12 years of education), and 118 (39.6%) were single.   Source: http://doi.org/10.1371/journal.pone.0192764

 

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