Abstract
Objective: Our aim was to assess the changes in induced abortion in different migrant groups in China between 2007 and 2014 and the contraceptive methods used prior to induced abortion. Methods: The studies of two population-based cross sections were conducted in urban China, involving 9146 sexually active migrant women. Within the selected sociodemographic subgroups, the changes in the percentage of women who had induced abortions, the proportion of pregnancies ending in induced abortions, the causes of induced abortions, and the methods of contraception were identified. A chi-squared test was used to calculate the differences in induced abortion in the subgroups. Results: Between 2007 and 2014, in the study groups from the major cities of China, the percentage of sexually active migrant women who had induced abortions increased 10.1%, from 21.8% to 24.0%. The proportion of pregnancies ending in induced abortions increased 23.7%, from 21.5% to 26.6%. Both of the aforementioned statistics increased significantly within most of the selected sociodemographic subgroups, especially in the 18–19 and 45–49 age groups. Over 50% of pregnancies were aborted in the cohabiting group, although this figure declined by 12.3% over the course of the seven-year study period. Contraceptive failure was the primary cause of induced abortion, although its contribution to induced abortion declined from 51.3% to 42.4%. The proportion of women not using contraception prior to induced abortion increased from 30.9% to 41.2%. Conclusion: The prevalence of induced abortion is high and continues to increase among sexually active migrant women in China. An increasing trend is forecasted over the next few decades. Special attention should be paid to the younger cohort of migrant women, especially 18–19-year-olds, and unmarried cohabitants, who are increasingly seeking induced abortions.
Highlights
A few abortions were performed in China before the 1970s
Special attention should be paid to the younger cohort of migrant women, especially 18–19-year-olds, and unmarried cohabitants, who are increasingly seeking induced abortions
This study focuses on changes in the percentage of women who had induced abortions and the proportion of pregnancies ending in induced abortions among sexually active migrant women in the major cities of China between 2007 and 2014
Summary
A few abortions were performed in China before the 1970s. in the 1980s, the Chinese government implemented a strict family planning policy to control the excessive population growth.With a few exceptions, such as in areas where the population was sparse, each couple was restricted to having a maximum of one child in order to curtail the population growth rate as quickly as possible.To ensure that the actual number of births met these requirements, some areas adopted extremeInt. A few abortions were performed in China before the 1970s. In the 1980s, the Chinese government implemented a strict family planning policy to control the excessive population growth. With a few exceptions, such as in areas where the population was sparse, each couple was restricted to having a maximum of one child in order to curtail the population growth rate as quickly as possible. To ensure that the actual number of births met these requirements, some areas adopted extreme. Res. Public Health 2019, 16, 3305; doi:10.3390/ijerph16183305 www.mdpi.com/journal/ijerph
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