Two decades of ‘legal’ abortion in Scotland: A spatio‐temporal analysis

Abstract

An increasingly important contributor to the low fertility characteristic of many western societies now experiencing ‘the second demographic transition’ has been the availability of legal pregnancy termination, so much so that national rates of one abortion for every four or five births are not uncommon. Prior to the passage of the 1967 Act legalising abortion in the UK, abortion in Scotland was not actually illegal, but its availability was extremely limited in most areas outside the northeast. Although uptake had increased dramatically in all regions by the mid 1990s, inter‐regional differences in abortion rates remained pronounced. This paper charts regional changes in uptake rates through the period 1974–96 then outlines and tests the effectiveness of ecological models involving socio‐demographic and health‐service related variables in accounting for variations in abortion rates across the thirteen Scottish Health Board regions in 1996. Although deprivation levels, marital and educational status are significantly involved, regional variations in consultant attitudes and professional practice seem also to be important. If the move to free up the availability of the ‘morning‐after pill’ is accepted throughout Scotland such differentials may soon disappear.