Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors

Background and objectives: The socioeconomic position of women who have an induced abortion has been explored extensively, but without taking contextual factors into account. The objective was to describe socioeconomic inequalities in the rate of induced abortion in Spain in 2001, jointly evaluating...

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Detalhes bibliográficos
Autores: Perez, G, Ruiz-Munoz, D, Gotsens, M, Cases, MC, Rodriguez-Sanz, M
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2014
País:España
Recursos:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositório:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p10063
Acesso em linha:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10063
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907926115&doi=10.1093%2feurpub%2fckt104&partnerID=40&md5=8cc19a8ffe75861a54277133727ba07a
Access Level:Acceso aberto
Palavra-chave:adult
age
article
cross-sectional study
economics
educational status
female
health disparity
human
induced abortion
middle aged
Poisson distribution
pregnancy
socioeconomics
Spain
statistics
young adult
Abortion, Induced
Adult
Age Factors
Cross-Sectional Studies
Educational Status
Female
Health Status Disparities
Humans
Middle Aged
Poisson Distribution
Pregnancy
Socioeconomic Factors
Young Adult
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spelling Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factorsPerez, GRuiz-Munoz, DGotsens, MCases, MCRodriguez-Sanz, Madultagearticlecross-sectional studyeconomicseducational statusfemalehealth disparityhumaninduced abortionmiddle agedPoisson distributionpregnancysocioeconomicsSpainstatisticsyoung adultAbortion, InducedAdultAge FactorsCross-Sectional StudiesEducational StatusFemaleHealth Status DisparitiesHumansMiddle AgedPoisson DistributionPregnancySocioeconomic FactorsSpainYoung AdultBackground and objectives: The socioeconomic position of women who have an induced abortion has been explored extensively, but without taking contextual factors into account. The objective was to describe socioeconomic inequalities in the rate of induced abortion in Spain in 2001, jointly evaluating the effects of both regional and individual socioeconomic characteristics. Methods: A cross-sectional study using a multilevel approach was carried out among women who were resident in Spain in 2001, considering the hierarchical structure of relevant factors. Analyses were carried out at the individual and regional level. We fit Poisson regression models to calculate adjusted relative risks (aRR) of induced abortion and 95% confidence intervals (CIs). Results: The estimated abortion rate was 6.26 per 1000 women aged 20-49 years. Induced abortion was more frequent among younger women (aRR = 1.55 for women aged 20-24 years, compared with those aged 25-34 years) and those with less than primary education (aRR = 2.25 compared with women with university studies). Women residing in regions with lower public spending on non-university education (aRR = 0.83, 95% CI: 0.70-0.98) and a higher percentage of non-European Union immigrants (aRR = 1.06, 95% CI: 1.02-1.10) were also more likely to have had an induced abortion. Conclusions: Socioeconomic inequalities in the practice of induced abortion in Spain exist not only at the individual level but also at the regional level. The prevention of unintended pregnancy should be approached using a global political strategy aimed at changing contextual and individual factors that contribute to unintended pregnancy.OXFORD UNIV PRESS2014info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10063https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907926115&doi=10.1093%2feurpub%2fckt104&partnerID=40&md5=8cc19a8ffe75861a54277133727ba07aEUROPEAN JOURNAL OF PUBLIC HEALTHISSN: 11011262ISSNe: 1464360Xreponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p100632026-06-14T12:41:47Z
dc.title.none.fl_str_mv Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
title Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
spellingShingle Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
Perez, G
adult
age
article
cross-sectional study
economics
educational status
female
health disparity
human
induced abortion
middle aged
Poisson distribution
pregnancy
socioeconomics
Spain
statistics
young adult
Abortion, Induced
Adult
Age Factors
Cross-Sectional Studies
Educational Status
Female
Health Status Disparities
Humans
Middle Aged
Poisson Distribution
Pregnancy
Socioeconomic Factors
Spain
Young Adult
title_short Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
title_full Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
title_fullStr Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
title_full_unstemmed Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
title_sort Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors
dc.creator.none.fl_str_mv Perez, G
Ruiz-Munoz, D
Gotsens, M
Cases, MC
Rodriguez-Sanz, M
author Perez, G
author_facet Perez, G
Ruiz-Munoz, D
Gotsens, M
Cases, MC
Rodriguez-Sanz, M
author_role author
author2 Ruiz-Munoz, D
Gotsens, M
Cases, MC
Rodriguez-Sanz, M
author2_role author
author
author
author
dc.subject.none.fl_str_mv adult
age
article
cross-sectional study
economics
educational status
female
health disparity
human
induced abortion
middle aged
Poisson distribution
pregnancy
socioeconomics
Spain
statistics
young adult
Abortion, Induced
Adult
Age Factors
Cross-Sectional Studies
Educational Status
Female
Health Status Disparities
Humans
Middle Aged
Poisson Distribution
Pregnancy
Socioeconomic Factors
Spain
Young Adult
topic adult
age
article
cross-sectional study
economics
educational status
female
health disparity
human
induced abortion
middle aged
Poisson distribution
pregnancy
socioeconomics
Spain
statistics
young adult
Abortion, Induced
Adult
Age Factors
Cross-Sectional Studies
Educational Status
Female
Health Status Disparities
Humans
Middle Aged
Poisson Distribution
Pregnancy
Socioeconomic Factors
Spain
Young Adult
description Background and objectives: The socioeconomic position of women who have an induced abortion has been explored extensively, but without taking contextual factors into account. The objective was to describe socioeconomic inequalities in the rate of induced abortion in Spain in 2001, jointly evaluating the effects of both regional and individual socioeconomic characteristics. Methods: A cross-sectional study using a multilevel approach was carried out among women who were resident in Spain in 2001, considering the hierarchical structure of relevant factors. Analyses were carried out at the individual and regional level. We fit Poisson regression models to calculate adjusted relative risks (aRR) of induced abortion and 95% confidence intervals (CIs). Results: The estimated abortion rate was 6.26 per 1000 women aged 20-49 years. Induced abortion was more frequent among younger women (aRR = 1.55 for women aged 20-24 years, compared with those aged 25-34 years) and those with less than primary education (aRR = 2.25 compared with women with university studies). Women residing in regions with lower public spending on non-university education (aRR = 0.83, 95% CI: 0.70-0.98) and a higher percentage of non-European Union immigrants (aRR = 1.06, 95% CI: 1.02-1.10) were also more likely to have had an induced abortion. Conclusions: Socioeconomic inequalities in the practice of induced abortion in Spain exist not only at the individual level but also at the regional level. The prevention of unintended pregnancy should be approached using a global political strategy aimed at changing contextual and individual factors that contribute to unintended pregnancy.
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10063
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907926115&doi=10.1093%2feurpub%2fckt104&partnerID=40&md5=8cc19a8ffe75861a54277133727ba07a
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10063
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907926115&doi=10.1093%2feurpub%2fckt104&partnerID=40&md5=8cc19a8ffe75861a54277133727ba07a
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv OXFORD UNIV PRESS
publisher.none.fl_str_mv OXFORD UNIV PRESS
dc.source.none.fl_str_mv EUROPEAN JOURNAL OF PUBLIC HEALTH
ISSN: 11011262
ISSNe: 1464360X
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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