The level and deriving factors of repeat-induced abortion in Ethiopia: A systematic review and meta-analysis.
Meta-analysis
Predictors
Prevalence
Repeat abortion
Systematic review
Journal
Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
24
10
2020
revised:
19
11
2020
accepted:
11
01
2021
entrez:
28
1
2021
pubmed:
29
1
2021
medline:
29
1
2021
Statut:
epublish
Résumé
Despite repeat induced abortion is a growing challenge for both developing as well as developed countries, abortion-related complications are found to be higher among women in developing countries. This systematic review and meta-analysis was intended to assess the level of repeat-induced abortion and its deriving factors in Ethiopia. Different data sources such as PubMed, EMBASE, Google Scholar, and University online data bases were used to identify candidate articles for this systematic review and meta-analysis. The article search was conducted from June 10 to 26, 2020. The Newcastle-Ottawa Quality Assessment Scale (NOS) was used to assess the quality of the included studies. Data extraction was performed through a format prepared on Microsoft excel work book and exported to Stata 11 for analysis. The heterogeneity of the studies was tested using Cochran (Q test) and I Five studies with 2000 participants who visited health facilities for abortion services were included in this systematic review and meta-analysis. The pooled level of repeat-induced abortion was found to be 29.93% (95%, CI 23.15%, 36.71%). Urban residence (OR = 5.10, 95%, CI 2.51, 10.33), illiteracy (OR = 4.12, 95%, CI 2.40, 7.07), having multiple sexual partners (OR = 6.28, 95% CI 4.28, 9.22), and early sexual initiation (OR = 3.80, 95%, CI1.76, 8.19) were found to be the deriving factors for experiencing repeat induced abortion. However, there was no significant association between ever use of family planning and repeat induced abortion (OR = 1.03, 95%, CI 0.09, 11.59). The level of repeat-induced abortion was found to be high in Ethiopia. High risk of experiencing repeat-induced abortion was reported among participants who were urban residents, illiterate, who had multiple sexual partners, and early sexual initiation. However, a statistically significant association was not found between ever use of family planning and repeat-induced abortion. Health education shall be given about the risk of subsequent abortion and the relevance of avoiding unintended pregnancy, multiple sexual partners, and early sexual initiations through various mechanisms.
Sections du résumé
BACKGROUND
BACKGROUND
Despite repeat induced abortion is a growing challenge for both developing as well as developed countries, abortion-related complications are found to be higher among women in developing countries. This systematic review and meta-analysis was intended to assess the level of repeat-induced abortion and its deriving factors in Ethiopia.
METHODS
METHODS
Different data sources such as PubMed, EMBASE, Google Scholar, and University online data bases were used to identify candidate articles for this systematic review and meta-analysis. The article search was conducted from June 10 to 26, 2020. The Newcastle-Ottawa Quality Assessment Scale (NOS) was used to assess the quality of the included studies. Data extraction was performed through a format prepared on Microsoft excel work book and exported to Stata 11 for analysis. The heterogeneity of the studies was tested using Cochran (Q test) and I
RESULTS
RESULTS
Five studies with 2000 participants who visited health facilities for abortion services were included in this systematic review and meta-analysis. The pooled level of repeat-induced abortion was found to be 29.93% (95%, CI 23.15%, 36.71%). Urban residence (OR = 5.10, 95%, CI 2.51, 10.33), illiteracy (OR = 4.12, 95%, CI 2.40, 7.07), having multiple sexual partners (OR = 6.28, 95% CI 4.28, 9.22), and early sexual initiation (OR = 3.80, 95%, CI1.76, 8.19) were found to be the deriving factors for experiencing repeat induced abortion. However, there was no significant association between ever use of family planning and repeat induced abortion (OR = 1.03, 95%, CI 0.09, 11.59).
CONCLUSION
CONCLUSIONS
The level of repeat-induced abortion was found to be high in Ethiopia. High risk of experiencing repeat-induced abortion was reported among participants who were urban residents, illiterate, who had multiple sexual partners, and early sexual initiation. However, a statistically significant association was not found between ever use of family planning and repeat-induced abortion. Health education shall be given about the risk of subsequent abortion and the relevance of avoiding unintended pregnancy, multiple sexual partners, and early sexual initiations through various mechanisms.
Identifiants
pubmed: 33506136
doi: 10.1016/j.heliyon.2021.e05984
pii: S2405-8440(21)00089-X
pmc: PMC7814157
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e05984Informations de copyright
© 2021 The Author(s).
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Contracept Reprod Med. 2019 Nov 4;4:19
pubmed: 31700669
J Pregnancy. 2014;2014:295732
pubmed: 24800079
Eur J Contracept Reprod Health Care. 2011 Oct;16(5):369-77
pubmed: 21777046
J Fam Plann Reprod Health Care. 2017 Jan;43(1):26-30
pubmed: 27899410
BMC Womens Health. 2018 Sep 25;18(1):158
pubmed: 30253769
BMC Public Health. 2015 Oct 12;15:1048
pubmed: 26459344
Mater Sociomed. 2017 Mar;29(1):58-67
pubmed: 28484357
Reprod Health. 2020 Jun 17;17(1):97
pubmed: 32552736
Open Access J Contracept. 2018 Jul 16;9:45-55
pubmed: 30038527
Reprod Health. 2019 Jun 4;16(1):76
pubmed: 31164156
J Fam Plann Reprod Health Care. 2007 Jul;33(3):155-8
pubmed: 17609073
J Public Health (Oxf). 2009 Mar;31(1):81-7
pubmed: 18703673
Reprod Health. 2015 Oct 15;12:94
pubmed: 26470703
J Fam Plann Reprod Health Care. 2011 Oct;37(4):209-15
pubmed: 21724621
BMC Res Notes. 2019 Aug 13;12(1):499
pubmed: 31409376
BMC Res Notes. 2020 Jan 28;13(1):44
pubmed: 31992354
BMC Public Health. 2017 Feb 13;17(1):188
pubmed: 28193200
BMC Med Res Methodol. 2007 Feb 15;7:10
pubmed: 17302989
BMC Med Res Methodol. 2008 Nov 27;8:79
pubmed: 19036172