Women commonly report seeking abortion in order to achieve
personal life goals. Few studies have investigated whether an abortion enables
women to achieve such goals.
Data are from the Turnaway Study, a prospective cohort study
of women recruited from 30 abortion facilities across the US. The sample
included women in one of four groups: Women who presented for abortion just
over the facility’s gestational limit, were denied an abortion and went on to
parent the child (Parenting Turnaways, n =
146) or did not parent (Non-Parenting Turnaways, n = 64), those who presented just under the
facility’s gestational limit and received an abortion (Near-Limits, n = 413) and those who presented in the first
trimester and received an abortion (First Trimesters, n = 254). Participants were interviewed by
telephone one week, six months and one year after they sought an abortion. We
used mixed effects logistic regression to assess the relationship between receiving
versus being denied abortion and having an aspirational one year goal and
achieving it.
The 757 participants in this analysis reported a total of
1,304 one-year plans. The most common one-year plans were related to education
(21.3 %), employment (18.9 %), other (16.3 %), and change in residence (10.4
%). Most goals (80 %) were aspirational, defined as a positive plan for the
next year. First Trimesters and Near-Limits were over 6 times as likely as
Parenting Turnaways to report aspirational one-year plans. Among all plans in which
achievement was measurable (n = 1,024, 87 %), Near-Limits (45.6 %, AOR =
1.91, p =
0.003) and Non-Parenting Turnaways were more likely to have both an aspirational plan and to have achieved
it than Parenting Turnaways (30.4 %).
These findings suggest that ensuring women can have a wanted
abortion enables them to maintain a positive future outlook and achieve their
aspirational life plans.
Below: Sample by study group
Below: Proportion of one-year plans by topic/theme category, by study group, n = 1,304 plans. % of one year plans is significantly different than Parenting Turnaways at *p < 0.05, **p < 0.01, or ***p < 0.001
Below: Proportion of one-year plans by whether they were negative, neutral/matter of fact or positive, by study group, n = 1,304. ***% of one year plans is significantly different than Parenting Turnaways at p < 0.001
Full article at:
By:
Department of Obstetrics, Gynecology and Reproductive Sciences,
Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for
Global Reproductive Health, University of California, San Francisco, 1330
Broadway, Suite 1100, Oakland 94612, CA, USA
More at: https://twitter.com/hiv_insight
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