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Female autonomy and reported abortion‐seeking in Ghana, West Africa

dc.contributor.authorRominski, Sarah D.
dc.contributor.authorGupta, Mira
dc.contributor.authorAborigo, Raymond
dc.contributor.authorAdongo, Phillip
dc.contributor.authorEngman, Cyril
dc.contributor.authorHodgson, Abraham
dc.contributor.authorMoyer, Cheryl
dc.date.accessioned2017-01-10T19:03:25Z
dc.date.available2017-01-10T19:03:25Z
dc.date.issued2014-09
dc.identifier.citationRominski, Sarah D.; Gupta, Mira; Aborigo, Raymond; Adongo, Phillip; Engman, Cyril; Hodgson, Abraham; Moyer, Cheryl (2014). "Female autonomy and reported abortion‐seeking in Ghana, West Africa." International Journal of Gynecology & Obstetrics 126(3): 217-222.
dc.identifier.issn0020-7292
dc.identifier.issn1879-3479
dc.identifier.urihttps://hdl.handle.net/2027.42/135183
dc.description.abstractObjectiveTo investigate factors associated with self‐reported pregnancy termination in Ghana and thereby appreciate the correlates of abortion‐seeking in order to understand safe abortion care provision.MethodsIn a retrospective study, data from the Ghana 2008 Demographic and Health Survey were used to investigate factors associated with self‐reported pregnancy termination. Variables on an individual and household level were examined by both bivariate analyses and multivariate logistic regression. A five‐point autonomy scale was created to explore the role of female autonomy in reported abortion‐seeking behavior.ResultsAmong 4916 women included in the survey, 791 (16.1%) reported having an abortion. Factors associated with abortion‐seeking included being older, having attended school, and living in an urban versus a rural area. When entered into a logistic regression model with demographic control variables, every step up the autonomy scale (i.e. increasing autonomy) was associated with a 14.0% increased likelihood of reporting the termination of a pregnancy (P < 0.05).ConclusionAlthough health system barriers might play a role in preventing women from seeking safe abortion services, autonomy on an individual level is also important and needs to be addressed if women are to be empowered to seek safe abortion services.
dc.publisherPopulation Council
dc.publisherWiley Periodicals, Inc.
dc.subject.otherEmpowerment
dc.subject.otherAutonomy
dc.subject.otherAbortion
dc.subject.otherReproductive health
dc.subject.otherMaternal health
dc.subject.otherLow‐resource countries
dc.titleFemale autonomy and reported abortion‐seeking in Ghana, West Africa
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelObstetrics and Gynecology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.contributor.affiliationumGlobal REACH, University of Michigan Medical School, Ann Arbor, USA
dc.contributor.affiliationumDepartment of Medical Education, University of Michigan Medical School, Ann Arbor, USA
dc.contributor.affiliationotherNavrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
dc.contributor.affiliationotherJeffrey Cheah School of Medicine and Health Sciences, MONASH University, Sunway Campus, Subang Jaya, Malaysia
dc.contributor.affiliationotherDepartment of Social and Behavioural Sciences, School of Public Health, University of Ghana, Accra, Ghana
dc.contributor.affiliationotherDepartment of Pediatrics and Maternal Child Health, Schools of Medicine and Public Health, University of North Carolina, Chapel Hill, USA
dc.contributor.affiliationotherGhana Health Service, Accra, Ghana
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/135183/1/ijgo217.pdf
dc.identifier.doi10.1016/j.ijgo.2014.03.031
dc.identifier.sourceInternational Journal of Gynecology & Obstetrics
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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