Female autonomy and reported abortion-seeking in Ghana, West Africa Sarah D. Rominski, Mira Gupta, Raymond Aborigo, Phillip Adongo, Cyril Engman, Abraham Hodgson, Cheryl Moyer PII: DOI: Reference:
S0020-7292(14)00242-2 doi: 10.1016/j.ijgo.2014.03.031 IJG 7976
To appear in:
International Journal of Gynecology and Obstetrics
Received date: Revised date: Accepted date:
4 October 2013 6 March 2014 7 May 2014
Please cite this article as: Rominski Sarah D., Gupta Mira, Aborigo Raymond, Adongo Phillip, Engman Cyril, Hodgson Abraham, Moyer Cheryl, Female autonomy and reported abortion-seeking in Ghana, West Africa, International Journal of Gynecology and Obstetrics (2014), doi: 10.1016/j.ijgo.2014.03.031
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT CLINICAL ARTICLE
PT
Female autonomy and reported abortion-seeking in Ghana, West Africa
SC
Engman e, Abraham Hodgson b,f Cheryl Moyer a,g
RI
Sarah D. Rominski a,*, Mira Gupta a, Raymond Aborigo b,c, Phillip Adongo d, Cyril
Global REACH, University of Michigan Medical School, Ann Arbor, USA
b
Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
c
Jeffrey Cheah School of Medicine and Health Sciences, MONASH University, Sunway
Campus, Subang Jaya, Malaysia
Department of Social and Behavioural Sciences, School of Public Health, University of
Ghana, Accra, Ghana
Department of Pediatrics and Maternal Child Health, Schools of Medicine and Public
AC CE P
e
TE
D
d
MA
NU
a
Health, University of North Carolina, Chapel Hill, USA f
Ghana Health Service, Accra, Ghana
g
Department of Medical Education, University of Michigan Medical School, Ann Arbor,
USA
* Corresponding author: Sarah D. Rominski Senior Research Associate, Global REACH, University of Michigan Medical School, 240 Victor Vaughn Building, 3111 Catherine St, Ann Arbor, MI 48109, USA. Tel.: +1 734 764 6108; fax: +1 734 615 6300. E-mail address: [email protected]
ACCEPTED MANUSCRIPT
Keywords: Abortion; Autonomy; Empowerment; Low-resource countries; Maternal
RI
PT
health; Reproductive health
Synopsis: Previously identified demographic differences in reported abortion-seeking
SC
may be explained by sociocultural factors such as individual autonomy, and should be
AC CE P
TE
D
MA
NU
considered when making policy.
ACCEPTED MANUSCRIPT ABSTRACT Objective: To investigate factors associated with self-reported pregnancy termination in
PT
Ghana and thereby appreciate the correlates of abortion-seeking in order to understand
RI
safe abortion care provision.
Methods: In a retrospective study, data from the Ghana 2008 Demographic and Health
SC
Survey were used to investigate factors associated with self-reported pregnancy
NU
termination. Variables on an individual and household level were examined by both bivariate analyses and multivariate logistic regression. A five-point autonomy scale was
MA
created to explore the role of female autonomy in reported abortion-seeking behavior. Results: Among 4916 women included in the survey, 791 (16.1%) reported having an
TE
D
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
AC CE P
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
S0020-7292(14)00242-2 doi: 10.1016/j.ijgo.2014.03.031 IJG 7976
To appear in:
International Journal of Gynecology and Obstetrics
Received date: Revised date: Accepted date:
4 October 2013 6 March 2014 7 May 2014
Please cite this article as: Rominski Sarah D., Gupta Mira, Aborigo Raymond, Adongo Phillip, Engman Cyril, Hodgson Abraham, Moyer Cheryl, Female autonomy and reported abortion-seeking in Ghana, West Africa, International Journal of Gynecology and Obstetrics (2014), doi: 10.1016/j.ijgo.2014.03.031
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT CLINICAL ARTICLE
PT
Female autonomy and reported abortion-seeking in Ghana, West Africa
SC
Engman e, Abraham Hodgson b,f Cheryl Moyer a,g
RI
Sarah D. Rominski a,*, Mira Gupta a, Raymond Aborigo b,c, Phillip Adongo d, Cyril
Global REACH, University of Michigan Medical School, Ann Arbor, USA
b
Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana
c
Jeffrey Cheah School of Medicine and Health Sciences, MONASH University, Sunway
Campus, Subang Jaya, Malaysia
Department of Social and Behavioural Sciences, School of Public Health, University of
Ghana, Accra, Ghana
Department of Pediatrics and Maternal Child Health, Schools of Medicine and Public
AC CE P
e
TE
D
d
MA
NU
a
Health, University of North Carolina, Chapel Hill, USA f
Ghana Health Service, Accra, Ghana
g
Department of Medical Education, University of Michigan Medical School, Ann Arbor,
USA
* Corresponding author: Sarah D. Rominski Senior Research Associate, Global REACH, University of Michigan Medical School, 240 Victor Vaughn Building, 3111 Catherine St, Ann Arbor, MI 48109, USA. Tel.: +1 734 764 6108; fax: +1 734 615 6300. E-mail address: [email protected]
ACCEPTED MANUSCRIPT
Keywords: Abortion; Autonomy; Empowerment; Low-resource countries; Maternal
RI
PT
health; Reproductive health
Synopsis: Previously identified demographic differences in reported abortion-seeking
SC
may be explained by sociocultural factors such as individual autonomy, and should be
AC CE P
TE
D
MA
NU
considered when making policy.
ACCEPTED MANUSCRIPT ABSTRACT Objective: To investigate factors associated with self-reported pregnancy termination in
PT
Ghana and thereby appreciate the correlates of abortion-seeking in order to understand
RI
safe abortion care provision.
Methods: In a retrospective study, data from the Ghana 2008 Demographic and Health
SC
Survey were used to investigate factors associated with self-reported pregnancy
NU
termination. Variables on an individual and household level were examined by both bivariate analyses and multivariate logistic regression. A five-point autonomy scale was
MA
created to explore the role of female autonomy in reported abortion-seeking behavior. Results: Among 4916 women included in the survey, 791 (16.1%) reported having an
TE
D
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
AC CE P
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
