Cited by 135Reproductive Health and ContraceptionHistorical Studies on Reproduction, Gender, Health, and Societal ChangesReproductive Health and Technologies

Women’s life cycle and abortion decision in unintended pregnancies

Open access
Sihvo, S, Bajos, N, Ducot, B, Kaminski, M·2003·Journal of Epidemiology and Community Health

Abstract

Objective: To study the impact of sociodemographic, financial, and reproductive factors and of characteristics related to intimate relationships on the decisions of women in different age groups about whether or not to continue an unintended pregnancy. Design: Cross sectional population based survey. Setting: Telephone interview survey between September 2000 and January 2001 in France. From a representative sample (n=14 704) of 18 to 44 year old women, those who in the past five years had an abortion or whose last pregnancy was unintended were oversampled (sampling fraction=100%, n=1034) while the other women were randomly selected (sampling fraction =19%, n=1829). Altogether, 2863 women answered the questionnaire. Participants: All women whose last pregnancy was unintended and ended in induced abortion or birth (n=645). Main results: Factors associated with the abortion decision varied strongly according to age. Younger women’s abortion decisions were mainly related to being a student and being single. Wanting to stop childbearing when the desired number of children was achieved best explained the decision to have an abortion among 25 to 34 year old women. Older women chose abortion especially when childbearing did not fit their work situation or when the relationship with the partner was unstable. A high level of education of a woman and her partner increased the likelihood of abortion, especially among young women. Conclusions: The impact of socioeconomic and relationship factors on the decision to have an abortion is not the same at different stages in life, and refers to the social representations and perceptions of what good conditions are for being a mother.

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  • The higher likelihood of seeing benefits among women with high education or studying is probably due to it being more acceptable for them to plan their family and terminate a pregnancy when the time is not right, with priority on establishing careers.

    “This likelihood is probably, due to the fact that for women with high educational levels or still studying it is more acceptable to plan their family and terminate a pregnancy when the time is not right to have children, and the priority is to establish their careers [51].”

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Authors
Sihvo, S., Bajos, N., Ducot, B., & Kaminski, M.
Affiliations
  • University of Helsinki (FI)
  • Inserm (FR)
Corresponding author
Sihvo, S
Venue
Journal of Epidemiology and Community Health
Publisher
BMJ
Published
2003-07-25
Volume
57
Issue
8
Pages
601-605
ISSN
  • 0141-7681 (ISSN-L)
  • 0143-005X
  • 1470-2738
OpenAlex
W2020936738
Cited by
135
References
0
Citations by year
2026: 1 · 2025: 4 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 8 · 2017: 8 · 2016: 4 · 2015: 2 · 2014: 10 · 2013: 8 · 2012: 11
FWCI
4.07
Type
journal article
Language
en
Open access
Locations
  • Journal of Epidemiology & Community Health (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Funders
Institut National de la Santé et de la Recherche Médicale
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Social Sciences › Arts and Humanities › History › Historical Studies on Reproduction, Gender, Health, and Societal Changes
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
Keywords
abortion decision-making, unintended pregnancy, women's life cycle, age differences, sociodemographic factors, financial factors, reproductive factors, intimate relationships, relationship stability, educational attainment, single women, social representations of motherhood, France
MeSH terms
Abortion, Induced, Adolescent, Adult, Age Factors, Analysis of Variance, Cross-Sectional Studies, Decision Making, Female, France, Humans, Pregnancy, Pregnancy, Unwanted, Socioeconomic Factors

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