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Contraceptive use among migrant women with a history of induced abortion in Finland

Contraceptive use among migrant women with a history of induced abortion in Finland
Contraceptive use among migrant women with a history of induced abortion in Finland
Background: Women’s contraceptive choices may change after an induced abortion, due to contraceptive counselling or a behavioural change prompted by the experience. The effect may vary between women; sociocultural background, for example, may affect their subsequent reproductive choices.

Objective: We examined whether women’s current contraceptive use was differently associated with a history of induced abortion among immigrant groups in Finland (Russian, Kurdish and Somali) and the general Finnish population.

Methods: We analysed data from two surveys, the Migrant Health and Wellbeing study and the Health 2011 study, linked to the Finnish register of induced abortions. Propensity score weighted logistic regression was used to analyse the data.

Results: The likelihood of using contraceptives after an abortion varied depending on women’s sociocultural background. A history of induced abortion increased contraceptive use among all groups, except Russian women, in whom there was no effect. The effect was particularly strong for Kurdish women.

Conclusion: Sociocultural background was an important determinant of post-abortion contraceptive use. Some immigrants may struggle to navigate the Finnish health care system due to language or literacy issues. Attention should be paid to improving access to family planning among these groups.
1362-5187
274-281
Vaisanen, Heini
ee5b9497-7825-4fd8-8b7e-3d5d2b164766
Koponen, Päivikki
353bbff4-3504-4778-90c9-9621a4fe861f
Gissler, Mika
5e5daab1-5574-4a2e-854f-80f300454d6d
Kontula, Osmo
36e45cee-0d61-4472-a63b-bb5d5a36ed01
Vaisanen, Heini
ee5b9497-7825-4fd8-8b7e-3d5d2b164766
Koponen, Päivikki
353bbff4-3504-4778-90c9-9621a4fe861f
Gissler, Mika
5e5daab1-5574-4a2e-854f-80f300454d6d
Kontula, Osmo
36e45cee-0d61-4472-a63b-bb5d5a36ed01

Vaisanen, Heini, Koponen, Päivikki, Gissler, Mika and Kontula, Osmo (2018) Contraceptive use among migrant women with a history of induced abortion in Finland. The European Journal of Contraception & Reproductive Health Care, 23 (4), 274-281. (doi:10.1080/13625187.2018.1483019).

Record type: Article

Abstract

Background: Women’s contraceptive choices may change after an induced abortion, due to contraceptive counselling or a behavioural change prompted by the experience. The effect may vary between women; sociocultural background, for example, may affect their subsequent reproductive choices.

Objective: We examined whether women’s current contraceptive use was differently associated with a history of induced abortion among immigrant groups in Finland (Russian, Kurdish and Somali) and the general Finnish population.

Methods: We analysed data from two surveys, the Migrant Health and Wellbeing study and the Health 2011 study, linked to the Finnish register of induced abortions. Propensity score weighted logistic regression was used to analyse the data.

Results: The likelihood of using contraceptives after an abortion varied depending on women’s sociocultural background. A history of induced abortion increased contraceptive use among all groups, except Russian women, in whom there was no effect. The effect was particularly strong for Kurdish women.

Conclusion: Sociocultural background was an important determinant of post-abortion contraceptive use. Some immigrants may struggle to navigate the Finnish health care system due to language or literacy issues. Attention should be paid to improving access to family planning among these groups.

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More information

Accepted/In Press date: 26 May 2018
e-pub ahead of print date: 25 June 2018
Published date: August 2018

Identifiers

Local EPrints ID: 421326
URI: http://eprints.soton.ac.uk/id/eprint/421326
ISSN: 1362-5187
PURE UUID: c32fe033-7ed9-470c-a5ac-3a1917bc6556
ORCID for Heini Vaisanen: ORCID iD orcid.org/0000-0002-5494-0415

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Date deposited: 01 Jun 2018 16:30
Last modified: 27 Aug 2019 04:01

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