Evidence map›Paper›PMID 30217474›Full record

ArticleContraception2018

Estimating abortion incidence among adolescents and differences in postabortion care by age: a cross-sectional study of postabortion care patients in Uganda.

Elizabeth A Sully, Lynn Atuyambe, Justine Bukenya, Hannah S Whitehead, Nakeisha Blades, Akinrinola Bankole

Open access · hybridAbstract read
In one paragraph

Article in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 47 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Elizabeth A SullyGuttmacher Institute, 125 Maiden Lane, New York, NY 10038. Electronic address: esully@guttmacher.org.
Lynn AtuyambeMakerere University School of Public Health, Mulago Hill Road, Kampala, Uganda. Electronic address: atuyambe@musph.ac.ug.
Justine BukenyaMakerere University School of Public Health, Mulago Hill Road, Kampala, Uganda. Electronic address: jbukenya@musph.ac.ug.
Hannah S WhiteheadGuttmacher Institute, 125 Maiden Lane, New York, NY 10038. Electronic address: hwhitehead@guttmacher.org.
Nakeisha BladesGuttmacher Institute, 125 Maiden Lane, New York, NY 10038. Electronic address: nblades@guttmacher.org.
Akinrinola BankoleGuttmacher Institute, 125 Maiden Lane, New York, NY 10038. Electronic address: abankole@guttmacher.org.
Guttmacher Institute · USMakerere University · UG

Funding

Research Infrastructure for Demographic and Behavioral Population Science Dissemination CoreR24HD074034 · NICHD · GUTTMACHER INSTITUTE · PI KOST, KATHRYN L · 2013 to 2017
$462k
NICHD NIH HHS R24 HD074034
6 · The paper itself

Abstract

objectivesTo provide the first estimate of adolescents' abortion incidence in Uganda and to assess differences in the abortion experiences and morbidities of adolescent and nonadolescent postabortion care (PAC) patients. STUDY

designWe used the age-specific Abortion Incidence Complications Method, drawing from three surveys conducted in Uganda in 2013: a nationally representative Health Facilities Survey (n=418), a Health Professionals Survey (n=147) and a Prospective Morbidity Survey of PAC patients (n=2169). Multivariable logistic and Cox proportional hazard models were used to compare adolescent and nonadolescent PAC patients on dimensions including pregnancy intention, gestational age, abortion safety, delays to care, severity of complications and receipt of postabortion family planning. We included an interaction term between adolescents and marital status to assess heterogeneity among adolescents.

resultsAdolescent women have the lowest abortion rate among women less than 35 years of age (28.4 abortions per 1000 women 15-19) but the highest rate among recently sexually active women (76.1 abortions per 1000 women 15-19). We do not find that adolescents face greater disadvantages in their abortion care experiences as compared to older women. However, unmarried PAC patients, both adolescent and nonadolescent, have higher odds of experiencing severe complications than nonadolescent married women.

conclusionsThe high abortion rate among sexually active adolescents highlights the critical need to improve adolescent family planning in Uganda. Interventions to prevent unintended pregnancy and to reduce unsafe abortion may be particularly important for unmarried adolescents. Rather than treating adolescents as a homogenous group, we need to understand how marriage and other social factors shape reproductive health outcomes. IMPLICATIONS: This paper provides the first estimate of the adolescent abortion rate in Uganda. Studies of adolescent abortion and reproductive health must account for sexual activity and marital status. Further, interventions to address unintended pregnancy and unsafe abortion among unmarried women of all ages in Africa should be a priority.

Indexed as

Abortion, InducedAdolescentAdultAftercareContraception BehaviorFamily Planning ServicesFemaleGestational AgeHumansLogistic ModelsMarital StatusMiddle AgedMultivariate AnalysisPregnancyPregnancy in AdolescencePregnancy, UnplannedAbortion complicationsAdolescentFamily planningInduced abortionUnintended pregnancy

Identifiers

PMID30217474
PMCPMC6219390
OpenAlexW2891024633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.