ArticlePloS one2020
Induced abortion incidence and safety in Côte d'Ivoire.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Pooled it
- How, when and where? A systematic review on abortion decision making in legally restricted settings in sub-Saharan Africa, Latin America, and the Caribbean.BMC women's health · 2022Pooled it
- Social Network-Based Induced Abortion Incidence Estimation in Burkina Faso: Examining the Impact of the Network Generating Question.Studies in family planning · 2022Trial
- Feasibility and Validity of Mobile Phone-Based Proxy Full Pregnancy History (mPFPH) for Estimating Perinatal Mortality in Rural Northwest Bangladesh.Tropical medicine & international health : TM & IH · 2026Article
- Article
- Prevalence and factors associated with unsafe abortion among married women admitted to the gynecology ward at Lira regional referral hospital in Lira City Northern Uganda.BMC public health · 2025Article
- Factores sociodemográficos-sanitarios sobre la decisión de interrupción del embarazo, Chile: un análisis de clases latentes.Global health promotion · 2025Article
- Determinants of abortion among women of reproductive age in Ghana: multilevel analysis evidence from the 2022 Ghana demographic and health survey.BMC women's health · 2025Article
- Incidence of unintended pregnancies and pregnancy experience among adolescents living with perinatally-acquired HIV in West Africa: a mixed-method study.BMC public health · 2025Article
- Measuring non-events: infertility estimation using cross-sectional, population-based data from four countries in sub-Saharan Africa.Human reproduction (Oxford, England) · 2024Article
- Early sexual debut and pregnancy termination: uncovering the link among sexually active young women in 23 sub-Saharan African countries.Contraception and reproductive medicine · 2024Article
- Exploring women's knowledge of abortion legality and association with source of abortion care using population-based survey data in Côte d'Ivoire and Ghana.Reproductive health · 2024Article
- Care-seeking for difficulties conceiving in sub-Saharan Africa: findings from population-based surveys in eight geographies.Human reproduction (Oxford, England) · 2024Article
- Direct and indirect estimation of adolescent sexual intercourse and contraceptive use in Rajasthan India: an application of the best friend methodology.BMC women's health · 2024Article
- Tanzanian adolescents' attitudes toward abortion: innovating video vignettes in survey research on health topics.Reproductive health · 2024Article
- Close female friendships and knowledge of recommended abortion methods in Nigeria and the Democratic Republic of the Congo among a representative sample of reproductive-aged women.Frontiers in reproductive health · 2024Article
- Estimating induced abortion incidence and the use of non-recommended abortion methods and sources in two provinces of the Democratic Republic of the Congo (Kinshasa and Kongo Central) in 2021: results from population-based, cross-sectional surveys of reproductive-aged women.Sexual and reproductive health matters · 2023Article
- Menstrual regulation: examining the incidence, methods, and sources of care of this understudied health practice in three settings using cross-sectional population-based surveys.BMC women's health · 2023Article
- Abortion incidence and safety in Niger in 2021: Findings from a nationally representative cross-sectional survey of reproductive-aged women using direct and indirect measurement approaches.PLOS global public health · 2023Article
- Partner involvement in abortion trajectories and subsequent abortion safety in Nigeria and Côte d'Ivoire.BMC women's health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Côte d'Ivoire, induced abortion is legally restricted unless a pregnancy threatens a woman's life. Yet the limited available evidence suggests abortion is common and that unsafe abortion is contributing to the country's high maternal mortality. Our study aimed to estimate the one-year incidence of induced abortion in Côte d'Ivoire using both direct and indirect methodologies, determine the safety of reported abortions, and identify the women most likely to experience a recent induced abortion or an unsafe abortion.
methodsIn 2018, we conducted a nationally representative, population-based survey of women age 15 to 49 in Côte d'Ivoire. Women reported their own abortion experiences and those of their closest female confidante. We estimated the one-year incidence of induced abortion, and the safety of the abortions women experienced. Using bivariate and multivariate regression, we separately assessed sociodemographic characteristics associated with having had a recent abortion or an unsafe abortion.
resultsOverall, 2,738 women participated in the survey, approximately two-thirds of whom reported on the abortion experiences of their closest female friend. Based on respondent data, the one-year incidence of induced abortion was 27.9 (95% CI 18.6-37.1) per 1,000 women of reproductive age, while the confidante incidence was higher at 40.7 (95% CI 33.3-48.1) per 1,000. Among respondents, 62.4% of abortions were most unsafe, while 78.5% of confidante abortions were most unsafe. Adolescents, less educated women, and the poorest women had the most unsafe abortions.
conclusionThis study provides the first national estimates of induced abortion incidence and safety in Côte d'Ivoire, using a population-based approach to explore social determinants of abortion and unsafe abortion. Consistent with other research, our results suggest that legal restrictions on abortion in Côte d'Ivoire are not preventing women from having abortions, but rather pushing women to use unsafe, potentially dangerous abortion methods. Efforts to reduce the harms of unsafe abortion are urgently needed.
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