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Asia-Pacific Population Journal - Volume 30, Issue 1, 2012
Volume 30, Issue 1, 2012
Issued two times a year, the Asia-Pacific Population Journal is an invaluable resource containing opinions and analysis by experts on important issues related to population. It provides a medium for the international exchange of knowledge, experience, ideas, technical information and data on all aspects of population.
Language:
English
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Early marriage as a risk factor for mistimed pregnancy among married adolescents in Bangladesh
Authors: Sigma Ainul and Sajeda AminIn Bangladesh, there appears to be high levels of modern contraceptive use but also high levels of adolescent childbearing. The present paper explores early marriage as a risk factor explaining early childbearing and mis timed pregnancies. Data collected from an adolescent survey of 11,609 girls between the ages 12-19 years are analysed in conjunction with in-depth interviews (n=12) with adolescents living in three dis tricts in South-Wes tern Bangladesh. Life his tories of girls who experienced an early pregnancy were explored to elucidate how high modern contraceptive use and replacement level fertility in the region coincided with high levels of unintended pregnancy.
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Factors affecting delay in obtaining an abortion among unmarried young women in three cities in China
Authors: Xiayun Zuo, Chunyan Yu, Chaohua Lou, Xiaowen Tu, Qiguo Lian and Ziliang WangUnwanted pregnancy, which is relatively common in China, usually leads to induced abortion. Although unmarried young women are at higher risk of delay in seeking an abortion, this population has rarely been studied in China. The present paper uses a survey of 1,271 unmarried women aged 15-24 years who sought an abortion in three cities in China. It was found that 20.5 per cent, 4.4 per cent and 4.9 per cent of unmarried women seeking abortions in Shanghai, Chengdu and Taiyuan, respectively, had done so after 10 weeks of pregnancy. The reasons for the delay in seeking an abortion were related to: the stages of suspecting and confirming the pregnancy; deciding on a course of action; and obtaining the services. Women were less likely to delay seeking an abortion if their partners were involved in the decision-making. Fearing condemnation, relatively few women informed parents of their pregnancy. The findings indicate the need for improved education on sexual and reproductive health and abortion services to increase the knowledge of young women and men and to improve the social support system.
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Contraceptive use and intentions among unmarried and married young women undergoing abortion in Bihar and Jharkhand, India
Authors: A.J. Francis Zavier and Shireen J. JejeebhoyEvidence from India suggests that increasing proportions of young women initiate sexual activity early in their lives, but consistent contraceptive use is rare among them, which, in many cases, is leading to unintended pregnancies and sometimes even an abortion. However, little is known about the contraceptive use patterns of adolescents and young women who undergo an abortion as a result of an unintended pregnancy. The present paper is aimed at better understanding the contraceptive practices of young abortion –seekers aged 15-24 years. To do this, it uses data drawn from a facility-based study in two Indian states, Bihar and Jharkhand, of 549 unmarried and 246 married young abortion-seekers aged 15-24. The survey results suggest that similar proportions (16-19 per cent) of unmarried and married adolescents had practiced contraception at the time of both their first and last sexual encounter, and that while many more intended to practice contraception post-abortion, significantly fewer unmarried than married young women intended to do so (42 per cent versus 57 per cent). To address this, the paper recommends comprehensive sexuality education to increase the knowledge about reproductive health among adolescents, as well as to sensitize health-care providers about providing adolescent-friendly services, including to those that are not married.
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Unintended pregnancies and prenatal, delivery and postnatal outcomes among young women in the Philippines
Author: Maria Paz N. MarqueThe study examined the association between pregnancy intention among young Filipino women and prenatal, delivery and postnatal outcomes. Data were drawn from the 2013 Young Adult Fertility and Sexuality Study, a nationally representative survey of 19,178 Filipino youth aged between 15 and 24. The analytic sample consists of 2,264 live births in the two years prior to the survey. The survey shows that 38.7 per cent of births were unintended at the time of conception: 23.1 per cent were mistimed while 15.6 per cent were unwanted. Proportionately, more unintended births were borne by mothers who were teenagers, unmarried, college-educated, urban and Metro Manila residents than their counterparts. There were also more unintended births among first-order births than among subsequent births. Logistic regression results show that compared with mothers of intended births, mothers of mistimed and unwanted births were more likely to have attempted to abort their pregnancy. Mothers of mistimed births are also less likely to have begun prenatal care within the first trimester of pregnancy than mothers of intended births. The findings suggest that unintended pregnancy is an important consideration in interventions aimed at improving maternal and child health but further studies are needed to fully explore the dynamics between unintended pregnancy and maternal health outcomes.
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Unintended Pregnancy among Iranian Young Women: Incidence, Correlates and Outcomes
Authors: Meimanat Hosseini-Chavoshi and Mohammad Jalal Abbasi-ShavaziThe present paper examines the level and correlates of unintended pregnancies among young women in the Islamic Republic of Iran using a sub-sample of 4,402 ever-married women aged between 15 and 24 from the 2010 Iran Multi-Indicator Demographic and Health Survey (IrMIDHS). Multivariate analysis is then applied to the 2005 Iran Low Fertility Survey (ILFS) to explore the experience of pregnancy termination in young ages. The comparison of the outcomes of wanted and unintended pregnancies shows that the proportion of both induced and spontaneous abortions are significantly higher for unintended than for wanted pregnancies. The higher rates of abortion among the more recent pregnancy cohorts (1995-2005) indicate an increasing trend of pregnancy termination in the Islamic Republic of Iran. The paper concludes with a recommendation stressing the importance of continued provision of family planning services to young couples, in order to reduce the risk of unintended pregnancy and to avoid unsafe and clandestine abortions that may cause numerous irreversible adverse effects on women's health.
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Volumes & issues
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Volume 32
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Volume 31
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Volume 30
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Volume 28
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Volume 26
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Volume 29
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Volume 27
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Volume 25
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Volume 24
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Volume 23
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Volume 22
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Volume 21
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Volume 20
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Volume 19
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Volume 18
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Volume 17
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Volume 16
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Volume 15
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Volume 14
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Volume 13
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Volume 12
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Volume 11
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Volume 10
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Volume 9
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Volume 8
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Volume 7
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Volume 6
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Volume 5
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Volume 4
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Volume 3
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Volume 2
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