Document Detail


Contraceptive paths of adolescent women undergoing an abortion in France.
MedLine Citation:
PMID:  22443844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Although more than 30,000 teenagers had an induced abortion in France in 2007 (14.3% of all abortions), little is known about their abortion experience. We explore young women's decisions related to their abortion and the patterns of abortion care among teenagers in France, and draw particular attention to the contraceptive circumstances surrounding the abortion.
METHODS: The data are drawn from the French National Survey of Abortion Patients conducted in 2007, comprising 1,525 women aged 13-19 years.
RESULTS: A majority of French teens (82%) reported their pregnancy was unplanned and took on the responsibility of having an abortion: 45% made the decision alone, 46% shared the decision with their family or partner, and 9% reported the decision was made on their family's or partner's request alone. Sixty-nine percent of teenagers were eligible for both medical and surgical abortions, but only 43% thought they were given a choice of methods. Two-thirds of pregnancies were caused by contraceptive misuse or failure, mostly due to condom slippage or breakage (26%) or inconsistent pill use (20%). In 68% of cases, teenagers were prescribed a more effective method than the one they were using before, although only 11% received a prescription for a long-acting method. One in five teenagers reported not receiving a prescription for contraception.
CONCLUSIONS: Our results reveal varying degrees of young women's autonomy in the decisions regarding their abortion. Although most teens switch to more effective methods of contraception after an abortion, only a minority receives a prescription for a long-acting method.
Authors:
Caroline Moreau; James Trussell; Nathalie Bajos
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-10-07
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  50     ISSN:  1879-1972     ISO Abbreviation:  J Adolesc Health     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-26     Completed Date:  2012-07-20     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  389-94     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Gender, Sexual and Reproductive Health, CESP Centre for Research in Epidemiology and Population Health, U1018, INSERM, Le Kremlin Bicêtre, France. caroline.moreau@inserm.fr
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / psychology,  statistics & numerical data*
Adolescent
Age Factors
Contraception / adverse effects,  statistics & numerical data*
Data Collection
Decision Making
Female
France / epidemiology
Humans
Pregnancy
Pregnancy, Unplanned
Young Adult
Grant Support
ID/Acronym/Agency:
R24 HD047879/HD/NICHD NIH HHS; R24HD04787/HD/NICHD NIH HHS
Comments/Corrections

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