Document Type : Original Research Article
Authors
1
Department of Community Medicine, Faculty Member of Medicine School, Tehran University of Medical Sciences, Tehran, Iran
2
Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3
Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4
Department of Research Methodology and Data Analysis, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran
5
Department of Midwifery, Bonab Branch, Islamic Azad University, Bonab, Iran
6
Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
10.22038/jmrh.2025.89823.2728
Abstract
Background and aim: Unsafe abortion is a major issue in developing countries. Legal, cultural, religious, and customary challenges surrounding the issue of intentional abortion limit direct assessment of the status of intentional abortion and its associated factors in different regions of Iran. Therefore, indirect methods are useful in this sensitive issue. In direct estimation, the answers to the questions are direct and clear, but in indirect estimation, non-random answers are used. This study will aim to estimate the rate of intentional abortions in Tehran over the past five years.
Methods: This descriptive, sequential, two-stage mixed-methods study will be conducted in Tehran, approved in 2024 samples are being collected. In the first stage, a descriptive cross-sectional study will be conducted on 831 women aged 15 to 49, using random sampling and a four-part quantitative questionnaire. Then, the data will be analyzed by SPSS 22 software using Fisher's exact test, chi-square, and regression model. In the second stage, based on the results of the first stage, a qualitative study will be conducted with purposeful selection of participants (women seeking intentional abortion), with a qualitative content analysis approach until data saturation. Finally, the results obtained from both quantitative and qualitative sections are combined and interpreted side by side.
Result: All of the studies searched directly estimated abortion rates, but using an indirect method for a sensitive question, such as abortion, that individuals may conceal, could provide a more accurate estimate of the issue of abortion.
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