Document Type : Original Research Article
Authors
1
Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
2
School of Nursing and Midwifery,College of Health Science,Addis Ababa University, Addis Ababa, Ethiopia.
3
Nursign, CHS, Addis Ababa University, Addis Ababa, Ethiopia
10.22038/jmrh.2025.75352.2214
Abstract
Background and aim: The Unwanted pregnancies account for the great majority of abortions, and many women globally undergo many abortions over their lifetime. Recurrent abortion is a serious public health issue that negatively impacts women's reproductive and mental health. The aim of this study was to investigate the determinants of repeated induced abortions among women of reproductive age in both public and private hospitals in Addis Ababa, Ethiopia, in 2022.
Methods: A hospital-based unmatched case-control study was conducted in Addis Ababa, Ethiopia from June 1 to July 7/2022. Data were collected by reviewing medical records and conducting interviews with the women using semi-structured questionnaires. A logistic regression model was used to measure the association between outcome and predictor variables. Statistical significance was declared at 95% Confidence Interval (CI), with a p-value<0.05.
Results: A total of 336 participants with 100% response rate of 112 cases and 224 controls were recruited, and predictors were identified. Furthermore, drinking alcohol (Adjusted Odds Ratio (AOR) =20.8; 95% CI =8.98, 48.1), having multiple sexual partners (AOR=3.01; 95% CI=1.423, 6.4), sexual gender-based violence (AOR=7.15; 95% CI=3.144, 16.27), elementary school (AOR=3.4; 95% CI=1.15, 10.13), and no education (AOR=7.97; 95% CI=2.156, 29.5) were associated factors with repeated induced abortions.
Conclusions: Educational status, FP before previous pregnancy termination, reason for abortion, alcohol consumption, more than one sexual partner, and sexual gender-based violence were identified as odds factors associated with repeated induced abortion.
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