Brazilian adolescents' knowledge and beliefs about abortion methods: a school-based internet inquiry Public Deposited

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Creator
  • Mitchell, Ellen M.H.
    • Other Affiliation: Amsterdam Institute for Global Health & Development, Amsterdam, Netherlands
  • Araujo, Ana
    • Other Affiliation: Anthropology Department, Amherst College, Amherst, USA
  • Heumann, Silke
    • Other Affiliation: International Institute of Social Studies, Erasmus University Rotterdam, The Hague, The Netherlands
  • Halpern, Carolyn
    • Affiliation: Carolina Population Center
  • Adesse, Leila
    • Other Affiliation: University of Rio de Janeiro School of Public Health, Rio de Janeiro, Brazil
Abstract
  • Abstract: Background: Internet surveys that draw from traditionally generated samples provide the unique conditions to engage adolescents in exploration of sensitive health topics. Methods: We examined awareness of unwanted pregnancy, abortion behaviour, methods, and attitudes toward specific legal indications for abortion via a school-based internet survey among 378 adolescents aged 12–21 years in three Rio de Janeiro public schools. Results: Forty-five percent knew peers who had undergone an abortion. Most students (66.0%) did not disclose abortion method knowledge. However, girls (aOR 4.2, 95% CI 2.4-7.2), those who had experienced their sexual debut (aOR1.76, 95% CI 1.1-3.0), and those attending a prestigious magnet school (aOR 2.7 95% CI 1.4-6.3) were more likely to report methods. Most abortion methods (79.3%) reported were ineffective, obsolete, and/or unsafe. Herbs (e.g. marijuana tea), over-the-counter medications, surgical procedures, foreign objects and blunt trauma were reported. Most techniques (85.2%) were perceived to be dangerous, including methods recommended by the World Health Organization. A majority (61.4%) supported Brazil’s existing law permitting abortion in the case of rape. There was no association between gender, age, sexual debut, parental education or socioeconomic status and attitudes toward legal abortion. However, students at the magnet school supported twice as many legal indications (2.7, SE.27) suggesting a likely role of peers and/or educators in shaping abortion views. Conclusions: Abortion knowledge and attitudes are not driven simply by age, religion or class, but rather a complex interplay that includes both social spaces and gender. Prevention of abortion morbidity and mortality among adolescents requires comprehensive sexuality and reproductive health education that includes factual distinctions between safe and unsafe abortion methods.
Date of publication
Identifier
  • 24521075
  • doi:10.1186/1472-6874-14-27
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Ellen MH Mitchell et al.; licensee BioMed Central Ltd.
License
Journal title
  • BMC Women's Health
Journal volume
  • 14
Journal issue
  • 1
Page start
  • 27
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1472-6874
Bibliographic citation
  • BMC Women's Health. 2014 Feb 13;14(1):27
Access
  • Open Access
Publisher
  • BioMed Central Ltd
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