BACKGROUND:Maternal mortality, of which 6.7% is attributable to abortion complications, remains high in Mozambique. The objective of this paper is to assess the level of induced abortion at the community, as well as to assess awareness of and attitudes towards the new abortion law among women of reproductive age in suburban areas of Maputo and Quelimane cities. METHODS:A cross-sectional household survey among women aged 15-49 years in Maputo and Quelimane cities was conducted using a multi-stage clustered sampling design. Data on sociodemographic characteristics, maternal outcomes, contraceptive use, knowledge and attitudes towards the new abortion law were collected. Bivariate and multiple logistic regression analysis using the complex samples procedure in SPSS were applied. RESULTS:A total of 1657 women (827 Maputo and 830 Quelimane) were interviewed between August 2016 and February 2017. The mean age was 27 years; 45.7% were married and 75.5% had ever been pregnant. 9.2% of the women reported having had an induced abortion, of which 20.0% (17) had unsafe abortion. Of the respondents, 28.8% knew the new legal status of abortion. 17% thought that the legalization of abortion was beneficial to women's health. Having ever been pregnant, being unmarried, student, Muslim, as well as residing in Maputo were associated with higher odds of having knowledge of the new abortion law. CONCLUSION:Reports of abortion appear to be low compared to other studies from Sub-Saharan African countries. Furthermore, respondents demonstrated limited knowledge of the abortion law. Social factors such as education status, religion, residence in a large city as well as pregnancy history were associated with having knowledge of the abortion law. Only a small percentage of women perceived abortion as beneficial to women's health. There is a need for widespread sensitization about the new law and its benefits.

译文

背景:莫桑比克的孕产妇死亡率仍然很高,其中6.7%归因于流产并发症。本文的目的是评估社区人工流产的水平,并评估马普托和奎利曼市郊区的育龄妇女对新堕胎法的认识和态度。
方法:采用多阶段聚类抽样设计,对马普托和奎利曼内城市15-49岁的女性进行了横断面家庭调查。收集了有关社会人口学特征,孕产妇结局,使用避孕药具,对新的堕胎法的了解和态度的数据。应用了在SPSS中使用复杂样本程序进行的双变量和多元logistic回归分析。
结果:2016年8月至2017年2月,共采访了1657名女性(827名马普托和830名Quelimane)。平均年龄为27岁。已婚者占45.7%,曾怀孕者占75.5%。 9.2%的妇女报告了人工流产,其中20.0%(17)的妇女不安全流产。在受访者中,有28.8%的人知道堕胎的新法律地位。 17%的人认为堕胎合法化对妇女的健康有益。曾经怀孕,未婚,学生,穆斯林以及居住在马普托的人与了解新的堕胎法的可能性更高。
结论:与来自撒哈拉以南非洲国家的其他研究相比,堕胎的报道似乎很少。此外,受访者对流产法的了解有限。社会因素,例如受教育程度,宗教信仰,在大城市的居住状况以及怀孕史,都与了解堕胎法有关。只有一小部分妇女认为堕胎有益于妇女的健康。有必要对新法律及其益处进行广泛的宣传。

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