Medical abortion ratios and gender equality in Europe: an ecological correlation study

Medical abortion (MA) is recommended by the WHO as a safe and effective pregnancy termination method in the first trimester. From a feminist perspective, it is a non-medicalised, self-managed, emancipating procedure allowing persons seeking abortion to be more in control of their abortion, as oppose...

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Main Author: Céline Miani
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:Sexual and Reproductive Health Matters
Subjects:
Online Access:http://dx.doi.org/10.1080/26410397.2021.1985814
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author Céline Miani
author_facet Céline Miani
author_sort Céline Miani
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description Medical abortion (MA) is recommended by the WHO as a safe and effective pregnancy termination method in the first trimester. From a feminist perspective, it is a non-medicalised, self-managed, emancipating procedure allowing persons seeking abortion to be more in control of their abortion, as opposed to surgical procedures. In European countries where MA is legal, the proportion of MA (relative to surgical abortions) varies greatly. We hypothesised that this ratio may be partly explained by country-level dimensions of gender equality. We assessed the association between MA ratios and gender equality in Europe in correlation and regression analyses, using several country-level gender equality indices. The relevance of other factors, i.e. date of introduction of MA and pregnancy week until which MA is permitted, was also investigated. MA ratios ranged from 24.4% (Italy) to 97.7% (Finland). MA was more frequent relative to surgical abortion in countries with higher levels of gender equality. All gender equality indices were associated with MA ratios (e.g. Global Gender Gap Index corr. coeff: 0.761, p < 0.0001). Specifically, markers of economic and political gender equality seemed to drive the correlations. The pregnancy week until which MA is permitted was associated with both gender equality and MA ratios. Our study suggests that women’s participation in the economic and political sphere may have repercussions on the methods offered and used through abortion services. It highlights the link between feminist perspectives, reproductive health policies and practices, and gender equality, especially in terms of access to economic resources and political representation.
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spelling doaj.art-0dd0bff932ba40399afbbe91bc0f76592022-12-22T04:09:52ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972021-01-0129121423110.1080/26410397.2021.19858141985814Medical abortion ratios and gender equality in Europe: an ecological correlation studyCéline Miani0Bielefeld UniversityMedical abortion (MA) is recommended by the WHO as a safe and effective pregnancy termination method in the first trimester. From a feminist perspective, it is a non-medicalised, self-managed, emancipating procedure allowing persons seeking abortion to be more in control of their abortion, as opposed to surgical procedures. In European countries where MA is legal, the proportion of MA (relative to surgical abortions) varies greatly. We hypothesised that this ratio may be partly explained by country-level dimensions of gender equality. We assessed the association between MA ratios and gender equality in Europe in correlation and regression analyses, using several country-level gender equality indices. The relevance of other factors, i.e. date of introduction of MA and pregnancy week until which MA is permitted, was also investigated. MA ratios ranged from 24.4% (Italy) to 97.7% (Finland). MA was more frequent relative to surgical abortion in countries with higher levels of gender equality. All gender equality indices were associated with MA ratios (e.g. Global Gender Gap Index corr. coeff: 0.761, p < 0.0001). Specifically, markers of economic and political gender equality seemed to drive the correlations. The pregnancy week until which MA is permitted was associated with both gender equality and MA ratios. Our study suggests that women’s participation in the economic and political sphere may have repercussions on the methods offered and used through abortion services. It highlights the link between feminist perspectives, reproductive health policies and practices, and gender equality, especially in terms of access to economic resources and political representation.http://dx.doi.org/10.1080/26410397.2021.1985814medical abortionself-managed abortiongender equalityeuropeecological studyfeminism
spellingShingle Céline Miani
Medical abortion ratios and gender equality in Europe: an ecological correlation study
Sexual and Reproductive Health Matters
medical abortion
self-managed abortion
gender equality
europe
ecological study
feminism
title Medical abortion ratios and gender equality in Europe: an ecological correlation study
title_full Medical abortion ratios and gender equality in Europe: an ecological correlation study
title_fullStr Medical abortion ratios and gender equality in Europe: an ecological correlation study
title_full_unstemmed Medical abortion ratios and gender equality in Europe: an ecological correlation study
title_short Medical abortion ratios and gender equality in Europe: an ecological correlation study
title_sort medical abortion ratios and gender equality in europe an ecological correlation study
topic medical abortion
self-managed abortion
gender equality
europe
ecological study
feminism
url http://dx.doi.org/10.1080/26410397.2021.1985814
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