Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count Methods

Background Abortion is a sensitive issue surrounded by social, cultural and religious stigmata. Therefore, estimation of its prevalence involves methodological challenges. The aim of this manuscript is to estimate the abortion prevalence, stratified by type, using a direct and two indirect method...

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Main Authors: Maryam Zamanian, Farzaneh Zolala, Ali Akbar Haghdoost, Mohammad Reza Baneshi
Format: Article
Language:English
Published: Royan Institute (ACECR), Tehran 2019-10-01
Series:International Journal of Fertility and Sterility
Subjects:
Online Access:http://www.ijfs.ir/article_45549_98e05cd8344b7e483ffc5ade1b955ee3.pdf
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author Maryam Zamanian
Farzaneh Zolala
Ali Akbar Haghdoost
Mohammad Reza Baneshi
author_facet Maryam Zamanian
Farzaneh Zolala
Ali Akbar Haghdoost
Mohammad Reza Baneshi
author_sort Maryam Zamanian
collection DOAJ
description Background Abortion is a sensitive issue surrounded by social, cultural and religious stigmata. Therefore, estimation of its prevalence involves methodological challenges. The aim of this manuscript is to estimate the abortion prevalence, stratified by type, using a direct and two indirect methods. Materials and Methods This cross-sectional study was done in 2016, we recruited 1020 women aging 18-49 years. Three methods were applied to estimate the abortion prevalence: direct question, network scale-up (NSU), and single sample count (SSC). In the direct method, to guarantee anonymity, data were collected by means of a self-administered questionnaire. In other methods, data were collected through gender-matched street-based inter- views. Results The annual rate of abortion estimated by direct and NSU methods were respectively 29 (10 intentional, 4 therapeutic and 15 spontaneous) and 23 (9 intentional, 3 therapeutic, and 11 spontaneous) per 1000 women aging 18-49 years. The annual rate of intentional abortion estimated based on SSC method was higher (15 per 1000 women) than other methods. Conclusion The present estimates are higher than previously reported ones. The results of three methods more or less supported each other confirming the internal validity of our estimates.
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spelling doaj.art-80d9aa0128994f46a6b17e471ca82b3e2022-12-21T17:49:13ZengRoyan Institute (ACECR), TehranInternational Journal of Fertility and Sterility2008-076X2008-07782019-10-0113320921410.22074/ijfs.2019.572145549Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count MethodsMaryam Zamanian0Farzaneh Zolala1Ali Akbar Haghdoost2Mohammad Reza Baneshi3Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran;Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranSocial Determinants in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran4HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranModeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranBackground Abortion is a sensitive issue surrounded by social, cultural and religious stigmata. Therefore, estimation of its prevalence involves methodological challenges. The aim of this manuscript is to estimate the abortion prevalence, stratified by type, using a direct and two indirect methods. Materials and Methods This cross-sectional study was done in 2016, we recruited 1020 women aging 18-49 years. Three methods were applied to estimate the abortion prevalence: direct question, network scale-up (NSU), and single sample count (SSC). In the direct method, to guarantee anonymity, data were collected by means of a self-administered questionnaire. In other methods, data were collected through gender-matched street-based inter- views. Results The annual rate of abortion estimated by direct and NSU methods were respectively 29 (10 intentional, 4 therapeutic and 15 spontaneous) and 23 (9 intentional, 3 therapeutic, and 11 spontaneous) per 1000 women aging 18-49 years. The annual rate of intentional abortion estimated based on SSC method was higher (15 per 1000 women) than other methods. Conclusion The present estimates are higher than previously reported ones. The results of three methods more or less supported each other confirming the internal validity of our estimates.http://www.ijfs.ir/article_45549_98e05cd8344b7e483ffc5ade1b955ee3.pdfabortionindirectnetwork scaleupsingle sample countkerman
spellingShingle Maryam Zamanian
Farzaneh Zolala
Ali Akbar Haghdoost
Mohammad Reza Baneshi
Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count Methods
International Journal of Fertility and Sterility
abortion
indirect
network scale
up
single sample count
kerman
title Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count Methods
title_full Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count Methods
title_fullStr Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count Methods
title_full_unstemmed Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count Methods
title_short Estimating The Annual Abortion Rate in Kerman, Iran: Comparison of Direct, Network Scale-Up, and Single Sample Count Methods
title_sort estimating the annual abortion rate in kerman iran comparison of direct network scale up and single sample count methods
topic abortion
indirect
network scale
up
single sample count
kerman
url http://www.ijfs.ir/article_45549_98e05cd8344b7e483ffc5ade1b955ee3.pdf
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AT aliakbarhaghdoost estimatingtheannualabortionrateinkermanirancomparisonofdirectnetworkscaleupandsinglesamplecountmethods
AT mohammadrezabaneshi estimatingtheannualabortionrateinkermanirancomparisonofdirectnetworkscaleupandsinglesamplecountmethods