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Repeat induced abortion and adverse childhood experiences in Aquitaine, France: a cross-sectional survey

Sami Haddad 1, * Laetitia Martin-Marchand 2 Mathilde Lafaysse 3 Marie-Josèphe Saurel-Cubizolles 2
* Corresponding author
2 CRESS - U1153 - Equipe 1 : EPOPé - Épidémiologie Obstétricale, Périnatale et Pédiatrique
CRESS (U1153 / UMR_A_1125 / UMR_S_1153) - Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité
Abstract : Objective The aim of the study was to analyse the relationship between adverse childhood experiences (ACEs) and repeat induced abortion, with regard to the potential effects of social deprivation and intimate partner violence. Methods An observational cross-sectional survey was conducted across each of the 25 abortion centres in Aquitaine, France, from 15 June to 15 September 2009. The sample comprised 806 women >18 years who had requested an induced abortion. Data were collected through a self-reported anonymous questionnaire on ACEs and experience of previous abortion. The main outcome measure was the percentage of repeat induced abortions. Results Among the participants, 473 (58.7%) were having their first induced abortion and 333 (41.3%) had already had a previous induced abortion. The abortion rank (first, second, third or more) was inversely related to the proportion of women with no ACE exposure (28%, 20% and 9%, respectively) and positively related to the proportion of women with a high ACE exposure (17%, 27% and 32%, respectively). Compared with women with no ACE exposure who were having a first induced abortion, in those with high ACE exposure, the odds of a third or more request for abortion was high: adjusted odds ratio 7.73 (95% confidence interval 3.56, 16.77). Conclusion We found a strong graded link between the extent of ACE exposure and the occurrence of repeat induced abortion.
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Submitted on : Wednesday, June 23, 2021 - 10:51:42 AM
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Sami Haddad, Laetitia Martin-Marchand, Mathilde Lafaysse, Marie-Josèphe Saurel-Cubizolles. Repeat induced abortion and adverse childhood experiences in Aquitaine, France: a cross-sectional survey. European Journal of Contraception and Reproductive Health Care, Informa Healthcare, 2021, 26 (1), pp.29-35. ⟨10.1080/13625187.2020.1815697⟩. ⟨hal-03268424⟩



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