{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:56:53Z","timestamp":1792166213694,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Globally, approximately 25 million unsafe abortions occur annually, with 97% in developing countries, accounting for 67% of maternal deaths. Unsafe abortion practices exacerbated by traditional methods and even unsafe procedures performed by healthcare professionals. This study aimed to assess the knowledge of medical female undergraduates at the University of Dodoma regarding unsafe abortion and its complications, and to identify associated socioeconomic factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>Analytical cross\u2010sectional study was conducted among 344 female medical undergraduates from the School of Medicine and Dentistry (SOMD) and the School of Nursing and Public Health (SONPH) at the University of Dodoma between February and September 2024. A convenient sampling technique was employed. Data were collected using self\u2010administered questionnaires. Data were analyzed using SPSS version 26, employing descriptive analysis, cross\u2010tabulations, and logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 344 respondents, 74.7% were aged 18\u201325 years, and 86.9% were single. Two\u2010thirds (66.6%) knew a female undergraduate who had an unsafe abortion, with self\u2010medication (57.6%) being the most common method. First\u2010year students were identified as being at the highest risk (45.9%). The majority (73.0%) demonstrated good overall knowledge of unsafe abortion complications, with SOMD students (82.6%) showing significantly better knowledge than SONPH students (63.4%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Regarding personal experience, 11.0% of respondents reported a past pregnancy, and 52.6% of these resulted in abortion, primarily performed by quack doctors (70.0%) using oral medication (70.0%). Economic factors played a role, as 65.3% from low\u2010income families indicated they would abort an unplanned pregnancy compared to 2.9% from high\u2010income families (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Key social factors contributing to abortion decisions included the desire to complete studies (78.2%), fear of disappointing parents (66.6%), and societal unacceptability of pre\u2010marital pregnancy (75.9%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Generally study participants possess good knowledge about the complications of unsafe abortion. However, a significant proportion still engages in unsafe abortion practices, largely driven by socioeconomic pressures such as economic instability, the desire to continue education, and fear of social stigma and parental disapproval.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73332","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:37:50Z","timestamp":1790836670000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge on Unsafe Abortion and Associated Factors Among Medical Female Undergraduates at the University of Dodoma, Dodoma, Tanzania: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1671-9584","authenticated-orcid":false,"given":"Majani","family":"Edward","sequence":"first","affiliation":[{"name":"Department of Public Health St. Francis University College of Health and Allied Sciences Ifakara Morogoro Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muksini Mohamedi","family":"Shante","sequence":"additional","affiliation":[{"name":"University of Dodoma Dodoma Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4323-3523","authenticated-orcid":false,"given":"Ally Ally","family":"Hamisi","sequence":"additional","affiliation":[{"name":"University of Dodoma Dodoma Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0759-5"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.4314\/aipm.v9i1.72430"},{"issue":"3","key":"e_1_2_14_4_1","first-page":"1","article-title":"The Global Burden of Unsafe Abortion in the Year 2000","volume":"76","author":"\u00c5hman E.","year":"2000","journal-title":"Epidemiology Burdern Disease"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\/books\/12540"},{"key":"e_1_2_14_6_1","first-page":"692","volume-title":"ACTA Acta Obstetricia et Gynecologica Scandinavica","author":"Rasch V.","year":"2011"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-21203-3"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2011-y"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-018-0775-9"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-020-02414-9"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-014-0419-6"},{"issue":"1","key":"e_1_2_14_12_1","first-page":"1","article-title":"Abortion Health Profile United Republic of Tanzania","volume":"11","author":"WHO","year":"2019","journal-title":"Sustain Switz"},{"issue":"6","key":"e_1_2_14_13_1","first-page":"99","article-title":"Knowledge, Attitude and Practice Towards Unsafe Abortions Among Tertiary Education Female Students IN Kitwe, Zambia","volume":"3","author":"Mukanga B.","year":"2020","journal-title":"African Journal of Health, Nursing and Midwifery"},{"key":"e_1_2_14_14_1","first-page":"1","article-title":"Chibomba K. Assessing Factors Contributing to Unsafe Abortion Practice Among Women of Reproductive Age","volume":"1","author":"Bwalya P.","year":"2022","journal-title":"Texila International Journal of Public Health"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3126\/rupantaran.v7i1.52200"},{"issue":"4","key":"e_1_2_14_16_1","first-page":"1","article-title":"Knowledge, Attitude and Practice Towards Induced Abortion and Associated Factors Among Female Students in Yebu Secondary School","volume":"5","author":"Yaecob R.","year":"2018","journal-title":"Global Journal of Reproductive Medicine"},{"key":"e_1_2_14_17_1","first-page":"178","article-title":"Knowledge and Attitudes about Induced Abortions Among Female Youths Attending Naguru Teenage Information and Health Centre, Kampala, Uganda","volume":"5","author":"Paluku J. L.","year":"2013","journal-title":"Journal of Public Health & Epidemiology"},{"key":"e_1_2_14_18_1","first-page":"1","article-title":"Factors Influencing Unsafe Abortion Decision\u2010 Making Among Young Women in an Abortion\u2010 Restricted Setting","volume":"1","author":"Mukerenge N. F.","year":"2023","journal-title":"African Journal of Health Nursing & Midwifery"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2009.02327.x"},{"issue":"1","key":"e_1_2_14_20_1","first-page":"292","article-title":"Predictors of Unsafe Abortion Among Women Seeking Postabortion Care at the Nakuru County Referral Hospital, Nakuru County Kenya","volume":"2","author":"Nyachwaya N. S.","year":"2023","journal-title":"International Academic Journal of Health, Medicine and Nursing"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73332","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.73332","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:26:48Z","timestamp":1792164408000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.73332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/hsr2.73332"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.73332","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2025-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73332"}}