{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:51:53Z","timestamp":1776682313691,"version":"3.51.2"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T00:00:00Z","timestamp":1613001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report the proportion and determinants of repeat induced abortions in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional data were collected of 79\u2009954 women who received an induced abortion from 297 hospitals across 30 Chinese provinces in 2013, using a stratified cluster sampling design. Logistic and Poisson regression models were fitted to identify characteristics associated with repeat abortion. Putative factors included age, household registration (hukou) status, marital status, education, occupation, reproductive history, and current contraceptive practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of all abortions, 65.2% were repeat induced abortions. The proportion of repeat abortions varied substantially across provinces, from 36.9% in Qinghai to 85% in Hubei. The strongest factors associated with repeat induced abortion were being older than 40\u00a0years (adjusted odds ratio [OR\n                      <jats:sub>adj<\/jats:sub>\n                      ] 7.0, 95% confidence interval [CI] 6.2\u20137.9), divorced or widowed (OR\n                      <jats:sub>adj<\/jats:sub>\n                      2.1, 95% CI 1.6\u20132.7), and using oral contraceptives (OR\n                      <jats:sub>adj<\/jats:sub>\n                      2.1, 95% CI 1.9\u20132.3).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A high proportion of repeat induced abortion was observed across many Chinese provinces, highlighting the need to reduce the incidence of unwanted pregnancy. Several sociodemographic and clinical factors were found to be significantly associated with repeat abortions and should be considered in post\u2010abortion family planning services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13620","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T14:58:01Z","timestamp":1611586681000},"page":"532-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Repeat induced abortion in 30 Chinese provinces: A cross\u2010sectional study"],"prefix":"10.1002","volume":"154","author":[{"given":"Hao","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Social Work and Social Administration The University of Hong Kong Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shangchun","family":"Wu","sequence":"additional","affiliation":[{"name":"National Research Institute for Family Planning Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun","family":"Wang","sequence":"additional","affiliation":[{"name":"National Research Institute for Family Planning Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jialin","family":"Xu","sequence":"additional","affiliation":[{"name":"Chengde Nursing Vocational College Chengde China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Longmei","family":"Tang","sequence":"additional","affiliation":[{"name":"International Centre for Reproductive Health (ICRH) Department of Public Health and Primary Care Ghent University Ghent Belgium"},{"name":"School of Public Health Hebei Medical University Hebei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marleen","family":"Temmerman","sequence":"additional","affiliation":[{"name":"International Centre for Reproductive Health (ICRH) Department of Public Health and Primary Care Ghent University Ghent Belgium"},{"name":"The Centre of Excellence in Women and Child Health Aga Khan University Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei\u2010Hong","family":"Zhang","sequence":"additional","affiliation":[{"name":"International Centre for Reproductive Health (ICRH) Department of Public Health and Primary Care Ghent University Ghent Belgium"},{"name":"School of Public Health Universit\u00e9 Libre de Bruxelles Brussels Belgium"},{"name":"Research Centre for Public Health Tsinghua University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the INPAC consortium","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,11]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization.Spontaneous and induced abortion: report of a WHO Scientific Group[meeting held in Geneva from 10 to 14 November 1969].1970."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30380-4"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61575-X"},{"key":"e_1_2_8_5_1","first-page":"238","volume-title":"China Health Statistics Yearbook","author":"Ministry of Health","year":"2013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-019-4542-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101059"},{"key":"e_1_2_8_8_1","unstructured":"World Health Organization.Health worker roles in providing safe abortion care and post\u2010abortion contraception.2015."},{"key":"e_1_2_8_9_1","unstructured":"JonesRK SinghS FinerLB FrohwirthLF.Repeat abortion in the United States.New York:Guttmacher Institute;2006:29."},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2003.12.014"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(02)00472-9"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/del168"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)33167-7"},{"key":"e_1_2_8_14_1","unstructured":"INPAC Consortium.Final Report Summary \u2010 INPAC (Integrating Post\u2010Abortion Family Planning Services into China's existing abortion service in hospital settings).2017;https:\/\/cordis.europa.eu\/project\/id\/282490\/reporting. Accessed November 30 2020."},{"issue":"7","key":"e_1_2_8_15_1","first-page":"532","article-title":"China's public health\u2010care system: facing the challenges","volume":"82","author":"Liu Y","year":"2004","journal-title":"Bull World Health Organ"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16050794"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecolind.2014.11.010"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1040341"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39393.491968.94"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2017.6410"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12874"},{"key":"e_1_2_8_22_1","first-page":"1","article-title":"Educational inequalities in repeat abortion: a longitudinal register study in Finland 1975\u20132010","author":"V\u00e4is\u00e4nen H","year":"2016","journal-title":"J Biosoc Sci"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2011.595520"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2020.1815697"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2014.992516"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.06.010"},{"key":"e_1_2_8_27_1","volume-title":"2014","author":"Commission NH","year":"2014"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2002.00103.x"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMhpr051833"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.11.014"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-015-9946-3"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2013.820824"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.2307\/2134932"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136261"},{"issue":"6","key":"e_1_2_8_35_1","first-page":"816","article-title":"Correlates of repeat induced abortions","volume":"40","author":"Bracken MB","year":"1972","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(76)90542-1"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4680"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13620","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13620","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13620","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T21:06:31Z","timestamp":1764968791000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,11]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/ijgo.13620"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13620","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,11]]},"assertion":[{"value":"2020-08-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}