{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:12:44Z","timestamp":1747149164036,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"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":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe factors associated with subsequent abortions in Colombia and evaluate whether high\u2010efficacy contraceptive availability (IUD) post\u2010index abortion was associated with higher efficacy contraceptive initiation and fewer subsequent abortions within 2\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study population comprised patients aged 15\u201344\u2009years who underwent index abortion in 2017 at four clinics in Bogot\u00e1, Colombia. Using charts, we conducted a retrospective cohort study with 2\u2010year follow\u2010up (2017\u20132019) after the index abortion for outcomes of contraceptive initiation and subsequent abortion. We evaluated associations between demographic or clinical characteristics and outcomes using Pearson chi\u2010square and multivariate logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 9175 patients with index abortion, 3409 (37.2%) initiated an intrauterine device (IUD) and 467 (5.1%) had a subsequent abortion within the study period (2017\u20132019). IUD availability (adjusted odds ratio [aOR], 1.64; 95% confidence interval [CI], 1.39\u20131.93) and insurance use (aOR, 5.03; 95% CI, 4.37\u20135.78) were associated with high\u2010efficacy contraceptive initiation; medication abortion was inversely associated (aOR, 0.24; 95% CI, 0.22\u20130.27). Initiation of no (aOR, 4.94; 95% CI, 3.59\u20136.80) or moderate\u2010efficacy (injection: aOR, 4.21 [95% CI, 3.14\u20135.62]; oral contraceptive pill: aOR, 4.60 [95% CI, 3.21\u20136.59]) methods were associated with subsequent abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Subsequent abortion is inversely associated with initiated postabortion contraceptive efficacy, which is modifiable on a systems level by improving access to effective postabortion contraception.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14309","type":"journal-article","created":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T12:24:17Z","timestamp":1655123057000},"page":"226-236","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations between contraceptive availability and rate of\u00a0subsequent legal abortions in Colombia: A historical cohort\u00a0analysis"],"prefix":"10.1002","volume":"160","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8836-8034","authenticated-orcid":false,"given":"Cibel","family":"Quinteros Baumgart","sequence":"first","affiliation":[{"name":"Columbia University Vagelos College of Physicians and Surgeons  New York New\u00a0York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Mercedes","family":"Vivas","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Ori\u00e9ntame  Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliette","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Research Division Fundaci\u00f3n Ori\u00e9ntame  Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn\u00a0L.","family":"Westhoff","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Columbia University Irving Medical Center  New York New York USA"},{"name":"Mailman School of Public Health Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Chavkin","sequence":"additional","affiliation":[{"name":"Mailman School of Public Health Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30029-9"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","unstructured":"SinghS RemezL SedghG.Abortion worldwide 2017: Uneven Progress and Unequal Access [Guttmacher Institute Website]2018.https:\/\/www.guttmacher.org\/sites\/default\/files\/report_pdf\/abortion\u2010worldwide\u20102017.pdf. Accessed May 21 2022.","DOI":"10.1363\/2018.29199"},{"key":"e_1_2_10_4_1","unstructured":"SinghS WulfD HussainR BankoleA SedghG.Abortion Worldwide: A Decade of Uneven Progress. [Guttmacher Institute Website].2009.https:\/\/www.guttmacher.org\/sites\/default\/files\/report_pdf\/abortion\u2010worldwide.pdf. Accessed May 21 2022."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0548-x"},{"key":"e_1_2_10_6_1","unstructured":"PradaE SS RemezL VillarrealC.Unintended Pregnancy and Induced Abortion in Colombia: Causes and Consequences. [Guttmacher Institute Website].2011.https:\/\/www.guttmacher.org\/sites\/default\/files\/report_pdf\/unintended\u2010pregnancy\u2010colombia.pdf. 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