{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T07:58:34Z","timestamp":1769155114637,"version":"3.49.0"},"reference-count":43,"publisher":"Duke University Press","issue":"6","license":[{"start":{"date-parts":[[2014,11,8]],"date-time":"2014-11-08T00:00:00Z","timestamp":1415404800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Over the last few decades, total fertility rates, child morbidity, and child mortality rates have declined in most parts of sub-Saharan Africa. Among the most striking trends observed are the rapid rate of urbanization and the often remarkably large gaps in fertility between rural and urban areas. Although a large literature has highlighted the importance of migration and urbanization within countries\u2019 demographic transitions, relatively little is known regarding the impact of migration on migrants\u2019 reproductive health outcomes in general and abortion in particular. In this article, we use detailed pregnancy and migration histories collected as part of the Household and Welfare Study of Accra (HAWS) to examine the association between migration and pregnancy outcomes among women residing in the urban slums of Accra, Ghana. We find that the completed fertility patterns of lifetime Accra residents are remarkably similar to those of residents who migrated. Our results suggest that recent migrants have an increased risk of pregnancy but not an increased risk of live birth in the first years post-move compared with those who had never moved. This gap seems to be largely explained by an increased risk of miscarriage or abortion among recent migrants. Increasing access to contraceptives for recent migrants has the potential to reduce the incidence of unwanted pregnancies, lower the prevalence of unsafe abortion, and contribute to improved maternal health outcomes.<\/jats:p>","DOI":"10.1007\/s13524-014-0339-0","type":"journal-article","created":{"date-parts":[[2014,11,14]],"date-time":"2014-11-14T16:21:29Z","timestamp":1415982089000},"page":"2229-2254","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Impact of Migration on Fertility and Abortion: Evidence From the Household and Welfare Study of Accra"],"prefix":"10.1215","volume":"51","author":[{"given":"Slawa","family":"Rokicki","sequence":"first","affiliation":[{"name":"Department of Health Policy, Evaluative Sciences and Statistics, Harvard University, 14 Story Street, 4th floor, Cambridge, MA 02138, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Livia","family":"Montana","sequence":"additional","affiliation":[{"name":"Center for Population and Development Studies, Harvard School of Public Health, 9 Bow Street, Cambridge, MA 02138, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnther","family":"Fink","sequence":"additional","affiliation":[{"name":"Department of Global Health and Population, Harvard School of Public Health, 665 Huntington Avenue, Building 1, Room 1110, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"73","published-online":{"date-parts":[[2014,11,8]]},"reference":[{"key":"2021030815242618700_CR1","volume-title":"An assessment of the readiness to offer contraceptives and comprehensive abortion care in the Greater Accra, Eastern and Ashanti regions of Ghana","author":"Aboagye","year":"2007"},{"key":"2021030815242618700_CR2","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1108\/03068291211253386","article-title":"Internal migration in Ghana: Determinants and welfare impacts","volume":"39","author":"Ackah","year":"2012","journal-title":"International Journal of Social Economics"},{"key":"2021030815242618700_CR3","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1258\/0049475054620725","article-title":"Profile of women with abortion complications in Ghana","volume":"35","author":"Adanu","year":"2005","journal-title":"Tropical Doctor"},{"key":"2021030815242618700_CR4","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1002\/psp.425","article-title":"Fertility transition in Ghana: Looking back and looking forward","volume":"12","author":"Agyei-Mensah","year":"2006","journal-title":"Population, Space and Place"},{"key":"2021030815242618700_CR5","first-page":"45","article-title":"Sexuality, migration and AIDS in Ghana\u2013A socio-behavioural study","volume":"3","author":"Anarfi","year":"1993","journal-title":"Health Transition Review"},{"key":"2021030815242618700_CR6","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.jue.2006.04.005","article-title":"Climatic change and rural-urban migration: The case of sub-Saharan Africa","volume":"60","author":"Barrios","year":"2006","journal-title":"Journal of Urban Economics"},{"key":"2021030815242618700_CR7","volume-title":"Urban settlement: Data, measures, and trends","author":"Bloom","year":"2010"},{"key":"2021030815242618700_CR8","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1007\/s13524-011-0019-2","article-title":"Is there an urban advantage in child survival in sub-Saharan Africa? 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