Attitude of Reproductive Age Women Towards Factors Affecting Induced Abortion in Hamedan, Iran

Background aim: Abortion is the third leading cause of maternal mortality. The attitude of women towards abortion is one of the most important factors involved in this procedure. This study aimed to evaluate the attitude of women of reproductive age towards induced abortion. Methods This cross-sectional study was performed on 450 women of reproductive age in Fatemieh Hospital in Hamedan, Iran in 2014. Data was collected using abortion attitude scale consisting of five sections: socioeconomic status, family status, maternal and fetal health status, psychocultural background, and fertility status. Mean score less than three in each domain was considered negative attitude, while scores higher or equal to three indicated positive attitude towards induced abortion. To analyze the data, logistic regression analysis, Chi-square and Fisher s exact tests were performed using SPSS version 21. P value of less than 0.05 was considered statistically significant. Results: In this study, induced abortion had no significant relationship with family status, maternal and fetal health, and fertility domains (82.1%, 77.3%, and 64.4%, respectively). On the other hand, a relationship was observed between induced abortion and socioeconomic and psychocultural domains of the majority of the participants (61.8% and 56%, respectively). According to the results of logistic regression analysis, the predictors of induced abortion were the attitude towards the effect of abortion on the health of mother and fetus (P= 0.01), as well as the psychocultural status of the mothers regarding this procedure (P= 0.02). Conclusion: Evaluation of the results indicated a strong belief in the majority of the participants in psychocultural and socioeconomic domains as the most significant predictive factors for induced abortion. Since it is difficult to alter the socioeconomic and psychocultural domains of individuals, changes are recommended in predominant attitudes towards induced abortion.