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Women's educational attainment and origin are risk factors in abortions in the Basque Country

University of the Basque Country News Feb 02, 2017

A study by the UPV/EHU–University of the Basque Country analyses the differences between immigrant women and native women in voluntary pregnancy termination rates between 2009 and 2013. To analyse the inequalities characterising voluntary pregnancy termination rates, the work focusses on the educational attainment of women and their country of origin. The study, conducted by the UPV/EHU's Social Determinants of Health and Demographic Change (OPIK) research group, analysed firstly the voluntary pregnancy termination rate and the differences between the immigrant and the native population (women between the ages of 12 and 49), and secondly, the differences in terms of the educational attainment of women who undergo voluntary pregnancy termination.

The differences emerging from the data are substantial since during the period studied the abortion rate among native women was 3.9 per thousand while among women from Sub–Saharan Africa it was 45.6 per thousand, 26.5 among South American women, and 22.9 per thousand among those from Central America and the Caribbean.

With respect to repeat abortions (1.9 per thousand), immigrant women also had a higher rate of repeats even though in this case there are significant differences in terms of the origin of the immigrant women. So the women from Sub–Saharan Africa had a rate of repeat abortions of 21.5 per thousand, whereas among women from South America it was 9.8 per thousand, or 8.8 per thousand among women from Romania, and from other European countries outside the European Union.

The data also indicate that the delaying of abortions after the first twelve weeks is more frequent among immigrant women. Yet their life circumstances play a significant role in this delay, since when these level out, only in the case of women from Central America and the Caribbean are the differences between native and immigrant women statistically significant.

A low level of educational attainment a risk factor The OPIK group also studied the differences in voluntary pregnancy termination in terms of the educational attainment of the women. The results indicate that educational attainment is a factor that substantially determines the rates of voluntary terminations. Women with a level of primary education or lower have a rate of voluntary pregnancy termination of 17.7 per thousand, while this rate falls to 6.2 per thousand in women who have been through secondary education, and to 3.9 in those with university degrees. Furthermore, the chances of having more than one abortion is much higher among women with primary education (9 per thousand) or secondary education (2.5 per thousand) than among those who have been through higher education (0.7 per thousand), and the risk of delay up until the second quarter of pregnancy in having the abortion is also higher among women with primary education (0.8 per thousand) when compared with university graduates (0.2 per thousand).

Yet according to González–Rábago, it is surprising that the data on immigrant women with a higher level of educational attainment are not more similar to those of Basque women, "we thought educational attainment was going to neutralise the effect of being an immigrant, but that does not appear to be a protective factor and does not lower the risk of voluntary pregnancy termination. This could be because their socioeconomic situation does not correspond to their educational attainment; there are highly qualified immigrant women who work in very precarious employment sectors".

Factors of a social type such as a reduced network of contacts and family structures in the Basque Country as well as the socioeconomic level could account for the fact that immigrant women are more likely to terminate unwanted pregnancies than Basque women.
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