Analysis Factors Influencing Abortion Decisions Among Adolescents and Their Impact on Adolescent Health
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Published:
Dec 30, 2024
Keywords:
Adolescent abortion, Reproductive health, Contraceptive access, Societal stigma, Mental health support
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Articles
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Abstract
This research examines the factors influencing abortion decisions among adolescents and the subsequent impact on their health. It explores key determinants such as limited access to contraception, societal stigma, cultural pressures, and legal barriers that contribute to adolescent pregnancies and influence abortion choices. The study also investigates the physical, emotional, and psychological consequences of abortion on adolescents, highlighting the importance of post-abortion care and mental health support. Findings suggest that inadequate sexual and reproductive health education, coupled with cultural and legal challenges, increases the risk of unsafe abortions and negative health outcomes. The study underscores the need for comprehensive sexual education, improved access to contraception, and policy reforms to ensure safe, legal abortion services for adolescents. Addressing societal stigma and providing emotional support are also crucial in mitigating the adverse effects of abortion on adolescent well-being. These findings have important implications for adolescent health, societal attitudes, and policy development aimed at empowering adolescents to make informed and healthy reproductive choices.
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How to Cite
Abelia, R., Qyara, H., & Adistia, S. (2024). Analysis Factors Influencing Abortion Decisions Among Adolescents and Their Impact on Adolescent Health. International Journal on Health and Medical Sciences, 3(1), 30–40. Retrieved from https://journals.iarn.or.id/index.php/HealMed/article/view/389
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Ehrlich, J. S. (2003). Shifting boundaries: abortion, criminal culpability and the indeterminate legal status of adolescents. Wis. Women’s LJ, 18, 77.
Hall, K. S., Manu, A., Morhe, E., Dalton, V. K., Challa, S., Loll, D., Dozier, J. L., Zochowski, M. K., Boakye, A., & Harris, L. H. (2018). Bad girl and unmet family planning need among Sub-Saharan African adolescents: the role of sexual and reproductive health stigma. Qualitative Research in Medicine & Healthcare, 2(1), 55.
Kinzig, A. P., Warren, P., Martin, C., Hope, D., & Katti, M. (2005). The effects of human socioeconomic status and cultural characteristics on urban patterns of biodiversity. Ecology and Society, 10(1).
Klann, E. M., & Wong, Y. J. (2020). A pregnancy decision-making model: psychological, relational, and cultural factors affecting unintended pregnancy. Psychology of Women Quarterly, 44(2), 170–186.
Kyilleh, J. M., Tabong, P. T.-N., & Konlaan, B. B. (2018). Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC International Health and Human Rights, 18, 1–12.
Lie, M. L. S., Robson, S. C., & May, C. R. (2008). Experiences of abortion: a narrative review of qualitative studies. BMC Health Services Research, 8, 1–9.
Loi, U. R. (2020). Abortion, Contraception and Associated Social Stigma: Consequences and Solutions in a Low-Resource Setting in Western Kenya. Karolinska Institutet (Sweden).
Marniari, K. (2008). Is a Right to Abortion Protective of Women’s Reproductive Health?: Exploring a Human Rights Dynamic of Abortion Law Reform in Indonesia.
Mcharo, E. (2016). Factors Associated With Utilization of Post-abortion Care (Pac) Services in Tanzania: a Case Study of Temeke District of Dar Es Salaam. University of Nairobi.
McMorris, B. J., Petrie, R. S., Catalano, R. F., Fleming, C. B., Haggerty, K. P., & Abbott, R. D. (2009). Use of web and in-person survey modes to gather data from young adults on sex and drug use: an evaluation of cost, time, and survey error based on a randomized mixed-mode design. Evaluation Review, 33(2), 138–158.
Mealer, M., & Jones, J. (2014). Methodological and ethical issues related to qualitative telephone interviews on sensitive topics. Nurse Researcher, 21(4).
Mishra, P., Pandey, C. M., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Annals of Cardiac Anaesthesia, 22(1), 67–72.
Mohamed, D., Diamond-Smith, N., & Njunguru, J. (2018). Stigma and agency: exploring young Kenyan women’s experiences with abortion stigma and individual agency. Reproductive Health Matters, 26(52), 128–137.
Olukoya, P. (2004). Reducing maternal mortality from unsafe abortion among adolescents in Africa. African Journal of Reproductive Health, 57–62.
Onasoga, O. A., & Arunachallam, S. (2018). Abortion procurement and post-abortion care services: experiences of Nigerian adolescents. Sierra Leone Journal of Biomedical Research, 10(2), 12–19.
Onukwugha, F. I. (2019). The Determinants of Adolescents’ Access and Utilisation of Sexual and Reproductive Health Services in Nigeria: A Mixed Methods Study. University of Hull.
Onwuegbuzie, A. J., Dickinson, W. B., Leech, N. L., & Zoran, A. G. (2009). A qualitative framework for collecting and analyzing data in focus group research. International Journal of Qualitative Methods, 8(3), 1–21.
Organization, W. H. (2003). Safe abortion: technical and policy guidance for health systems. World Health Organization.
Organization, W. H. (2018). WHO recommendations on adolescent sexual and reproductive health and rights.
Ralph, L. J., Schwarz, E. B., Grossman, D., & Foster, D. G. (2019). Self-reported physical health of women who did and did not terminate pregnancy after seeking abortion services: a cohort study. Annals of Internal Medicine, 171(4), 238–247.
Reyna, V. F., & Farley, F. (2006). Risk and rationality in adolescent decision making: Implications for theory, practice, and public policy. Psychological Science in the Public Interest, 7(1), 1–44.
Robinson, O. C. (2014). Sampling in interview-based qualitative research: A theoretical and practical guide. Qualitative Research in Psychology, 11(1), 25–41.
Sedgh, G., Finer, L. B., Bankole, A., Eilers, M. A., & Singh, S. (2015). Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. Journal of Adolescent Health, 56(2), 223–230.
Shaluhiyah, Z., & Ford, N. J. (2014). Sociocultural context of adolescent pregnancy, sexual relationships in Indonesia, and their implications for public health policies. International Handbook of Adolescent Pregnancy: Medical, Psychosocial, and Public Health Responses, 359–378.
Steinberg, J. R., Tschann, J. M., Furgerson, D., & Harper, C. C. (2016). Psychosocial factors and pre-abortion psychological health: The significance of stigma. Social Science & Medicine, 150, 67–75.
Svanemyr, J., Amin, A., Robles, O. J., & Greene, M. E. (2015). Creating an enabling environment for adolescent sexual and reproductive health: a framework and promising approaches. Journal of Adolescent Health, 56(1), S7–S14.
van Ditzhuijzen, J., Brauer, M., Boeije, H., & van Nijnatten, C. H. C. J. (2019). Dimensions of decision difficulty in women’s decision-making about abortion: A mixed methods longitudinal study. PloS One, 14(2), e0212611.
Wyatt-Youmans, D. (2015). Pregnancy resource centers and the woman’s choice: A quantitative correlational study. Capella University.
Zenebe, M., & Haukanes, H. (2019). When abortion is not within reach: Ethiopian university students struggling with unintended pregnancies. International Journal for Equity in Health, 18, 1–13.
Ehrlich, J. S. (2003). Shifting boundaries: abortion, criminal culpability and the indeterminate legal status of adolescents. Wis. Women’s LJ, 18, 77.
Hall, K. S., Manu, A., Morhe, E., Dalton, V. K., Challa, S., Loll, D., Dozier, J. L., Zochowski, M. K., Boakye, A., & Harris, L. H. (2018). Bad girl and unmet family planning need among Sub-Saharan African adolescents: the role of sexual and reproductive health stigma. Qualitative Research in Medicine & Healthcare, 2(1), 55.
Kinzig, A. P., Warren, P., Martin, C., Hope, D., & Katti, M. (2005). The effects of human socioeconomic status and cultural characteristics on urban patterns of biodiversity. Ecology and Society, 10(1).
Klann, E. M., & Wong, Y. J. (2020). A pregnancy decision-making model: psychological, relational, and cultural factors affecting unintended pregnancy. Psychology of Women Quarterly, 44(2), 170–186.
Kyilleh, J. M., Tabong, P. T.-N., & Konlaan, B. B. (2018). Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC International Health and Human Rights, 18, 1–12.
Lie, M. L. S., Robson, S. C., & May, C. R. (2008). Experiences of abortion: a narrative review of qualitative studies. BMC Health Services Research, 8, 1–9.
Loi, U. R. (2020). Abortion, Contraception and Associated Social Stigma: Consequences and Solutions in a Low-Resource Setting in Western Kenya. Karolinska Institutet (Sweden).
Marniari, K. (2008). Is a Right to Abortion Protective of Women’s Reproductive Health?: Exploring a Human Rights Dynamic of Abortion Law Reform in Indonesia.
Mcharo, E. (2016). Factors Associated With Utilization of Post-abortion Care (Pac) Services in Tanzania: a Case Study of Temeke District of Dar Es Salaam. University of Nairobi.
McMorris, B. J., Petrie, R. S., Catalano, R. F., Fleming, C. B., Haggerty, K. P., & Abbott, R. D. (2009). Use of web and in-person survey modes to gather data from young adults on sex and drug use: an evaluation of cost, time, and survey error based on a randomized mixed-mode design. Evaluation Review, 33(2), 138–158.
Mealer, M., & Jones, J. (2014). Methodological and ethical issues related to qualitative telephone interviews on sensitive topics. Nurse Researcher, 21(4).
Mishra, P., Pandey, C. M., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Annals of Cardiac Anaesthesia, 22(1), 67–72.
Mohamed, D., Diamond-Smith, N., & Njunguru, J. (2018). Stigma and agency: exploring young Kenyan women’s experiences with abortion stigma and individual agency. Reproductive Health Matters, 26(52), 128–137.
Olukoya, P. (2004). Reducing maternal mortality from unsafe abortion among adolescents in Africa. African Journal of Reproductive Health, 57–62.
Onasoga, O. A., & Arunachallam, S. (2018). Abortion procurement and post-abortion care services: experiences of Nigerian adolescents. Sierra Leone Journal of Biomedical Research, 10(2), 12–19.
Onukwugha, F. I. (2019). The Determinants of Adolescents’ Access and Utilisation of Sexual and Reproductive Health Services in Nigeria: A Mixed Methods Study. University of Hull.
Onwuegbuzie, A. J., Dickinson, W. B., Leech, N. L., & Zoran, A. G. (2009). A qualitative framework for collecting and analyzing data in focus group research. International Journal of Qualitative Methods, 8(3), 1–21.
Organization, W. H. (2003). Safe abortion: technical and policy guidance for health systems. World Health Organization.
Organization, W. H. (2018). WHO recommendations on adolescent sexual and reproductive health and rights.
Ralph, L. J., Schwarz, E. B., Grossman, D., & Foster, D. G. (2019). Self-reported physical health of women who did and did not terminate pregnancy after seeking abortion services: a cohort study. Annals of Internal Medicine, 171(4), 238–247.
Reyna, V. F., & Farley, F. (2006). Risk and rationality in adolescent decision making: Implications for theory, practice, and public policy. Psychological Science in the Public Interest, 7(1), 1–44.
Robinson, O. C. (2014). Sampling in interview-based qualitative research: A theoretical and practical guide. Qualitative Research in Psychology, 11(1), 25–41.
Sedgh, G., Finer, L. B., Bankole, A., Eilers, M. A., & Singh, S. (2015). Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. Journal of Adolescent Health, 56(2), 223–230.
Shaluhiyah, Z., & Ford, N. J. (2014). Sociocultural context of adolescent pregnancy, sexual relationships in Indonesia, and their implications for public health policies. International Handbook of Adolescent Pregnancy: Medical, Psychosocial, and Public Health Responses, 359–378.
Steinberg, J. R., Tschann, J. M., Furgerson, D., & Harper, C. C. (2016). Psychosocial factors and pre-abortion psychological health: The significance of stigma. Social Science & Medicine, 150, 67–75.
Svanemyr, J., Amin, A., Robles, O. J., & Greene, M. E. (2015). Creating an enabling environment for adolescent sexual and reproductive health: a framework and promising approaches. Journal of Adolescent Health, 56(1), S7–S14.
van Ditzhuijzen, J., Brauer, M., Boeije, H., & van Nijnatten, C. H. C. J. (2019). Dimensions of decision difficulty in women’s decision-making about abortion: A mixed methods longitudinal study. PloS One, 14(2), e0212611.
Wyatt-Youmans, D. (2015). Pregnancy resource centers and the woman’s choice: A quantitative correlational study. Capella University.
Zenebe, M., & Haukanes, H. (2019). When abortion is not within reach: Ethiopian university students struggling with unintended pregnancies. International Journal for Equity in Health, 18, 1–13.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.