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Factors Associated with Incidence of Induced Abortion in Hamedan, Iran

Hatam Hosseini PhD1, Amir Erfani PhD2, Marzieh Nojomi MD MPH3

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Authors’ affiliations: 1Department of Social Sciences, Faculty of Economics and Social Sciences, Bu-Ali Sina University, Hamedan, Iran, 2Department of Sociology and Anthropology, Nipissing University, Canada, 3Preventive Medicine and Public Health Research Center, Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Corresponding author and reprints:  Marzieh Nojomi MD MPH, Department of Community Medicine, School of Medicine, Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Crossroads of Hemmat and Chamran Expressways. P. O. Box: 15875-6171, Tehran, Iran. Tel: +98-21-88602225, Fax: +98-21-88602217, E-mail:,,

Accepted for publication: 4 April 2017


 BACKGROUND: There is limited reliable information on abortion in Iran, where abortion is illegal and many women of reproductive age seek clandestine abortion to end their unintended pregnancy. This study aims to examine the determinants of induced abortion in the city of Hamedan, Iran.

METHODS: The study utilizes recent data from the 2015 Hamedan Survey of Fertility, conducted in a representative sample of 3,000 married women aged 15-49 years in the city of Hamedan, Iran. Binary logistic regression models are used to examine factors associated with the incidence of abortion.
RESULTS: Overall, 3.8% of respondents reported having had an induced abortion in their life. Multivariate results showed that the incidence of abortion was strongly associated with women’s education, type of contraceptive and family income level, after controlling for confounding factors. Women using long-acting contraceptive methods, those educated under high school diploma or postsecondary education, and those with high level of income were more likely to report having an induced abortion.  
CONCLUSION: The high incidence of abortion among less or more educated women and those with high income level signifies unmet family planning needs among these women, which must be addressed by focused reproductive health and family planning programs.

Archives of Iranian Medicine,Vol. 20, No. 05, May 2017, -
Keywords: Incidence, induced abortion, risk factors
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