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Induced abortions and teenage births among asylum seekers in The Netherlands: analysis of national surveillance data

机译：荷兰寻求庇护者的人工流产和未成年婴儿：国家监测数据分析

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Background: Asylum seekers are assumed to be a vulnerable group with respect to sexual and reproductive health. The objective of this study was to quantify induced abortion and teenage birth indicators for this group. Methods: The population comprised all female asylum seekers aged 15-49 in The Netherlands between September 2004 and August 2005. Information was collected about induced abortions from notification forms and electronic patient files. The central agency for the reception of asylum seekers provided population and birth data. Results: Among asylum seekers the abortion rate (14.4/1000 women) and teenage birth rate (49.1/1000) were higher than average in The Netherlands (8.6/1000 and 5.8/1000). Great differences were found between subgroups. High abortion rates were seen among women who were pregnant on arrival or got pregnant in the first months after arrival at the reception facilities. Abortion and teenage birth rates were particularly high among asylum seekers aged 15-19 from specific parts of Africa and Asia. Abortion ratios were high among asylum seekers aged 30-49 from parts of Europe and Asia. Decreases in the abortion rate and teenage birth rate were observed as the length of stay increased. Conclusion: Abortions and teenage births were more common among asylum seekers than among the overall population of The Netherlands. Increased rates were a consequence of subgroups being at high risk. Abortion and teenage birth rates were very high among women who were pregnant on arrival or got pregnant in the first few months after arrival, but decreased as the length of stay increased
机译：背景：就性别和生殖健康而言，寻求庇护者被认为是一个弱势群体。这项研究的目的是量化该组的人工流产和青少年出生指标。方法：该人群包括2004年9月至2005年8月在荷兰的所有15-49岁寻求庇护的女性。从通知书和电子病历中收集有关人工流产的信息。接待寻求庇护者的中央机构提供了人口和出生数据。结果：在寻求庇护者中，流产率（14.4 / 1000名妇女）和少女出生率（49.1 / 1000）高于荷兰的平均水平（8.6 / 1000和5.8 / 1000）。在亚组之间发现很大的差异。在到达时怀孕或到达接待设施后的头几个月怀孕的妇女中，流产率很高。来自非洲和亚洲特定地区的15-19岁寻求庇护者的堕胎率和少女出生率尤其高。来自欧洲和亚洲部分地区的30-49岁寻求庇护者的堕胎率很高。随着住院时间的延长，流产率和少女出生率下降。结论：寻求庇护者中的流产和未成年婴儿比荷兰总人口中更常见。发病率上升是亚组处于高风险的结果。在到达时怀孕或在到达后头几个月怀孕的妇女中，流产和少女出生率很高，但随着住院时间的延长而下降

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