Magnitude and Determinants of the Late Request for Safe Abortion Care Among Women Seeking Abortion Care at a Tertiary Referral Hospital in Ethiopia: A Cross-Sectional Study

Figures & data

Table 1 Socio-Demographic Characteristics of Women

Variable (n=238)	Frequency	Percent
Age group
<19	48	20.2
20–24	103	43.3
25–29	58	24.4
≥30	29	12.2
Educational status
Unable to read and write	27	11.3
Primary school	95	39.9
High school	79	33.2
College or above	37	15.5
Residency place
Addis Ababa	175	73.5
Outside Addis Ababa	63	26.5
Marital status
Single	161	67.6
Married	55	23.1
Widowed	5	2.1
Divorced	17	7.1
Religion
Orthodox Christian	162	68.1
Islam	38	15.5
Protestant	37	16.0
Catholic	0	0.0
Others*	1	0.4
Monthly income (USD)
<26.3	96	40.3
26.3–52.6	80	33.6
>52.6	62	26.1
Occupation
Housewife	24	10.1
Merchant	14	5.9
Gov’t employee	13	5.5
Private employee**	119	50.0
Student	49	20.6
Jobless	19	8.0

Notes: *Adventist **Includes housemaid.

Table 2 Reproductive Characteristics of Women Seeking Abortion Service at Michu Clinic

Variable Name (n=238)	Frequency	Percent
Gravidity
One	148	62.2
2–4	85	35.7
5 and above	5	2.1
Parity
0	165	69.3
1–3	69	29.0
4 and above	4	1.7
History of abortion
Yes	30	12.6
No	208	87.4
Menstrual nature
Regular	164	68.9
Irregular	74	31.1
Gestational age
< 09 weeks	71	29.8
9–13 weeks	40	16.8
13–20 weeks	36	15.1
> 20 weeks	91	38.2

Table 3 Level of Awareness on Some Reproductive Health Factors

Variable Name (n=238)	Frequency	Percent
Complications of abortion
Did not mention any	61	25.6
Mentioned one/two	162	68.1
Mentioned three and above	15	6.3
Safe time for induced abortion
Did not know	115	48.3
Knew exactly/approximate	123	51.7
Pregnancy window period
Did not know	215	90.7
Knew exactly/approximately	23	9.3
Contraception types
Did not mention	37	15.5
Mentioned one	22	9.2
Mentioned two	46	19.3
Mentioned three and above	133	55.9
Pregnancy signs and symptoms
Did not mention	48	20.2
Mentioned one	107	45
Mentioned two and above	83	28.8
Options for the abortion service center
Did not mention	2	8
Mentioned one	112	47.1
Mentioned two and above	124	52.1

Table 4 The Bivariable and Multivariable Logistic Regression Results on Factors Associated with Induced Second-Trimester Abortion

Variables	Bivariable/Multivariable Logistic Regression
	Frequency of Second-Trimester Abortion	COR with 95% CI	AOR with 95% CI
Age
Age >19	91	1	1
Age ≤19	36	3.26 (1.60–6.65)	6.37 (1.84–22.06) *
Education level
Above high school	52	1	1
High school and below	75	1.96 (1.17–3.29)	2.22 (0.91–5.39)
Residency
Addis Ababa	77	1	1
Outside Addis Ababa	50	4.15 (2.16–7.96)	1.86 (0.62–5.56)
Financial problem
No financial problem	35	1	1
Financial problem	92	4.79 (2.01–11.40)	1.58 (0.66–3.73)
Transportation problem
No transportation problem	75	1	1
Transportation problem	52	7.00 (3.34–14.67)	3.47 (0.96–12.57)
Lack of information
No lack of information	42	1	1
Lack of information	85	5.22 (2.99–9.10)	3.90 (1.53–9.96) *
Knowledge of pregnancy sign and symptoms
Knows two pregnancy sign and symptoms	34	1	1
Do not now two pregnancy sign and symptoms	93	2.16 (1.25–3.72)	4.22 (1.59 −11.23) *
Pregnancy window period
Recognize the pregnancy window period	7	1	1
Do not recognize pregnancy window period	120	2.88 (1.14–7.30)	3.65 (0.86–15.52)
Delay after the decision to get an abortion
≤ 1-month delay after the decision	100	1	1
> 1-month delay after the decision	27	2.03 (0.99–4.17)	4.43 (1.43–13.67) *
Suspecting pregnancy
No delay suspecting pregnancy	6	1	1
Delay suspecting pregnancy	121	10.49 (4.23–26.04)	8.56 (2.11–34.58) *
Diagnosing pregnancy
No delay diagnosing pregnancy	60	1	1
Delay in diagnosing pregnancy	67	4.51 (2.52–8.08)	3.84 (1.51 −9.76) *
Family conflict
No family conflict	96	1	1
Family conflict	31	4.79 (2.01–11.40)	2.23 (0.49–10.00)
Religious stigma
No religious stigma	76	1	1
Religious stigma	51	1.81 (1.04–3.13)	2.53 (0.97 −6.60)
Social stigma
No Social Stigma	102	1	1
Social Stigma	25	3.15 (1.36–7.32)	3.91 (0.75 −20.35)
Decision ambivalence
No decision ambivalence	96	1	1
Decision ambivalence	31	2.66 (1.29–5.49)	5.64 (1.71 −18.61) *
Sexual assault
No sexual assault	88	1	1
Sexual assault	39	3.65 (1.80–7.42)	0.80 (0.24–2.59)

Note: *P < 0.05.

Abbreviations: COR, crude odds ratio; AOR, adjusted odds ratio.