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Identifying Profiles of Support for Legal Abortion Services in Zambia: A Latent Class Analysis
Studies in Family Planning ( IF 4.314 ) Pub Date : 2024-02-13 , DOI: 10.1111/sifp.12257
Joseph G. Rosen 1 , Michael T. Mbizvo 2 , Nachela Chelwa 2 , Lyson Phiri 2 , Jenny A. Cresswell 3 , Veronique Filippi 4 , Nkomba Kayeyi 2
Affiliation  

Relative to neighboring countries, Zambia has among the most progressive abortion policies, but numerous sociopolitical constraints inhibit knowledge of pregnancy termination rights and access to safe abortion services. Multistage cluster sampling was used to randomly select 1,486 women aged 15–44 years from households in three provinces. We used latent class analysis (LCA) to partition women into discrete groups based on patterns of endorsed support for legalized abortion on six socioeconomic and health conditions. Predictors of probabilistic membership in latent profiles of support for legal abortion services were identified through mixture modeling. A three-class solution of support patterns for legal abortion services emerged from LCA: (1) legal abortion opponents (∼58 percent) opposed legal abortion across scenarios; (2) legal abortion advocates (∼23 percent) universally endorsed legal protections for abortion care; and (3) conditional supporters of legal abortion (∼19 percent) only supported legal abortion in circumstances where the pregnancy threatened the fetus or mother. Advocates and Conditional supporters reported higher exposure to family planning messages compared to opponents. Relative to opponents, advocates were more educated, and Conditional supporters were wealthier. Findings reveal that attitudes towards abortion in Zambia are not monolithic, but women with access to financial/social assets exhibited more receptive attitudes towards legal abortion.

中文翻译:

确定赞比亚对合法堕胎服务的支持概况:潜在阶级分析

与邻国相比,赞比亚拥有最先进的堕胎政策,但许多社会政治限制阻碍了人们对终止妊娠权利的了解和获得安全堕胎服务。采用多阶段整群抽样方法,从三个省份的家庭中随机抽取 1,486 名 15-44 岁的女性。我们使用潜在类别分析 (LCA),根据六种社会经济和健康状况下对合法堕胎合法化的支持模式,将女性分为不同的群体。通过混合建模确定了对合法堕胎服务的潜在支持情况中概率成员资格的预测因素。 LCA 提出了合法堕胎服务支持模式的三类解决方案:(1)合法堕胎反对者(∼58%) 反对跨场景的合法堕胎; (2)合法堕胎倡导者(∼23%) 普遍认可对堕胎护理的法律保护; (3)有条件支持合法堕胎(约19%)仅在怀孕威胁胎儿或母亲的情况下支持合法堕胎。倡导者有条件支持者报告称,与反对者相比,他们对计划生育信息的了解程度更高。相对于反对者支持者受教育程度更高,有条件的支持者更富有。调查结果显示,赞比亚对堕胎的态度并非一成不变,但拥有经济/社会资产的妇女对合法堕胎表现出更容易接受的态度。
更新日期:2024-02-13
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