title: Induced abortion in a Southern European region: examining inequalities between native and immigrant women.
abstract: OBJECTIVE
  To examine induced abortion (IA) inequalities between native and immigrant women in a Southern European region and whether these inequalities depend on a 2010 Law facilitating IA.
  
  
  METHODS
  We conducted two analyses: (1) prevalence of total IAs, repeat and second trimester IA, in native and immigrant women aged 12-49 years for years 2009-2013 according to country of origin; and (2) log-binomial regression was used to quantify the association of place of origin with repeat and second trimester IAs among women with IAs.
  
  
  RESULTS
  Immigrants were more likely to have an IA than Spanish women, with the highest probability in Sub-Saharan Africa (PR 8.32 95 % CI 3.66-18.92). Immigrant women with an IA from countries other than Maghreb and Asia have higher probabilities of a repeat IA than women from Spain. Women from Europe non-EU/Romania were 50 % (95 % CI 0.30-0.79) less likely to have a second trimester IA, while women from Central America/Caribbean were 45 % (95 % CI 1.11-1.89) more likely than Spanish women. The 2010 Law did not affect these associations.
  
  
  CONCLUSIONS
  There is a need for parenthood planning programs and more information and access to contraception methods especially in immigrant women to help decrease IAs.
authors.affiliation: Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Spain. elena.rodriguez@ehu.eus.|Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain. elena.rodriguez@ehu.eus.
authors.forename: Elena
authors.initials: E
authors.lastname: Rodriguez-Alvarez
authors.affiliation: Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain.|Department of Health Sciences, Lehman College, City University of New York, Bronx, NY, USA.
authors.forename: Luisa N
authors.initials: LN
authors.lastname: Borrell
authors.affiliation: Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain.|Department of Sociology 2, University of the Basque Country (UPV/EHU), Leioa, Spain.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: González-Rábago
authors.affiliation: Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain.|Department of Sociology 2, University of the Basque Country (UPV/EHU), Leioa, Spain.
authors.forename: Unai
authors.initials: U
authors.lastname: Martín
authors.affiliation: Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Spain.|Social Determinants of Health and Demographic Change, OPIK, Leioa, Spain.
authors.forename: Nerea
authors.initials: N
authors.lastname: Lanborena
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D005865:Gestational Age; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D055815:Young Adult
keywords: Immigration; Induced abortion; Inequalities; Repeat induced abortion; Second trimester induced abortion