Social-Managerial Explanation of the Causes of Induced Abortion with Social Participation

Document Type : Original Article

Authors

1 Assistant Professor, Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.

2 Assistant Professor, Department of Public Health, School of Health, Asadabad University of Medical Sciences, Asadabad, Iran.

3 Assistant Professor, Department of Infectious Diseases, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

4 Assistant Professor, Department of Educational Sciences, School of Education Sciences, Istanbul Kültür University, Istanbul, Turkey.

10.22038/ijogi.2025.82366.6195

Abstract

Introduction: Induced abortion is a common problem in most countries, including Iran. Induced abortion accounts for approximately one-third of all abortions, which is a significant number. In order to reduce abortions, it is essential to identify the causes. The present study was conducted with aim to socio-managerial explain the causes of induced abortion with social participation in Ardabil city.
Methods: This study was conducted by social participation during 10 months in Ardabil city. The study population was 33 married women aged 15-54 years who were willing to have an induced abortion, identified by neighborhood health volunteers. People were investigated using open and semi-structured interviews. The interviews with the investigated people were recorded and then written down and analyzed based on the content analysis method using the MAXQDA (version 20).
Results: The results of data analysis led to the extraction of 3 main classes: individual, family, and social. The individual class was classified into 3 subclasses: mental, belief, and awareness; the family class was classified into 2 cultural and financial subclasses; and the social class was classified into 2 political and managerial subclasses.
Conclusion: According to the findings presented in the results section, the causes of intentional abortion among married women should be examined. Identifying these factors can play an effective role in designing interventional, counseling, managerial, and policy-making programs at the local and national levels.

Keywords

Main Subjects

References

  1. Nejhaddadgar N, Mardi A, Zare M. The impact of new population policies on women's reproductive health pattern in Ardabil, Iran: a comparative cross-sectional study. Frontiers in Reproductive Health 2025; 7:1520027.
  2. Adair L, Lozano N. Adaptive choice: Psychological perspectives on abortion and reproductive freedom. Women's Reproductive Health 2022; 9(1):1-26.
  3. Zabeti AA, Kamali Asl S. Comparative analysis of Saeb's influence on Hafez based on two ghazals. Kohn-e-Nameh Adab Parsi [Internet] 2021; 1400(12):1.
  4. Hashemi S, Asadolahi K, Direkvand Moghadam A, Sayehmiri K. Factors affecting abortion among pregnant women in Khorramabad from September 2020 to March 2021–A case-control study. Technology and Research Information System 2025; 1403(4).
  5. Mousavi F. A Comparative Study of Competitive Rules in Competition Laws of Iran and the European Union. Comparative Studies on Islamic and Western Law 2021; 8(2):279-312.
  6. Fathi Najafi T, Najafi Fathi M, Dashti S, Farnoosh E. Comparative study of the Fetal Rights in National and International laws: a narrative Review Paper. Journal of Preventive Medicine 2022; 9(3):292-301.
  7. NeJhaddadgar N, Darabi F, Ezati F. Factors Affecting Inducted Abortion: A Scoping Review. Journal of Research and Health 2025;15(1):105-16.
  8. Torabi F, Sheidani R. A study of effective factors in tendency to fewer childbearing of 15-49 year old women residents of Tehran. Journal of Woman and Family Studies 2019; 7(2):31-67.
  9. Rezaei M, Partovi L. Abortion among kurdish women from Mahabad in 2016. Iran Journal of Nursing 2017; 30(109):32-43.
  10. Foster DG. The turnaway study: ten years, a thousand women, and the consequences of having—or being denied—an abortion. Simon and Schuster; 2021.
  11. Klann EM, Wong YJ. A pregnancy decision-making model: psychological, relational, and cultural factors affecting unintended pregnancy. Psychology of Women Quarterly 2020; 44(2):170-86.
  12. Ziapour A, Sharma M, NeJhaddadgar N, Mardi A, Tavafian SS. Study of adolescents’ puberty, adolescence training program: The application of intervention mapping approach. International quarterly of community health education 2021; 42(1):5-14.
  13. Nejhaddadgar N, Azadi H, Mehedi N, Toghroli R, Faraji A. Teaching adults how to prevent COVID-19 infection by health workers: The application of intervention mapping approach. Journal of Education and Health Promotion 2021; 10(1):24.
  14. NeJhaddadgar N, Toghroli R, Yoosefi Lebni J, A Melca I, Ziapour A. Exploring the barriers in maintaining the health guidelines amid the COVID-19 pandemic: a qualitative study approach. INQUIRY: The Journal of Health Care Organization, Provision, and Financing 2022; 59:00469580221100348.
  15. Shariati M. Induced abortion rate in Iran: a meta-analysis. Archives of Iranian medicine 2013; 16(10):594.
  16. Beggs JC. Applications: Disaster communication and community engagement. InDisaster epidemiology 2018:163-169. Academic Press.
  17. World Health Organization. Risk communication and community engagement (‎RCCE)‎ considerations: Ebola response in the Democratic Republic of the Congo. World Health Organization; 2018. 
  18. NeJhaddadgar N, Ziapour A, Jafarzadeh M, Ezzati F, Rezaei F, Darabi F. Explaining barriers to childbearing using the risk communication and community engagement (RCCE) strategy: Based on action research. Health Science Reports 2023; 6(10):e1606.
  19. Chinichian M, Holakoic Nainie K, Rafaie Shirpak Kh. Voluntary abortion in Iran: a qualitative study. Payesh 2007; 6(3):219-232.
  20. Elul B. Determinants of induced abortion: an analysis of individual, household and contextual factors in Rajasthan, India. Journal of Biosocial Science 2011; 43(1):1-7.
  21. Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM. Reasons US women have abortions: quantitative and qualitative perspectives. Perspectives on sexual and reproductive health 2005; 37(3):110-8.
  22. Frederico M, Michielsen K, Arnaldo C, Decat P. Factors influencing abortion decision-making processes among young women. International journal of environmental research and public health 2018; 15(2):329.
  23. Perez G, Ruiz-Munoz D, Gotsens M, Cases MC, Rodríguez-Sanz M. Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors. The European Journal of Public Health 2014; 24(1):162-9.
  24. Razeghi Nasrabad HB, Sanjari E. Factors associated with induced abortion: Lived experiences of women in Tehran. Women's Studies Sociological and Psychological 2017; 15(2):105-36.
  25. Mansori F, Salarzaee AH, Shahraki DS. Examination of the level of knowledge of pregnant women of Legal regulations and Jurisprudence of Abortion and it’s affective factors in Zabol in 1394. Medical Figh Year 2017; 8(28-29):137-159.
  26. Assifi AR, Berger B, Tunçalp Ö, Khosla R, Ganatra B. Women’s awareness and knowledge of abortion laws: A systematic review. PloS one 2016; 11(3):e0152224.
  27. Cao C, Liu M, Qu S, Huang R, Qi M, Zhu Z, et al. Chinese medicine formula Kai-Xin-San ameliorates depression-like behaviours in chronic unpredictable mild stressed mice by regulating gut microbiota-inflammation-stress system. Journal of ethnopharmacology 2020; 261:113055.
  28. Sundaram A, Juarez F, Bankole A, Singh S. Factors associated with abortion‐seeking and obtaining a safe abortion in Ghana. Studies in family planning 2012; 43(4):273-86.
  29. Doran F, Nancarrow S. Barriers and facilitators of access to first-trimester abortion services for women in the developed world: a systematic review. Journal of Family Planning and Reproductive Health Care 2015; 41(3):170-80.
  30. Teffo ME, Rispel LC. ‘I am all alone’: factors influencing the provision of termination of pregnancy services in two South African provinces. Global health action 2017; 10(1):1347369.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 28, Issue 8
October 2025
Pages 20-30

Files

Share

How to cite

Statistics