Induced abortion and gender (in)equality in Europe: A panel analysis
Abstract
Induced abortion is a worldwide practice and its legalisation is a persistent demand of the women’s movement. Although in the academic literature there are numerous studies that address the study of fertility, nowhere near as much attention has been given to the analysis of induced abortion and its determining factors, and even less to the consideration of gender equality as a variable through which to understand it. This article focuses on the influence of gender equality on the rate of induced abortion in different European countries. To that end the authors have constructed an econometric panel data model with information from 26 European countries for the period 2006–2011. They have analysed comparative indicators of the gender gap in terms of education, employment and wages. In addition, they have taken into account sociodemographic covariables such as the average age of motherhood, the migration rate and the percentage of births to unmarried mothers in each country. Also, as contextual factors the authors used the Human Development Index and an indicator of the legislation on abortion in the countries studied, as well as the percentage of the population who identify as having religious beliefs. The results show that the induced abortion rate is conditioned not only by national legislation on abortion, but also by gender (in)equalities, specifically that as gender inequality decreases, so too does the frequency of induced abortions. These findings have clear political implications, showing as they do how improvements in the status of women, particularly with respect to their social and economic rights, impact on women’s reproductive decisions.
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References
Adamczyk A (2008) The effects of religious contextual norms, structural constraints, and personal religiosity on abortion decisions. Social Science Research 37(2): 657–672.
Alsop R, Hockey J (2001) Women’s reproductive lives as a symbolic resource in Central and Eastern Europe. European Journal of Women’s Studies 8(4): 454–471.
Ancel P, Lelong N, Papiernik E, et al. (2004) History of induced abortion as a risk factor for preterm birth in European countries: Results of the EUROPOP survey. Human Reproduction 19(3): 734–740.
Asal V, Mitchell B, Figueroa RG (2008) Structure, empowerment and the liberalization of cross-national abortion rights. Politics and Gender 4(2): 265–284.
Balbo N, Billari F, Mills M (2013) Fertility in advanced societies: A review of research. European Journal of Population 29(1): 1–38.
Becker G (1981) A Treatise on the Family. Cambridge, MA: Harvard University Press.
Begal K, Mills M (2011) The impact of subjective work control, job strain and work–family conflict on fertility intentions: A European comparison. European Journal of Population 27(4): 433–456.
Best A (2005) Abortion rights along the Irish–English border and the liminality of women’s experiences. Dialectical Anthropology 29(3–4): 423–437.
Bloomer F, O’Dowd K (2014) Restricted access to abortion in the Republic of Ireland and Northern Ireland: Exploring abortion tourism and barriers to legal reform. Culture, Health & Sexuality: An International Journal for Research, Intervention and Care 17(4): 366–380.
Bolzendahl CI, Brooks C (2005) Polarization, secularization, or differences as usual? The denominational cleavage in U.S. social attitudes since the 1970s. The Sociological Quarterly 46(1): 47–78.
Chandra-Mouli V, Svanemyr J, Amin A, et al. (2015) Twenty years after international conference on population and development: Where are we with adolescent sexual and reproductive health and rights? Journal of Adolescence Health 56(1): S1–S6.
David HP (ed.) (1999) From Abortion to Contraception: A Resource to Public Policies and Reproductive Behaviour in Central and Eastern Europe from 1917 to the Present. Westport, CT and London: Greenwood Press.
De Zordo S (2017) From women’s ‘irresponsibility’ to foetal ‘patienthood’: Obstetricians-gynaecologists’ perspectives on abortion and its stigmatisation in Italy and Cataluña. Global Public Health 13(6): 711–723.
De Zordo S, Mishtal J, Anton L (2016) A Fragmented Landscape: Abortion Governance and Protest Logics in Europe. Oxford: Berghahn Books.
Delgado M, Barrios L (2007) Determinantes sociales de la interrupción del embarazo en España. Madrid: CIS.
Delgado M, Zamora F, Barrios L (2006) Déficit de fecundidad en España: Factores demográficos que operan sobre una tasa muy inferior al nivel de reemplazo. Revista Española de Investigaciones Sociológicas 115: 197–222.
Dereuddre R, Van de Velde S, Bracke P (2016) Gender inequality and the ‘East–West’ divide in contraception: An analysis at the individual, the couple, and the country level. Social Science and Medicine 161: 1–12.
Eurostat (2016) European Commission. Eurostat statistics: Regional Statistics. Luxembourg. Available at: http://ec.europa.eu/eurostat/web/regions/data/main-tables (accessed 30 September 2017).
Finer LB, Frohwirth LF, Dauphinee LA, et al. (2005) Reasons U.S. women have abortions: Quantitative and qualitative perspectives. Perspectives on Sexual and Reproductive Health 37(3): 110–118.
Font-Ribera L, Perez G, Salvador J, Borrell C (2008) Socioeconomic inequalities in unintended pregnancy and abortion decision. Journal of Urban Health 85(1): 125–135.
Frejka T, Westoff CF (2007) Religion, religiousness and fertility in the US and in Europe. European Journal of Population 24(1): 5–31.
Galobardes B, Shaw M, Lawlor DA, et al. (2006) Indicators of socioeconomic position (part1). Journal of Epidemiology Community Health 60(1): 7–12.
Gil-Lacruz A, Gil-Lacruz M, Bernal-Cuenca E (2012) Socio-economic determinants of the abortion rates. Sexuality Research and Social Policy 56(2): 143–152.
Gissler M, Fronteira I, Jahn A, et al. (2012) Terminations of pregnancy in the European Union. BJOG 119(3): 324–332.
Guillaume A, Rossier C (2018) L’avortement dans le monde. État des lieux, des legislations, mesures, tendances et conséquences. Population 73(2): 217–306.
Haley D, Stephen M, Cooper H, et al. (2016) Confidentiality considerations for use of social-spatial data on the social determinants of health: Sexual and reproductive health case study. Social Science and Medicine 166: 49–56.
Hausman J, Taylor W (1981) Panel data and unobservable individual effects. Econometrica 49(6): 1377–1398.
Helstrom L, Odlind V, Zatterstrom C, et al. (2003) Abortion rate and contraceptive practices in immigrant and native women in Sweden. Scandinavian Journal of Public Health 31(6): 405–410.
Joffe CE, Weitz TA, Stacey CL (2004) Uneasy allies: Pro-choice physicians, feminist health activists and the struggle for abortion rights, Sociology of Health and Illness 26(6): 775–798.
Kirkman M, Rowe H, Hardiman A, et al. (2009) Reasons women give for abortion: A review of the literature. Archives of Women’s Mental Health 12(6): 365–378.
Krieger N (2003) Genders, sexes, and health: What are the connections – and why does it matter? International Journal of Epidemiology 32(4): 652–657.
Llorente-Marrón M, Díaz-Fernández M, Méndez-Rodríguez P (2016) Contextual determinants of induced abortion: A panel analysis. Revista Saúde Pública 50(8): 1–10.
McDonald P (2013) Societal foundations for explaining low fertility: Gender equity. Demographic Research 28(34): 981–994.
Madureira Lima J, Reeves A, Billari F, et al. (2016) Austerity and abortion in the European Union. European Journal of Public Health 26(3): 518–519.
Márquez-Calderón S, Rodríguez M (2009) Influencia de la población inmigrante en la variabilidad de la tasa de abortos entre comunidades autónomas. Gaceta Sanitaria 23(Suppl. 1): 72–73.
Myrskylä M, Kohler H, Billari F (2009) Advances in development reverse fertility declines. Nature 460(7256): 741–743.
Pérez G, García-Subirats I, Rodríguez-Sanz M, et al. (2010) Trends in inequalities in induced abortion according to educational level among urban women. Journal of Urban Health 87(3): 524–530.
Pérez G, Ruiz-Muñoz D, Gotsens M, et al. (2013) Social and economic inequalities in induced abortion in Spain as a function of individual and contextual factors. European Journal of Public Health 24(1): 162–169.
Rasch V, Wielandt H, Knudsen L (2002) Living conditions, contraceptive use and the choice of induced abortion among pregnant women in Denmark. Scandinavian Journal of Public Health 30(4): 293–299.
Rowe H, Kirkman M, Hardiman A, et al. (2009) Considering abortion: A 12-month audit of records of women contacting a pregnancy advisory service. The Medical Journal of Australia 190(2): 69–72.
Salminen-Karlsson M (2005) Turning women from criminals into victims: Discussions on abortion in the Catholic Church of Sweden. European Journal of Women’s Studies 12(2): 187–200.
Santelli J, Lindberg L, Orr M, et al. (2009) Toward a multidimensional measure of pregnancy intentions: Evidence from the United States. Studies in Family Planning 40(2): 87–100.
Sedgh G, Bearak J, Singh S, et al. (2016) Abortion incidence between 1990 and 2014: Global, regional and subregional levels and trends. Lancet 388(10041): 258–267.
Sen G, Östlin P (2008) Gender inequity in health: Why it exists and how we can change it. Global Public Health 3(Suppl. 1): 1–12.
Sevoyan A, Agadjanian V (2013) Contraception and abortion in a low-fertility setting: The role of seasonal migration. International Perspectives on Sexual and Reproductive Health 39(3): 124–132.
Singh S, Remez L, Sedgh G, et al. (2018) Abortion Worldwide 2017: Uneven Progress and Unequal Access. New York: Guttmacher Institute.
Singh S, Wulf D, Hussain R, et al. (2009) Abortion Worldwide: A Decade of Uneven Progress. New York: Guttmacher Institute.
Smyth L (2002) Feminism and abortion politics: Choice, rights and reproductive freedom. Women’s Studies International Forum 25(3): 335–345.
Sonfield A, Hasstedt K, Kavanaugh M, Anderson R (2013) The Social and Economic Benefits of Women’s Ability to Determine Whether and When to Have Children. New York. Guttmacher Institute. Available at: www.guttmacher.org/pubs/social-economic-benefits.pdf (accessed 21 December 2016).
Strickler J, Danigelis LN (2002) Changing frameworks in attitudes toward abortion. Sociological Forum 17(2): 187–201.
Sümer S, Eslen-Ziya H (2015) New waves for old rights? Women’s mobilization and bodily rights in Turkey and Norway. European Journal of Women’s Studies 24(1): 23–38.
Troitskaia I, Avdeev A, Badurashvili I, et al. (2009) A comparative analysis of birth-control practices in Russia, Georgia, Lithuania and France. Revue d’Études Comparatives Est-Ouest 40(3–4): 241–272.
UNECE (Economic Commission for Europe) (2016) Statistical database. Adolescent fertility. Ginebra. Available at: http://w3.unece.org/PXWeb2015/pxweb/en/STAT/STAT__30-GE__02-Families_households/02_en_GEFHAdoFertility_r.px/?rxid=8ba02ce5–6180–456bb958–1de468770e16 (accessed 20 September 2017).
United Nations Development Programme (2006–2011) Human Development Index. Available at: http://hdr.undp.org/en/content/human-development-index-hdi (accessed 21 September 2017).
Uzoigwe CE (2017) Reduce inequality to reduce abortion. Nature 544(35).
Väisänen H (2017) The timing of abortions, births, and union dissolutions in Finland. Demographic Research 37(28): 889–916.
Walzer S (1994) The role of gender in determining abortion attitudes. Social Science Quarterly 75(3): 687–693.
World Health Organization (WHO) (2016) European Health for All database (HFA-DB). Regional Office for Europe. Available at: http://data.euro.who.int/hfadb (accessed 15 September 2017).
Zurriaga O, Martínez-Beneito M, Galmés A, et al. (2009) Recourse to induced abortion in Spain: Profiling of users and the influence of migrant populations. Gaceta Sanitaria 23(Suppl. 1): 57–63.
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Article first published online: December 9, 2019
Issue published: August 2020
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