Despite abortion being severely legally restricted - and potentially unsafe - in Peru, the incidence of abortion is as high as or higher than the incidence in many countries where it is legal and safe, found researchers from Peru, the United Kingdom and the United States in an article published in CMAJ.
Clandestine induced abortion is a significant public health issue in many countries where access to abortion is severely legally restricted. Abortions are often available only in cases of rape or incest or when a pregnancy threatens the health or life of the woman, causing many women to pursue clandestine abortions, which are often unsafe. Forty percent of women live in countries where abortions are legally restricted.
As comprehensive official statistics are lacking, this study provides valuable public health data.
The researchers conducted a population-based survey of almost 8000 women aged 18-29 years in 20 Peruvian cities. They found that 11.6% of women reported having abortions and 7.5% of sexually experienced 18-year-olds - the youngest age surveyed - reported having had abortions.
"We hope that this study will contribute to increased awareness of the scale of the problem and political willingness to address it, for which there is public support in Latin America," write Dr. Bernabé Ortiz from the Universidad Peruana Cayetano Heredia in Lima, Peru and coauthors.
They state that provision of contraception and education needs to be greatly improved and will lead to reduced abortion rates as half of the sexually-active women in the study did not use birth control.