UBC Faculty Research and Publications

Attitudes and knowledge about abortion and contraception in women from Canada, US, UK, France and Australia… Wiebe, Ellen; Littman, Lisa; Kaczorowski, Janusz 2013

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Attitudes and knowledge about abortion and contraception in women from Canada, US, UK, France and Australia: An internet survey using Survey Monkey Audience Ellen Wiebe, Lisa Littman, Janusz K What is Survey Monkey Audience? ? http://www.surveymonkey.com/mp/audience/ ? Panels in many countries ? about 500,000 in Canada, 3 million in US, 30 million total ? Incentives: charitable donations and sweepstakes entries ? Validated by ?benchmark surveys?  Our panels ? Women age 18-44 ? 200 each from Canada, US, UK, France and Australia  Our questions ? Knowledge and attitude based on previous research  ? Demographics: France does not allow ethnicity or immigrant status questions ? Knowledge and attitude questions first and mandatory, demographics optional ? Translations into each country (including ?Aussie?) thanks to Drs Sharon Cameron (UK), Elizabeth Aubeny (Fr), David Grundman (Au)          Demographics Demographics  (all highly significant) Canada US UK France Australia  Mean age 32.4 29.8 35.1 35.2 34.7 Finished college 44.2% 45.5% 43.2% 40.0% 45.9% Married 41.3% 40.5% 51.1% 41.4% 53.1% 1+ children 53.8% 44.2% 42.2% 67.9% 61.4% Prev abortion 21.9% 11.3% 23.0% 15.1% 23.5% Immigrant 23.2% 9.9% 16.5% . 23.8% No religion 43.0% 33.7% 52.9% 6.1% 52.1% Religion important 54.2% 66.7% 34.1% 36.2% 40.1%         Attitude     Which ONE of the opinions best represents your view about abortion in the first 3 months of pregnancy?    ? Abortion should never be allowed.     ? Abortion should be allowed ONLY if the life and health of the woman is in danger. ? Abortion should be allowed if, due to personal reasons, the woman would have difficulty in caring for the child. ? Abortion should be allowed for ANY reason, because no one should be forced to continue a pregnancy     Pro-choice: Abortion should be allowed for ANY reason, because no one should be forced to continue a pregnancy Canada US UK France Australia       89/233 82/223 94/230 149/221 112/210  38.7% 37.1% 42.0% 68.7% 53.6% p=<.001         Knowledge     Which is the most effective birth control method?  ? Condoms ? Birth control pills ? IUDs (IUDs are intrauterine contraceptive devices like Mirenas, Copper Ts, etc that a doctor puts into your uterus)    Which is the most effective birth control method? Correct answer (IUDs) Canada US UK France Australia       54/233 64/223 63/230 71/221 50/210  23.2% 28.7% 27.4% 32.1% 23.8%  p=.4      Which has a GREATER health risk for a woman?   ? Giving birth ? Using an IUD for 5 years  ? They have the same risk    Which has a GREATER health risk for a woman? Correct answer (birth) Canada US UK France Australia       55/233 52/223 62/230 71/221 50/210  23.6% 23.3% 27.0% 32.1% 23.8% p=.4  Which has a GREATER health risk for a woman?   ? Giving birth ? Using birth control pills (or patches or rings) for 5 years ? They have the same risk  Which has a GREATER health risk for a woman? Correct answer (birth) Canada US UK France Australia       61/233 70/223 61/230 49/221 71/210  26.2% 31.4% 26.5% 22.2% 33.8% p=.054      Which has a GREATER health risk for a woman?   ? Giving birth ? Using an injection (like DepoProvera) for 5 years  ? They have the same risk    Which has a GREATER health risk for a woman? Correct answer (birth) Canada US UK France Australia       53/233 53/223 65/230 58/221 56/210  22.7% 23.8% 28.3% 26.2% 26.7% p=.005      A woman using an IUD for 5 years is MORE likely to have difficulty getting pregnant in the future, after the IUD is removed. ? Yes   ? No     ? I don?t know     Correct answer: No increased difficulty getting pregnant after IUD use Canada US UK France Australia       56/233 69/223 71/230 90/221 36/210  24.0% 30.9% 30.9% 40.7% 17.1% p=.001      A woman using birth control pills, patches or rings for 5 years is MORE likely to have difficulty getting pregnant in the future, after stopping. ? Yes   ? No     ? I don?t know    Correct answer: No increased difficulty getting pregnant after HC use Canada US UK France Australia       72/233 93/223 83/230 82/221 64/210  30.9% 41.7% 36.1% 37.1% 30.5% p=.001      Which has the HIGHEST health risk for a woman? (check one) ? Having an abortion in the first 3 months of pregnancy  ?  Giving birth to a baby  ? They have the same risk.    Correct answer: Highest risk is birth Canada US UK France Australia       49/233 43/223 50/230 26/221 41/210  21.3% 19.5% 22.3% 12.0% 19.6% p=.007     A woman who has an abortion in the first 3 months of pregnancy is MORE likely to have breast cancer than if she were to continue the pregnancy. ? Yes   ? No     ? I don?t know      Correct answer: No increased risk of breast cancer Canada US UK France Australia       89/233 92/223 96/230 95/221 89/210  38.7% 41.6% 42.9% 43.8% 42.6% p=.007     A woman who has an abortion in the first 3 months of an unplanned pregnancy is MORE at risk of a serious mental health problem than if she were to continue the unplanned pregnancy. ? Yes   ? No     ? I don?t know      Correct answer: No increased risk of depression Canada US UK France Australia       90/233 95/223 98/230 90/221 82/210  39.1% 43.0% 43.8% 41.5% 39.2% p=.002     A woman having an abortion in the first 3 months of pregnancy is MORE likely to have difficulty getting pregnant in the future.  ? Yes   ? No     ? I don?t know      Correct answer: No increased risk of infertility Canada US UK France Australia       82/233 78/223 77/230 70/221 73/210  35.7% 35.3% 34.4% 32.3% 34.9% p=.98 Attitude vs knowledge about abortion Correct responses Anti-choice Pro-choice Risks of abortion  vs birth 13.0% 25.5% Risk of breast cancer 35.0% 49.4% Risk of depression 27.1% 49.0% Risk of infertility 30.8% 53.8% p<.001 What does this mean? Our Results ? Panels 0.4% to 1.5% of population ? Response rates: about 1% (10-50,000 emails per country) ? Time: 1 day ? Cost: $8000 Canada: sampling Our sample women 18-44 Stats Can women 20-44 College degree  44% College degree 33% Immigrants  23% Immigrants 21% Religion important 54% No religion 43% Attend monthly 30% Attend never 40% US sampling Our sample women 18-44 US census  (everyone) ?no one should be forced to continue a pregnancy? ? 37.1% Self-identified as pro-choice ? 48% Abortion should be legal in all circumstances ? 28% 

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