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    "textoCompleto" => "<span class="elsevierStyleSections"><p class="elsevierStylePara elsevierViewall">El embarazo es el resultado de m&#250;ltiples factores sociales y econ&#243;micos&#44; y no s&#243;lo de una decisi&#243;n individual&#46; Los abortos legales &#40;llamados en Espa&#241;a interrupciones voluntarias del embarazo&#41; suelen ser de embarazos no deseados y no planificados&#46; Entre los determinantes de &#233;stos se encuentran ser adolescente&#44; no tener pareja estable&#44; tener bajo nivel de educaci&#243;n o de ingresos&#44; y no realizar anticoncepci&#243;n o hacerlo con m&#233;todos poco efectivos<a class="elsevierStyleCrossRef" href="#bib1"><span class="elsevierStyleSup">1</span></a>&#46; En Barcelona&#44; el 41&#44;6&#37; de los embarazos no fueron planificados y el 25&#37; de ellos acabaron en un aborto<a class="elsevierStyleCrossRef" href="#bib2"><span class="elsevierStyleSup">2</span></a>&#46;</p><p class="elsevierStylePara elsevierViewall">En los &#250;ltimos a&#241;os&#44; Barcelona&#44; como otras ciudades de Espa&#241;a&#44; est&#225; experimentando un r&#225;pido crecimiento de la poblaci&#243;n nacida en el extranjero &#40;del 3&#44;9&#37; en 1996 al 20&#44;9&#37; en 2008&#41;<a class="elsevierStyleCrossRef" href="#bib3"><span class="elsevierStyleSup">3</span></a>&#46; La inmigraci&#243;n ha influido en el aumento de la natalidad de la ciudad y podr&#237;a ser uno de los factores relacionados con el incremento del n&#250;mero de abortos<a class="elsevierStyleCrossRef" href="#bib4"><span class="elsevierStyleSup">4</span></a>&#46;</p><p class="elsevierStylePara elsevierViewall">En algunas Comunidades Aut&#243;nomas se empez&#243; a recoger en el a&#241;o 2005&#44; por primera vez&#44; informaci&#243;n sobre el pa&#237;s de origen de las mujeres que abortan&#46; El an&#225;lisis de estos nuevos datos en Catalu&#241;a ha hallado mayores tasas de aborto en el conjunto de las mujeres inmigrantes<a class="elsevierStyleCrossRef" href="#bib5"><span class="elsevierStyleSup">5</span></a>&#44; pero es preciso un estudio m&#225;s detallado de los diferentes colectivos&#44; as&#237; como el uso de un denominador m&#225;s coincidente con el pa&#237;s de origen &#40;el lugar de nacimiento en vez de la nacionalidad&#41;&#46; Con este objetivo analizamos la tasa de abortos en la ciudad de Barcelona en 2005 y 2006&#44; seg&#250;n el pa&#237;s de origen y la edad de la mujer&#46; Se trata de un estudio transversal de base poblacional&#46; La poblaci&#243;n de estudio eran todas las mujeres de 12 a 49 a&#241;os residentes en Barcelona en 2005 y 2006&#46; Los datos de poblaci&#243;n por edad y pa&#237;s de nacimiento se obtuvieron del padr&#243;n de habitantes&#44; el 1 de enero de 2006&#46; Los datos de los abortos legales proceden del Registro de Interrupciones Voluntarias del Embarazo del Departament de Salut de la Generalitat de Catalunya&#46;</p><p class="elsevierStylePara elsevierViewall">La principal variable del estudio fue la tasa de abortos por 1&#46;000 mujeres&#46; Se calcularon las tasas espec&#237;ficas seg&#250;n la edad &#40;conjunto de edad f&#233;rtil&#44; 15&#8211;49 a&#241;os&#59; subgrupos de 12&#8211;17&#44; 18&#8211;19&#44; 20&#8211;34 y 35&#8211;49 a&#241;os&#41; y el pa&#237;s o regi&#243;n de origen&#58; &#40;mujeres aut&#243;ctonas e inmigrantes&#41;&#46; Las inmigrantes se categorizaron&#44; adem&#225;s&#44; en mujeres nacidas en pa&#237;ses desarrollados o en pa&#237;ses en v&#237;as de desarrollo y no desarrollados<a class="elsevierStyleCrossRef" href="#bib6"><span class="elsevierStyleSup">6</span></a>&#46; Entre estos &#250;ltimos&#44; se analizan separadamente los pa&#237;ses m&#225;s representados entre las mujeres de la ciudad &#40;&#193;frica subsahariana se ha analizado en conjunto por la falta de un pa&#237;s con suficientes efectivos&#41;&#46;</p><p class="elsevierStylePara elsevierViewall">Los resultados muestran que la tasa anual de abortos en las mujeres de 15 a 49 a&#241;os&#44; de Barcelona&#44; durante 2005 y 2006&#44; fue de 12&#44;5 por 1&#46;000 &#40;<a class="elsevierStyleCrossRef" href="#tbl1">tabla 1</a>&#41;&#46; Al calcular la tasa separando mujeres aut&#243;ctonas e inmigrantes&#44; la tasa de aborto entre estas &#250;ltimas era de 22&#44;6 por 1&#46;000&#44; 2&#44;5 veces mayor que la de las espa&#241;olas&#46; Desglosando por nivel de desarrollo del pa&#237;s&#44; las mujeres de pa&#237;ses desarrollados tuvieron una tasa similar a la de las aut&#243;ctonas&#44; mientras que fue mayor entre las mujeres nacidas en pa&#237;ses en v&#237;as de desarrollo y no desarrollados &#40;25&#44;4 por 1&#46;000&#41;&#46; En el an&#225;lisis por pa&#237;ses&#44; las tasas m&#225;s altas se encontraron en las mujeres procedentes de Bolivia y Ruman&#237;a &#40;82&#44;1 y 49&#44;7&#44; respectivamente&#41;&#44; mientras que las mujeres de Argentina y China mostraron tasas de aborto similares a las de las mujeres aut&#243;ctonas&#46; Las tasas de las mujeres de M&#233;xico fueron inferiores a las de las aut&#243;ctonas&#46;</p><elsevierMultimedia ident="tbl1"></elsevierMultimedia><p class="elsevierStylePara elsevierViewall">La raz&#243;n entre tasas de mujeres de pa&#237;ses en v&#237;as de desarrollo y no desarrollados y aut&#243;ctonas se mantuvo en los grupos de edad analizados en un rango entre 2 y 3&#44;1&#46; El an&#225;lisis por pa&#237;ses en las franjas de edad adolescente se ve limitado por el tama&#241;o de los grupos&#44; pero cabe destacar las tasas de aborto de las mujeres rumanas de 18 a 19 a&#241;os &#40;138&#44;9 por 1&#46;000&#41; y de Bolivia y Ecuador&#46; En las j&#243;venes adultas&#44; destaca la tasa de Bolivia &#40;111&#44;6&#41;&#46;</p><p class="elsevierStylePara elsevierViewall">Por lo tanto&#44; los datos muestran que las mujeres de pa&#237;ses en v&#237;as de desarrollo y no desarrollados tuvieron mayores tasas de aborto en los a&#241;os 2005 y 2006&#46; El resultado es coherente con estudios de otros pa&#237;ses&#44; seg&#250;n los cuales la menor informaci&#243;n o experiencia en el uso de contracepci&#243;n y el perfil socioecon&#243;mico y familiar m&#225;s desfavorecidos parecen contribuir a este aumento del riesgo<a class="elsevierStyleCrossRefs" href="#bib7"><span class="elsevierStyleSup">7&#44;8</span></a>&#46; En la actualidad&#44; en Barcelona&#44; las mujeres procedentes de pa&#237;ses pobres se concentran en las clases sociales m&#225;s desfavorecidas &#40;en la franja de edad f&#233;rtil&#44; el 79&#37; en clases manuales frente al 32&#37; de las aut&#243;ctonas y de las inmigrantes de pa&#237;ses ricos&#44; seg&#250;n datos de la Encuesta de Salud 2006 de la ciudad&#41;&#46; En un estudio cualitativo realizado en Barcelona&#44; las mujeres inmigrantes mostraban una aceptaci&#243;n progresiva de los m&#233;todos anticonceptivos&#59; las latinoamericanas y las rumanas son las que mejor aceptan la interrupci&#243;n del embarazo<a class="elsevierStyleCrossRef" href="#bib9"><span class="elsevierStyleSup">9</span></a>&#44; lo cual podr&#237;a explicar las altas tasas de aborto en estas 2 comunidades&#46;</p><p class="elsevierStylePara elsevierViewall">Conocer el pa&#237;s de origen de las mujeres que abortan pone de manifiesto la limitaci&#243;n de categorizar a las mujeres inmigrantes en un solo grupo&#46; Las tasas de aborto de las mujeres aut&#243;ctonas y de las que provienen de pa&#237;ses desarrollados son similares&#46; Las mujeres que provienen de Argentina&#44; China y M&#233;xico muestran tasas de aborto similares a las aut&#243;ctonas y muy diferentes a las de las mujeres de pa&#237;ses de la misma zona geogr&#225;fica&#46; El mejor nivel socioecon&#243;mico de las argentinas y el uso de m&#233;todos de anticoncepci&#243;n y abortivos distintos en las mujeres chinas podr&#237;an explicar estos hallazgos&#46; Asimismo&#44; el exceso de abortos en las mujeres rumanas puede coincidir con la realidad de su regi&#243;n de origen&#44; donde seg&#250;n los datos se realizan m&#225;s abortos y una menor contracepci&#243;n que en el resto de los pa&#237;ses europeos<a class="elsevierStyleCrossRef" href="#bib10"><span class="elsevierStyleSup">10</span></a>&#46; En cambio&#44; la realizaci&#243;n del aborto legal entre los colectivos de mujeres inmigrantes de otros pa&#237;ses de Am&#233;rica Latina y de &#193;frica no parece ser una tradici&#243;n cultural ni una costumbre importada&#44; ya que en la mayor&#237;a de los pa&#237;ses de estas regiones el aborto es una pr&#225;ctica ilegal&#44; con un alto porcentaje de abortos inseguros y de mortalidad materna<a class="elsevierStyleCrossRef" href="#bib10"><span class="elsevierStyleSup">10</span></a>&#46;</p><p class="elsevierStylePara elsevierViewall">Por &#250;ltimo&#44; no hay que olvidar las limitaciones derivadas de posibles sesgos de medida&#46; Puede existir una sobrestimaci&#243;n de las tasas debido a la posible subestimaci&#243;n de la poblaci&#243;n inmigrante en el padr&#243;n de habitantes de la ciudad de Barcelona&#44; que puede afectar especialmente a aquellos colectivos que m&#225;s han crecido durante el periodo de estudio&#44; como es el caso de Ruman&#237;a y Bolivia&#44; pa&#237;ses para los cuales hemos encontrado tasas especialmente elevadas&#46; Por otro lado&#44; el pa&#237;s de origen es autodeclarado y recogido por primera vez en estos 2 a&#241;os en Catalu&#241;a&#46; Ser&#225; necesario esperar algunos a&#241;os para que los datos sean consistentes&#46;</p><p class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; la mayor frecuencia de abortos legales detectada en las mujeres inmigrantes&#44; y sus determinantes culturales y socioecon&#243;micos&#44; representan un reto para la investigaci&#243;n y las pol&#237;ticas de planificaci&#243;n del embarazo&#46; 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    "fechaRecibido" => "2009-03-19"
    "fechaAceptado" => "2009-05-15"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec246533"
          "palabras" => array:4 [
            0 => "Aborto legal"
            1 => "Planificaci&#243;n del embarazo"
            2 => "Inmigraci&#243;n"
            3 => "Espa&#241;a"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec246534"
          "palabras" => array:4 [
            0 => "Induced abortion"
            1 => "Unintended pregnancy"
            2 => "Immigration"
            3 => "Spain"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Ante la nueva realidad de la inmigraci&#243;n extranjera en Barcelona&#44; el objetivo es describir la tasa de aborto legal en la ciudad en los a&#241;os 2005 y 2006 seg&#250;n el lugar de origen de las mujeres&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se calcularon las tasas de abortos legales por pa&#237;s de origen y grupo de edad de las mujeres residentes en Barcelona agrupando 2005 y 2006&#44; utilizando datos del registro de abortos y del Padr&#243;n de Habitantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Las mujeres inmigrantes de pa&#237;ses en desarrollo presentaron en conjunto una tasa de aborto de 25&#44;4 por 1&#46;000 mujeres de 15&#8211;49 a&#241;os&#44; y las mujeres aut&#243;ctonas 8&#44;9 por 1&#46;000&#46; La relaci&#243;n se mantiene en todos los grupos de edad&#46; Destaca la gran heterogeneidad de tasas entre pa&#237;ses &#40;rango 5&#44;8&#8211;82&#44;0&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">En Barcelona&#44; las mujeres procedentes de pa&#237;ses desfavorecidos duplican las tasas de aborto de las aut&#243;ctonas&#46; El nivel socioecon&#243;mico y los conocimientos y pr&#225;cticas en el uso de contracepci&#243;n podr&#237;an generar estas diferencias&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Given the new reality of foreign immigration in Barcelona&#44; the aim is to describe the rate of legal abortion in the city in the years 2005 and 2006 according to women&#39;s place of origin&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The rates of legal abortion of women residing in Barcelona were computed by country of origin and age group&#44; grouping 2005 and 2006 and using data from the abortions register and the municipal continuous register&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Immigrant women from developing countries had a combined abortion rate of 25&#46;4 per 1&#44;000 women of 15&#8211;49 years&#44; surpassing that of native women &#40;8&#46;9 per 1&#44;000&#41;&#46; The relationship is maintained in all age groups&#46; Rates vary substantially between countries &#40;range 5&#46;8&#8211;82&#46;0&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">In Barcelona&#44; immigrant women from disadvantaged countries have the highest rates of abortion&#46; Socioeconomic level and knowledge and practices in the use of contraception could generate these differences&#46;</p>"
      ]
    ]
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      0 => array:7 [
        "identificador" => "tbl1"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <a target="_blank" href="main.stripin/si1.gif"><span class="e-comp" style="background:PowderBlue;" title="Click here to view Table Image">Click&nbsp;Here&nbsp;To&nbsp;View&nbsp;Stripin</span></a><p style="margin-bottom:0em"></p><table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="10" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Grupos de edad</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">15&#8211;49 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">12&#8211;17 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">18&#8211;19 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">20&#8211;34 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">35&#8211;49 a&#241;os</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Indicadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#46;917&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">385&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">654&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#46;100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;778&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Aut&#243;ctonas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;223&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">281&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">394&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;528&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;020&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Inmigrantes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;694&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">104&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">260&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">49&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;572&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">758&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Pa&#237;ses desarrollados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">281&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">239&nbsp;\t\t\t\t\t\t\n
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                  """
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          "es" => "<p class="elsevierStyleSimplePara elsevierViewall">N&#250;mero y tasa&#44; por 1&#46;000 mujeres&#44; de abortos legales seg&#250;n el pa&#237;s de origen y el grupo de edad &#40;Barcelona&#44; 2005&#8211;2006&#41;</p>"
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                    0 => array:2 [
                      "titulo" => "Unintended pregnancy among the urban poor"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Besculides"
                            1 => "F&#46; Laraque"
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                    0 => array:2 [
                      "doi" => "10.1093/jurban/jth122"
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                        "tituloSerie" => "J Urban Health"
                        "fecha" => "2004"
                        "volumen" => "81"
                        "paginaInicial" => "340"
                        "paginaFinal" => "348"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15273260"
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                      "titulo" => "Socioeconomic inequalities in unintended pregnancy and abortion decision"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "L&#46; Font-Ribera"
                            1 => "G&#46; P&#233;rez"
                            2 => "J&#46; Salvador"
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                    0 => array:2 [
                      "doi" => "10.1007/s11524-007-9233-z"
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                        "tituloSerie" => "J Urban Health"
                        "fecha" => "2008"
                        "volumen" => "85"
                        "paginaInicial" => "125"
                        "paginaFinal" => "135"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18038210"
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                0 => array:1 [
                  "referenciaCompleta" => "Evoluci&#243; de les caracter&#237;stiques de la poblaci&#243; de Barcelona&#58; Lloc de naixement &#91;consultado 10&#47;12&#47;2008&#93;&#46; Barcelona&#58; Departament d&#8217;Estad&#237;stica&#44; Ajuntament de Barcelona&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.bcn.cat/estadistica/catala/dades/tpob/pad/evo/index.htm">http&#58;&#47;&#47;www&#46;bcn&#46;cat&#47;estadistica&#47;catala&#47;dades&#47;tpob&#47;pad&#47;evo&#47;index&#46;htm</a>"
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                  "referenciaCompleta" => "Ag&#232;ncia de Salut P&#250;blica de Barcelona&#46; La salut a Barcelona 2006&#46; Barcelona&#58; Ag&#232;ncia de Salut P&#250;blica de Barcelona&#59; 2006&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.aspb.cat/quefem/documents_informes_salut_barcelona.htm">http&#58;&#47;&#47;www&#46;aspb&#46;cat&#47;quefem&#47;documents&#95;informes&#95;salut&#95;barcelona&#46;htm</a>"
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                      "titulo" => "Diferencias en el perfil reproductivo de mujeres aut&#243;ctonas e inmigrantes residentes en Catalu&#241;a"
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                          "etal" => true
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                            2 => "M&#46;M&#46; Torn&#233;"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
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                        "volumen" => "22"
                        "paginaInicial" => "574"
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SUPLEMENTO DE INMIGRACIÓN Y SALUD
Aborto legal en mujeres inmigrantes en un entorno urbano
Induced abortion in immigrant women in a urban setting
Davide Malmusia,b, G.. Glòria Péreza,b,c,
Autor para correspondencia
gperez@aspb.cat

Autora para correspondencia.
a Unitat Docent de Medicina Preventiva i Salut Pública IMAS-UPF-ASPB, Barcelona, España
b Servei de Sistemes d’Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España
c CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, España
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Barcelona&#44; como otras ciudades de Espa&#241;a&#44; est&#225; experimentando un r&#225;pido crecimiento de la poblaci&#243;n nacida en el extranjero &#40;del 3&#44;9&#37; en 1996 al 20&#44;9&#37; en 2008&#41;<a class="elsevierStyleCrossRef" href="#bib3"><span class="elsevierStyleSup">3</span></a>&#46; La inmigraci&#243;n ha influido en el aumento de la natalidad de la ciudad y podr&#237;a ser uno de los factores relacionados con el incremento del n&#250;mero de abortos<a class="elsevierStyleCrossRef" href="#bib4"><span class="elsevierStyleSup">4</span></a>&#46;</p><p class="elsevierStylePara elsevierViewall">En algunas Comunidades Aut&#243;nomas se empez&#243; a recoger en el a&#241;o 2005&#44; por primera vez&#44; informaci&#243;n sobre el pa&#237;s de origen de las mujeres que abortan&#46; El an&#225;lisis de estos nuevos datos en Catalu&#241;a ha hallado mayores tasas de aborto en el conjunto de las mujeres inmigrantes<a class="elsevierStyleCrossRef" href="#bib5"><span class="elsevierStyleSup">5</span></a>&#44; pero es preciso un estudio m&#225;s detallado de los diferentes colectivos&#44; as&#237; como el uso de un denominador m&#225;s coincidente con el pa&#237;s de origen &#40;el lugar de nacimiento en vez de la nacionalidad&#41;&#46; Con este objetivo analizamos la tasa de abortos en la ciudad de Barcelona en 2005 y 2006&#44; seg&#250;n el pa&#237;s de origen y la edad de la mujer&#46; Se trata de un estudio transversal de base poblacional&#46; La poblaci&#243;n de estudio eran todas las mujeres de 12 a 49 a&#241;os residentes en Barcelona en 2005 y 2006&#46; Los datos de poblaci&#243;n por edad y pa&#237;s de nacimiento se obtuvieron del padr&#243;n de habitantes&#44; el 1 de enero de 2006&#46; Los datos de los abortos legales proceden del Registro de Interrupciones Voluntarias del Embarazo del Departament de Salut de la Generalitat de Catalunya&#46;</p><p class="elsevierStylePara elsevierViewall">La principal variable del estudio fue la tasa de abortos por 1&#46;000 mujeres&#46; Se calcularon las tasas espec&#237;ficas seg&#250;n la edad &#40;conjunto de edad f&#233;rtil&#44; 15&#8211;49 a&#241;os&#59; subgrupos de 12&#8211;17&#44; 18&#8211;19&#44; 20&#8211;34 y 35&#8211;49 a&#241;os&#41; y el pa&#237;s o regi&#243;n de origen&#58; &#40;mujeres aut&#243;ctonas e inmigrantes&#41;&#46; Las inmigrantes se categorizaron&#44; adem&#225;s&#44; en mujeres nacidas en pa&#237;ses desarrollados o en pa&#237;ses en v&#237;as de desarrollo y no desarrollados<a class="elsevierStyleCrossRef" href="#bib6"><span class="elsevierStyleSup">6</span></a>&#46; Entre estos &#250;ltimos&#44; se analizan separadamente los pa&#237;ses m&#225;s representados entre las mujeres de la ciudad &#40;&#193;frica subsahariana se ha analizado en conjunto por la falta de un pa&#237;s con suficientes efectivos&#41;&#46;</p><p class="elsevierStylePara elsevierViewall">Los resultados muestran que la tasa anual de abortos en las mujeres de 15 a 49 a&#241;os&#44; de Barcelona&#44; durante 2005 y 2006&#44; fue de 12&#44;5 por 1&#46;000 &#40;<a class="elsevierStyleCrossRef" href="#tbl1">tabla 1</a>&#41;&#46; Al calcular la tasa separando mujeres aut&#243;ctonas e inmigrantes&#44; la tasa de aborto entre estas &#250;ltimas era de 22&#44;6 por 1&#46;000&#44; 2&#44;5 veces mayor que la de las espa&#241;olas&#46; Desglosando por nivel de desarrollo del pa&#237;s&#44; las mujeres de pa&#237;ses desarrollados tuvieron una tasa similar a la de las aut&#243;ctonas&#44; mientras que fue mayor entre las mujeres nacidas en pa&#237;ses en v&#237;as de desarrollo y no desarrollados &#40;25&#44;4 por 1&#46;000&#41;&#46; En el an&#225;lisis por pa&#237;ses&#44; las tasas m&#225;s altas se encontraron en las mujeres procedentes de Bolivia y Ruman&#237;a &#40;82&#44;1 y 49&#44;7&#44; respectivamente&#41;&#44; mientras que las mujeres de Argentina y China mostraron tasas de aborto similares a las de las mujeres aut&#243;ctonas&#46; Las tasas de las mujeres de M&#233;xico fueron inferiores a las de las aut&#243;ctonas&#46;</p><elsevierMultimedia ident="tbl1"></elsevierMultimedia><p class="elsevierStylePara elsevierViewall">La raz&#243;n entre tasas de mujeres de pa&#237;ses en v&#237;as de desarrollo y no desarrollados y aut&#243;ctonas se mantuvo en los grupos de edad analizados en un rango entre 2 y 3&#44;1&#46; El an&#225;lisis por pa&#237;ses en las franjas de edad adolescente se ve limitado por el tama&#241;o de los grupos&#44; pero cabe destacar las tasas de aborto de las mujeres rumanas de 18 a 19 a&#241;os &#40;138&#44;9 por 1&#46;000&#41; y de Bolivia y Ecuador&#46; En las j&#243;venes adultas&#44; destaca la tasa de Bolivia &#40;111&#44;6&#41;&#46;</p><p class="elsevierStylePara elsevierViewall">Por lo tanto&#44; los datos muestran que las mujeres de pa&#237;ses en v&#237;as de desarrollo y no desarrollados tuvieron mayores tasas de aborto en los a&#241;os 2005 y 2006&#46; El resultado es coherente con estudios de otros pa&#237;ses&#44; seg&#250;n los cuales la menor informaci&#243;n o experiencia en el uso de contracepci&#243;n y el perfil socioecon&#243;mico y familiar m&#225;s desfavorecidos parecen contribuir a este aumento del riesgo<a class="elsevierStyleCrossRefs" href="#bib7"><span class="elsevierStyleSup">7&#44;8</span></a>&#46; En la actualidad&#44; en Barcelona&#44; las mujeres procedentes de pa&#237;ses pobres se concentran en las clases sociales m&#225;s desfavorecidas &#40;en la franja de edad f&#233;rtil&#44; el 79&#37; en clases manuales frente al 32&#37; de las aut&#243;ctonas y de las inmigrantes de pa&#237;ses ricos&#44; seg&#250;n datos de la Encuesta de Salud 2006 de la ciudad&#41;&#46; En un estudio cualitativo realizado en Barcelona&#44; las mujeres inmigrantes mostraban una aceptaci&#243;n progresiva de los m&#233;todos anticonceptivos&#59; las latinoamericanas y las rumanas son las que mejor aceptan la interrupci&#243;n del embarazo<a class="elsevierStyleCrossRef" href="#bib9"><span class="elsevierStyleSup">9</span></a>&#44; lo cual podr&#237;a explicar las altas tasas de aborto en estas 2 comunidades&#46;</p><p class="elsevierStylePara elsevierViewall">Conocer el pa&#237;s de origen de las mujeres que abortan pone de manifiesto la limitaci&#243;n de categorizar a las mujeres inmigrantes en un solo grupo&#46; Las tasas de aborto de las mujeres aut&#243;ctonas y de las que provienen de pa&#237;ses desarrollados son similares&#46; Las mujeres que provienen de Argentina&#44; China y M&#233;xico muestran tasas de aborto similares a las aut&#243;ctonas y muy diferentes a las de las mujeres de pa&#237;ses de la misma zona geogr&#225;fica&#46; El mejor nivel socioecon&#243;mico de las argentinas y el uso de m&#233;todos de anticoncepci&#243;n y abortivos distintos en las mujeres chinas podr&#237;an explicar estos hallazgos&#46; Asimismo&#44; el exceso de abortos en las mujeres rumanas puede coincidir con la realidad de su regi&#243;n de origen&#44; donde seg&#250;n los datos se realizan m&#225;s abortos y una menor contracepci&#243;n que en el resto de los pa&#237;ses europeos<a class="elsevierStyleCrossRef" href="#bib10"><span class="elsevierStyleSup">10</span></a>&#46; En cambio&#44; la realizaci&#243;n del aborto legal entre los colectivos de mujeres inmigrantes de otros pa&#237;ses de Am&#233;rica Latina y de &#193;frica no parece ser una tradici&#243;n cultural ni una costumbre importada&#44; ya que en la mayor&#237;a de los pa&#237;ses de estas regiones el aborto es una pr&#225;ctica ilegal&#44; con un alto porcentaje de abortos inseguros y de mortalidad materna<a class="elsevierStyleCrossRef" href="#bib10"><span class="elsevierStyleSup">10</span></a>&#46;</p><p class="elsevierStylePara elsevierViewall">Por &#250;ltimo&#44; no hay que olvidar las limitaciones derivadas de posibles sesgos de medida&#46; Puede existir una sobrestimaci&#243;n de las tasas debido a la posible subestimaci&#243;n de la poblaci&#243;n inmigrante en el padr&#243;n de habitantes de la ciudad de Barcelona&#44; que puede afectar especialmente a aquellos colectivos que m&#225;s han crecido durante el periodo de estudio&#44; como es el caso de Ruman&#237;a y Bolivia&#44; pa&#237;ses para los cuales hemos encontrado tasas especialmente elevadas&#46; Por otro lado&#44; el pa&#237;s de origen es autodeclarado y recogido por primera vez en estos 2 a&#241;os en Catalu&#241;a&#46; Ser&#225; necesario esperar algunos a&#241;os para que los datos sean consistentes&#46;</p><p class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; la mayor frecuencia de abortos legales detectada en las mujeres inmigrantes&#44; y sus determinantes culturales y socioecon&#243;micos&#44; representan un reto para la investigaci&#243;n y las pol&#237;ticas de planificaci&#243;n del embarazo&#46; La vigilancia peri&#243;dica y un an&#225;lisis que combine informaci&#243;n de edad&#44; origen y posiblemente nivel socioecon&#243;mico&#44; son de mucha utilidad para dise&#241;ar pol&#237;ticas y programas adecuados de prevenci&#243;n del embarazo no deseado&#46;</p><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Agradecimientos</span><p class="elsevierStylePara elsevierViewall">A la Dra&#46; Elia Diez por sus comentarios a la versi&#243;n final del manuscrito&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
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          "identificador" => "xres262764"
          "titulo" => array:5 [
            0 => "Resumen"
            1 => "Objetivo"
            2 => "M&#233;todos"
            3 => "Resultados"
            4 => "Conclusi&#243;n"
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec246533"
          "titulo" => "Palabras clave"
        ]
        2 => array:2 [
          "identificador" => "xres262765"
          "titulo" => array:5 [
            0 => "Abstract"
            1 => "Objective"
            2 => "Methods"
            3 => "Results"
            4 => "Conclusion"
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec246534"
          "titulo" => "Keywords"
        ]
        4 => array:1 [
          "titulo" => "Agradecimientos"
        ]
        5 => array:1 [
          "titulo" => "Bibliograf&#237;a"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-03-19"
    "fechaAceptado" => "2009-05-15"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec246533"
          "palabras" => array:4 [
            0 => "Aborto legal"
            1 => "Planificaci&#243;n del embarazo"
            2 => "Inmigraci&#243;n"
            3 => "Espa&#241;a"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec246534"
          "palabras" => array:4 [
            0 => "Induced abortion"
            1 => "Unintended pregnancy"
            2 => "Immigration"
            3 => "Spain"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Ante la nueva realidad de la inmigraci&#243;n extranjera en Barcelona&#44; el objetivo es describir la tasa de aborto legal en la ciudad en los a&#241;os 2005 y 2006 seg&#250;n el lugar de origen de las mujeres&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se calcularon las tasas de abortos legales por pa&#237;s de origen y grupo de edad de las mujeres residentes en Barcelona agrupando 2005 y 2006&#44; utilizando datos del registro de abortos y del Padr&#243;n de Habitantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Las mujeres inmigrantes de pa&#237;ses en desarrollo presentaron en conjunto una tasa de aborto de 25&#44;4 por 1&#46;000 mujeres de 15&#8211;49 a&#241;os&#44; y las mujeres aut&#243;ctonas 8&#44;9 por 1&#46;000&#46; La relaci&#243;n se mantiene en todos los grupos de edad&#46; Destaca la gran heterogeneidad de tasas entre pa&#237;ses &#40;rango 5&#44;8&#8211;82&#44;0&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">En Barcelona&#44; las mujeres procedentes de pa&#237;ses desfavorecidos duplican las tasas de aborto de las aut&#243;ctonas&#46; El nivel socioecon&#243;mico y los conocimientos y pr&#225;cticas en el uso de contracepci&#243;n podr&#237;an generar estas diferencias&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Given the new reality of foreign immigration in Barcelona&#44; the aim is to describe the rate of legal abortion in the city in the years 2005 and 2006 according to women&#39;s place of origin&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The rates of legal abortion of women residing in Barcelona were computed by country of origin and age group&#44; grouping 2005 and 2006 and using data from the abortions register and the municipal continuous register&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Immigrant women from developing countries had a combined abortion rate of 25&#46;4 per 1&#44;000 women of 15&#8211;49 years&#44; surpassing that of native women &#40;8&#46;9 per 1&#44;000&#41;&#46; The relationship is maintained in all age groups&#46; Rates vary substantially between countries &#40;range 5&#46;8&#8211;82&#46;0&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">In Barcelona&#44; immigrant women from disadvantaged countries have the highest rates of abortion&#46; Socioeconomic level and knowledge and practices in the use of contraception could generate these differences&#46;</p>"
      ]
    ]
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                  <a target="_blank" href="main.stripin/si1.gif"><span class="e-comp" style="background:PowderBlue;" title="Click here to view Table Image">Click&nbsp;Here&nbsp;To&nbsp;View&nbsp;Stripin</span></a><p style="margin-bottom:0em"></p><table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="10" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Grupos de edad</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">15&#8211;49 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">12&#8211;17 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">18&#8211;19 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">20&#8211;34 a&#241;os</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">35&#8211;49 a&#241;os</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Indicadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Tasa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#46;917&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">385&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">654&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#46;100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;778&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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