Abstract：Using data from a survey on youth access to reproductive health in China and findings from interviews with health workers in Gynecology and Obstetrics Departments of public hospitals in Guangdong, this paper assesses the rates of pregnancy and abortion among unmarried women aged 15-24, and identifies factors influencing their access to abortion, so as to recommend to improve their reproductive health. There are 21.3% of the unmarried sexually active female youth who became pregnant, and 90.9% of the pregnant unmarried female youth had abortions. 2.5% of unmarried female youth reported the needs of abortion services last year, of which 38.9% did not go to public medical facilities for abortion services, for fear of being ridiculed, or not being taken serious, or regarding the services unaffordable. Of those who attempted abortions in private medical facilities based on an assumption that private facilities would be less costly and provide better protection of privacy, some suffered greatly from abortion failures. The findings appeal for greater attention to prevention of unmarried pregnancy, and efforts to address the unmet needs of abortion services of unmarried youth in China. The paper also shed lights on further research to empower youth and to enable them to adopt more desirable strategy to enhance development and their health status. It also recommends promoting the leading role of public hospitals in providing online access to abortion service information, and to encourage the unmarried female youth to make informed reproductive health choices.
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