Abstract

PIP: In Greece modern contraceptive methods are used only in a very limited manner and abortion is the primary form of birth control. There are several social and psychological issues that are considered to be responsible. A 1985 study done for the Family Planning Center of Thessaloniki found that the ratio of live births is 1.3 and the ratio of abortion is 1.8/woman. 88% of women in the study had had an abortion while practicing coitus interruptus. 90% of the women never bought condoms. In a 1989 study only 6% of women had a positive attitude about condoms. Abortion is used as the primary method of birth control regardless of a woman's socioeconomic status. Further it was found that abortion did not correlate with other modern attitudes or the emancipation of women. The decision to abort was related to difficulties and constraints inherent in bring up a child. However positive attitudes toward contraception were related to educational and occupational levels. To complicate matters the information concerning contraceptives was problematic and related to the women's own lack of initiative to find out, and a lack of correct information offered from gynecologists. A 1990 study on knowledge, attitudes, beliefs and practices in relation to HIV infection indicated that the most favored method of contraception was condoms, but 60.8% of the men reported use versus 33.7% of the women. However these figures are not very representative because the survey was given in the context of HIV prevention and no attempt was made to distinguish between regular and irregular use patterns. Abortions is not a moral issue in Greece. It was legalized in 1986 only because it came to the attention of the government that the previous prohibition was being completely ignored. Abortion is strongly affected by social and psychological factors that are complex and result from cultural view points about fertility, maternal value, and life itself that are unique to the Greek culture.