Objectives
This study aimed to examine trends and factors associated with severe physical and psychological consequences following induced abortion among women in the Republic of Korea.
Methods
An online survey was conducted of adolescent and adult Korean women aged 13 to 64 years, termed the 2022 Sex and Reproductive Health Survey. Respondents who reported a history of induced abortion were analyzed. Logistic regression models that accounted for individual risk factors were fitted to calculate adjusted odds ratios (aOR).
Results
The prevalence of induced abortion was 20.1% (914 of 4,552 respondents). The most frequent indications for abortion were social reasons, and across all periods, approximately half of the women or more reported non-medical challenges at the time of their most recent abortion. Severe physical and psychological sequelae after abortion increased 5-fold from 1980–1992 to 2013–2022. Among those whose most recent abortion occurred in 2003 or later, the risk of severe psychological sequelae was higher in 2013–2022, after the Korean Constitutional Court upheld the existing criminal codes, than in 2003–2012 (aOR, 2.31; 95% confidence interval, 1.09–4.91).
Conclusion
In the absence of institutionalized safe and respectful abortion services, severe physical and psychological sequelae among women who underwent induced abortion were more likely to occur. These findings highlight the importance of safe, affordable, nondiscriminatory, and respectful abortion care.

<sec> <title>Objectives</title> <p>The aim of this study was to analyze research and development projects in mental health services in Korea, using priority evaluation of mental health promotion policies to determine direction of the service.</p></sec> <sec> <title>Methods</title> <p>An online survey was conducted that targeted experts in the mental health service regarding promotion of mental health in Korea in 2016. The survey was based on 32 policy projects that resulted from 12 strategies according to 4 policy objectives.</p></sec> <sec> <title>Results</title> <p>Analysis of 32 mental health projects were assessed regarding the possibility of technology development success, magnitude of the ripple effect, and necessity of a national response. It was observed that 3 policy projects relevant to suicide, had a high relative priority. This was followed by policies for improvement of health insurance and the medical benefit cost system, and policies for reinforcement of crisis psychological support such as those for disaster victims.</p></sec> <sec> <title>Conclusion</title> <p>The prioritization of mental health services should place an emphasis on promotion of a healthy mental lifestyle, rehabilitation support for patients with serious mental illness, and reinforcement of social safety networks for suicide prevention.</p></sec>

<sec> <title>Objectives</title> <p>The aim of this study was to determine whether there were differences in mental health specific to regions in Korea, and the factors that affected mental health status.</p></sec> <sec> <title>Methods</title> <p>Data from the 2016 Community Health Survey in Korea were used; 224,421 health survey participants provided responses on mental health issues, demographics, and health behavior, and were included in the study.</p></sec> <sec> <title>Results</title> <p>A statistically significant difference was observed in the incidence of mental health status between different regions of Korea. Independent variables that affected mental health were sex, age, marital status, household income, economic activity, whether living with dementia patients, self-reported health status, smoking, alcohol drinking, sleep time, and chronic diseases. Risk factors associated with symptoms of depression were gender (female), bereavement or being divorced, low household income, family member with dementia, poor self-reported health status, currently smoking, level of physical activity, insufficient hours of sleep and suffering from chronic diseases.</p></sec> <sec> <title>Conclusion</title> <p>This study suggests that a standardized healthcare policy is needed to reduce regional variation in mental health. In the future, similar studies that include medical expenses for mental healthcare and relevant variables according to regions of Korea should be conducted.</p></sec>