国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2015, Vol. 34 ›› Issue (1): 28-31.

• 论著 • 上一篇    下一篇

上海市人工流产妇女避孕节育状况调查

唐文娟，李宪辰，崔元起，蒋薇，楼超华，余春艳，王子亮，朱倩倩，程艳   

  1. 200030 上海交通大学国际与公共事务学院2013级MPA研究生（唐文娟）；上海市计划生育药具管理中心（唐文娟，蒋薇）；复旦大学公共卫生学院（李宪辰，朱倩倩）；上海市卫生和计划生育委员会（崔元起）；上海市计划生育科学研究所（楼超华，余春艳，王子亮，程艳）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-01-15 发布日期:2015-01-15
  • 通讯作者: 程艳

Study on Contraceptive Use among Induced Abortion Women in Shanghai

TANG Wen-juan，LI Xian-chen，CUI Yuan-qi，JIANG Wei，LOU Chao-hua，YU Chun-yan，WANG Zi-liang，ZHU Qian-qian，CHENG Yan   

  1. School of International and Public Affairs，2013 MPA，Shanghai Jiao Tong University，Shanghai 200030（TANG Wen-juan）；Shanghai Medicine and Instrument Administration Center for Family Planning，Shanghai 200040，China（TANG Wen-juan，JIANG Wei）；School of Public Health，Fudan University, Shanghai 200032，China（LI Xian-chen，ZHU Qian-qian）；Shanghai Municipal Commission of Health and Family Planning，Shanghai 200125，China（CUI Yuan-qi）；Shanghai Institute of Planned Parenthood Research，Shanghai 200237，China（LOU Chao-hua，YU Chun-yan，WANG Zi-liang，CHENG Yan）
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-01-15 Online:2015-01-15
  • Contact: CHENG Yan

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摘要： 目的：了解上海市人工流产妇女的避孕节育现状，探讨人工流产对象避孕节育措施使用的影响因素。方法：2013年8月—10月在上海市4家医院对寻求人工流产服务的1 261例妇女进行匿名电子问卷调查。结果：近60%的流产对象为29岁及以下的妇女，未婚对象占32.6%；50%以上的对象属于重复流产。未婚者中未避孕的比例（48.0%）高于已婚者（33.9%），而避孕失败的比例（38.6%）低于已婚者（47.8%）。Logistic回归分析显示，已婚人工流产对象中，年龄较小者、性生活频率低者更倾向于不采取避孕措施；年轻、未婚、收入较高、有人工流产史者更倾向于使用紧急避孕药。结论：上海市人工流产妇女年龄构成年轻化，重复流产比例较高；采取避孕措施比例低与避孕失败比例高是非意愿妊娠的主要原因；人工流产对象避孕意识淡薄和避孕节育知识匮乏；应加强流产后保健服务和避孕措施尤其是紧急避孕药的使用方法指导。

关键词: 流产, 人工, 避孕, 避孕药, 因素分析, 统计学

Abstract: Objective：To understand and analyze the situation of contraceptive use among women seeking abortions in Shanghai. Methods：The computer-assisted anonymous questionnaire was used to collect data among 1 261 women seeking abortions in 4 hospitals in Shanghai from August to October in 2013. Results：Nearly 60% of the respondents were under the age of 29 and 32.6% were unmarried. Over 50% of the respondents reported having abortion experiencｅｓ ｂｅｆｏｒｅ． Ｃｏｍｐａｒｅｄ ｗｉｔｈ ｔｈｏｓｅ ｍａｒｒｉｅｄ ｗｏｍｅｎ， ｔｈｅ ｕｎｍａｒｒｉｅｄ ｗｏｍｅｎ ｈａｄ ａ ｈｉｇｈｅｒ ｐｒｏｐｏｒｔｉｏｎ ｏｆ ｕｎｐｒｏｔｅｃｔｅｄ ｉｎｔｅｒｃｏｕｒｓｅ（４８．０％ ｖｓ． ３３．９％） ａｎｄ ａ ｌｏｗｅｒ ｐｒｏｐｏｒｔｉｏｎ ｏｆ ｃｏｎｔｒａｃｅｐｔｉｖｅ ｕｓｅ ｆａｉｌｕｒｅ（３８．６％ ｖｓ． ４７．８％）． Ｌｏｇｉｓｔｉｃ ｒｅｇｒｅｓｓｉｏｎ ａｎａｌｙｓｉｓ ｉｎｄｉｃａｔｅｄ ｔｈａｔ ｙｏｕｎｇｅｒ ｏｒ ｓｅｘｕａｌｌｙ ｉｎａｃｔｉｖｅ ｗｏｍｅｎ ｔｅｎｄｅｄ ｎｏｔ ｔｏ ｔａｋｅ ｃｏｎｔｒａｃｅｐｔｉｖｅ ｍｅａｓｕｒｅｓ ａｍｏｎｇ ｔｈｏｓｅ ｍａｒｒｉｅｄ ｒｅｓｐｏｎｄｅｎｔｓ， ａｎｄ ｔｈａｔ ｔｈｏｓｅ ｗｏｍｅｎ ｗｈｏ ｗｅｒｅ ｙｏｕｎｇ， ｕｎｍａｒｒｉｅｄ， ｗｉｔｈ ａ ｈｉｇｈｅｒ ｉｎｃｏｍｅ ｏｒ ａ ｈistory of abortion were more likely to use emergency contraception. Conclusions：Young women with high proportion of repeated abortion constituted the majority of respondents in Shanghai. Two main factors of unwanted pregnancy are the low proportion of contraceptive use and the high proportion of failure use of contraceptives. It is important to strengthen the post-abortion care services and the contraceptive education, especially to teach them how to use contraceptives, because those induced abortion women were lack of contraceptive precaution or knowledge.

Key words: Abortion, induced, Contraception, Contraceptive agents, Factor analysis, statistical