流产服务提供者对药物流产知识及态度调查  

Knowledge and attitude to drug induced abortion among abortion service providers

作　　者：甘亢[1,2] 张雨寒[1,2] 姜晓梅[2] 孟玉翠[1,2] 侯丽艳[1,2] 程怡民[2] 

机构地区：[1]北京协和医学院研究生院,北京100073 [2]国家人口计生委科学技术研究所社会医学中心流行病学科室

出　　处：《中国公共卫生》2011年第3期349-351,共3页Chinese Journal of Public Health

基　　金：世界卫生组织课题(A65600)

摘　　要：目的了解流产服务提供者药物流产知识和态度及各自的影响因素。方法采用多阶段分层随机抽样方法,抽取广东省深圳市和河南计划生育中心及医院的流产服务提供者共658人,进行自填式问卷调查。结果药物流产知识总评分100.0分,最高得分为78.1分,中位数为56.3分;<56.3分占59.6%,≥56.3分占40.4%;多因素分析表明,年龄(OR=1.057),单位地点(OR=2.340)和学历(OR=2.379)与知识得分有关;调查对象认为药物流产缺点的前3位是出血更多(60.2%),失败率更高(49.4%)和处理时间更长(48.8%);20.4%的人偏好药物流产,35.0%的人偏好手术流产;多因素分析表明,单位类别(OR=2.432)与调查对象对流产方式的偏好有关。结论流产服务提供者药物流产相关知识水平不高,年龄小、深圳市流产服务提供者,以及高中以下学历者知识水平较差;偏好药物流产的人所占比例较低。Objective To understand knowledge and attitude to drug induced abortion（DIA） and the influential factors among abortion service providers.Methods Totally 658 abortion service providers from family planning service centers（FPSC） and hospitals in Shenzhen and Henan were selected with multiple stratified randomly sampling and surveyed with a self-administered questionnaire.Results For the total DIA score of 100.0,the highest score among the providers was 78.1 and the median was 56.3.Among the providers,29.0% got a scores of 60 or above and 71.0% got a score of 59 or below.The influential factors of knowledge score were age（odds ratio=1.058）,the location of the providers unit（OR=2.451）,and education level（OR=2.574）.The first three disadvantages of DIA recognized by the providers were much more bleeding（60.2%）,higher failure rate（49.4%）,and longer duration of procedure（48.8%）.Among the providers,20.4% preferred DIA and 35.0% preferred surgical abortion.The influential factor of the preference to abortion methods was unit type of the providers（OR=2.574）.Conclusion The level of DIA related knowledge among abortion service providers is low and age,the unit of the provider and education level are related to the knowledge level.Only a small part of providers preferred DIA.

关 键 词：流产服务提供者 药物流产 知识 态度 

分 类 号：R719.91[医药卫生—妇产科学]