人工流产少女的性行为及避孕现状调查  

Investigation on the sex behaviour and contraceptive use of adolescent girls seeking abortion

作　　者：段秀玲[1] 柳怡[1] 颜焰[1] 蒋农英 

机构地区：[1]四川省成都市锦江区妇幼保健院,610061

出　　处：《中国计划生育学杂志》2012年第12期822-824,831,共4页Chinese Journal of Family Planning

基　　金：四川省卫生厅科研课题(090100)

摘　　要：目的:了解人工流产少女的性行为和避孕现状,找出存在的问题并提出相关建议。方法:以成都市锦江区妇幼保健院作为研究现场,于2009年5月～2010年4月,采用自填式问卷的方法对年龄≤20岁的人工流产少女525例进行调查和统计分析。结果:本次妊娠的主要原因是未避孕(67.6%)和避孕失败(25.2%)。未避孕的最主要原因是认为偶尔无避孕性行为不会妊娠,导致避孕失败的方法依次为体外射精、避孕套、安全期和紧急避孕药。在过去6个月内,每次性行为都使用避孕措施的占4.2%,25.2%研究对象从未使用过任何避孕措施。研究对象与男伴同居的比例非本市户籍(58.1%)高于本市户籍(41.1%),农村(59.8%)高于城镇(47.9%)(P<0.05)。采用逐步回归方法分析影响重复性流产的因素,发现年龄和收入具有统计学意义(P=0.04和P<0.01)。结论:未婚同居、收入水平低、年龄小、避孕措施使用率低和方法低效是非意愿妊娠的主要原因。应加强避孕知识的宣传教育,提高避孕药具可及性及流产后服务水平和能力。Objective ： To investigate the current situation of sex behavior and contraceptive use of adolescent gifts who seek an abortion, thus to explore the influencing factors of unwanted pregnancy and induced abortion. Methods： A cross - sectional survey was conducted on 525 teenage girls who sought an abortion in this hospital from May 2009 to April 2010 with a self - administered questionnaire. All data were input with Epidata3.1 and analyzed with SPSS16.0. Results： As to the current un- wanted pregnancy, 67.6% were due to unprotected intercourse, and 25.2% were resulted from contraceptive failure. The main reason for non - use of contraception was ＂occasional sex behavior conldnt result in pregnancy＂. The failed contraceptive methods, in sequence, were withdrawal, condom, rhythm and emergency contraception. In the last 6 months, 25.2% never used any contraceptive methods, and the rate of consistent contraceptive use was only 4.2%. The prevalence of premarital co- habitation was higher in those from countryside than that in those not from countryside. Stepwise regression logistic analysis showed that age and income were the significant influencing factors of the repeated induced abortion （ P = 0.04 and P = 0.00, respectively）. Conclusions： Premarital cohabitation, low education level, lack of knowledge or unreliable knowledge, non - consistent use of contraception and the choice of the contraceptive methods of low efficacy are related to the increased risk of unintended pregnancy and induced abortion. It is urgent to take measures to educate the countryside girls/women and migrants with the sex and contraceptive knowledge, to encourage the partner＇s participation in family planning, and to increase the ac- cess to use of modem contraceptive methods and the post - abortion services.

关 键 词：人工流产 青春期 性行为 避孕 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]