广州市不同户籍育龄妇女人工流产状况及影响因素分析  

Status and influencing factors of induced abortion among childbearing women with different household registration in Guangzhou

作　　者：宋晓琴[1,2] 马毅敏 左连东 徐勇[1,2] 凌莉[1,2] 

机构地区：[1]中山大学公共卫生学院,510080 [2]中山大学流动人口卫生政策研究中心 [3]广东省广州市人口和计划生育科学研究所

出　　处：《中国计划生育学杂志》2013年第11期739-743,共5页Chinese Journal of Family Planning

基　　金：美国中华医学基金会资助项目:中山大学流动人口卫生政策研究中心机构建设基金第二期(09984;12111);广东省人口和计划生育委员会科研项目(20132015):

摘　　要：目的：了解广州市不同户籍育龄妇女人工流产现状并探讨其影响因素.方法：采用随机整群抽样方法,对1 003名流动育龄妇女和365名户籍育龄妇女进行匿名问卷调查.结果：流动育龄妇女的人工流产率及重复流产率（41.58％、36.45％）均高于户籍育龄妇女（28.77％、21.80％）,且初次人工流产年龄偏低;流动妇女、户籍妇女在人工流产地点选择亦有不同,去省市级医院的比例分别为36.69％和56.19％,去私人诊所的比例分别为6.47％和0.95％;但两组对象在流产原因和术后获得服务方面相似.多元logistic回归分析发现,年龄为21 ～40岁、已婚、外地户籍均为育龄妇女人工流产的危险因素,而文化程度较高和每年体检次数1次则为保护因素.结论：育龄妇女人工流产率较高,应对这一重点人群有针对性地开展避孕知识的宣传教育以降低人工流产率.Objective：To explore the status and influence factors of induced abortion among childbearing women with different household registration in Guangzhou.Methods：An anonymously questionnaire survey was conducted among a randomized cluster sampling of 1003 floating women and 365 registered ones.Results：The rates of abortion and recurrent abortion in floating women were 41.58％ and 36.45％,higher than those of registered women （28.77％ and 21.80％）.And the average age of first abortion in migrants was younger than that of natives.About 36.69％ and 6.47％ of migrants experienced abortions in provincial hospitals and private clinics,while 56.19％ and 0.95％ of natives chose provincial hospitals and private clinics,respectively.The results of logistic regression model showed that risk factors of abortion were the age between 21 to 40,married and migrant,while protect factors were higher educational level and one physical examination per year.Conclusion：The rate of induced abortion of childbearing women is high,and it is essential to strengthen the education of contraceptive knowledge to reduce the rate of abortion in targeted high-risk groups.

关 键 词：育龄妇女 人工流产 影响因素 户籍 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]