非北京户籍重复人工流产妇女避孕状况及影响因素分析  

Contraceptive use among migrant women applying for repeat abortions in Beijing

作　　者：高丽丽[1] 沈洁[1] 张月[1] 刘丽[1] 

机构地区：[1]首都医科大学附属北京妇产医院,北京妇幼保健院,100026

出　　处：《中国计划生育学杂志》2015年第1期12-14,共3页Chinese Journal of Family Planning

摘　　要：目的：了解非北京户籍重复人工流产妇女避孕状况及影响因素,探讨针对流动育龄妇女的宣教内容及形式.方法：2011年10～ 12月,采用分层随机抽样的方法在北京市18个区县中抽取6个区县18家开展计划生育技术服务的医疗机构,对在门诊行早期人工流产的非京户籍重复流产妇女进行问卷调查.结果：895例调查对象中32.4％调查对象存在人工流产的高危因素.本次人工流产原因59.9％因为避孕失败,而其中32.6％使用的是传统避孕方法.前次人工流产后首次性生活38.4％未采用避孕措施,其中70.9％的人认为不会妊娠.人工流产后首次性生活是否避孕与对该次流产服务的满意度及避孕宣教有关,对服务不满意者、流产后未被告知需避孕是没有使用避孕措施的危险因素.有50.4％的人在使用避孕方法时遇到过问题.结论：北京地区非京户籍重复人工流产者高危流产比例高,避孕知识缺乏,因此应开展多种形式针对流动育龄妇女能接受的健康宣教形式,内容上应更注重具体的避孕方法,保证避孕措施落实,减少重复人工流产的发生.Objective：To explore the status of contraceptive use among migrant women applying for repeat abortions in Beijing in order to provide the scientific information for health education to them.Methods：Eighteen hospitals in six districts were stratified random sampled.Women were surveyed with a questionnaire in the outpatient before they experienced induced abortion.Results：About 32.4 % of the respondents were in high risk of induced abortion.About 59.9 % of them applied for induced abortion due to contraceptive failure and 32.6 % for use of traditional contraceptives.It was found that 38.4% of the women did not use contraceptive during the first sexual activities after their previous abortion while 70.9% of them thought she was not in the risk of pregnancy.Contraceptive use during the first sexual activities after induced abortion was related to the degree of satisfaction with the family planning services.It would be influencing factors of repeat abortion that women dissatisfied with the service and received no suggestion on contraceptive use.About 50.4 % of the women encountered problems in contraceptive use.Conclusion：Various health education should be provided to migrant women due to higher risk for the unwanted pregnancy.More emphasis on informed choices of contraceptive methods should be promoted to decrease the unwanted pregnancy.

关 键 词：流动人口 重复流产 人工流产 避孕 健康宣教 回归分析 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]