上海市长宁区人工流产门诊非婚妇女安全套使用的影响因素  

Study on condom usage and its associated factors among unmarried female from Changning abortion clinic

作　　者：尹宁[1] 程丽村 陈泓 倪莹青[1] 王震宇[1] 胡越[1] 

机构地区：[1]上海市长宁区疾病预防控制中心,上海200051 [2]上海市长宁区妇幼保健院,上海200051

出　　处：《中国艾滋病性病》2015年第7期634-636,共3页Chinese Journal of Aids & STD

摘　　要：目的回顾性评价上海市长宁区人工流产门诊未婚妇女安全套的使用情况,探究影响其安全套使用的态度、认识和社会文化因素。方法采用横断面调查方法,对400名2013年4月至6月期间,在长宁区妇幼保健院人工流产门诊进行人工流产的未婚妇女,进行一对一问卷调查。结果 400名调查对象中41.75%曾有流产史,有流产史者既往平均流产次数为(1.57±0.866)次,54%的受访者首选安全套作为其避孕方法。高学历受访者选择安全套作为其首选避孕方式的比例,要高于中低学历受访者,差异有统计学意义(χ2=5.65,P=0.017);年龄≤25岁的受访者将安全套作为其首选避孕方式的比例更高,差异有统计学意义(χ2=9.62,P=0.08)。在安全套使用上,42.75%的受访者最后3次性行为均未使用安全套。半数左右的受访者不会主动与性伴谈论关于使用安全套的话题,性伴不愿使用安全套时仍能坚持使用的受访者仅有18.75%。19.75%的受访者不会尝试说服性伴使用安全套,经过劝说能成功说服对方使用安全套仅有63.0%的受访者。愿意主动与性伴谈论使用安全套的话题,性伴不愿意时仍能坚持使用安全套的非婚女性,使用安全套的概率较高,比值比(OR)分别为1.603和2.973。同时感到说服对方使用安全套有困难的非婚女性,也更有可能不使用安全套(OR=0.493)。结论非婚女性对安全套使用的自主性、坚持性和说服技巧,会影响其安全套的使用情况。在今后针对非婚女性的安全套推广中,应加强这方面的宣传教育,提升其自我效能,从而提高安全套使用率,降低流产率,预防性传播疾病的发生。Objective To evaluate condom usage among unmarried female from Changning abortion clinic and explore its associated factors related to attitude,awareness and social culture.Method A face to face survey was conducted among 400 unmarried female who visited Changning Maternal and Child Health Hospital abortion clinic from April to June,2013.Result The repeat abortion rate among the interviewees is high,41.75%interviewees have abortion history and the average abortion time is 1.57±0.866.54%interviewees use condoms as their first choice of contraception tools.High education level interviewees are more likely to use condoms than low education level interviewees.The difference is statistically significant（χ^2=5.65,P=0.017）;interviewees younger than 25 years old also had higher possibility to use condoms（χ^2=9.62,P=0.08）.42.75% interviewees didn＇t use condoms in their last three sexual intercourses.51% interviewees were willing to talk actively about condoms with their partners.When their sexual partners didn＇t want to use condoms,only 18.75%interviewees insisted on using it.46.25%interviewees felt difficult to persuade sexual partners using condoms,moreover,19.75% didn＇t even try to do so.Only 63.0%interviewees were able to persuade their partners using condoms in the end.Those unmarried female who were willing to talk about using condom with their partners and could insist on using condoms were more likely to use condoms（OR were 1.603 and 2.793,respectively）.However,those felt difficult to persuade their partners to use condoms were less likely to use condoms（OR=0.493）.Conclusion The autonomy,persistence and persuasive skills of unmarried female would affect their condoms usage.Therefore,the future condom promotion targeted on unmarried female should be enhanced in these aspects to improve their condoms usage self-efficiency.It will hopefully increase condom usage rate and reduce abortion rate and the incidence of sexual transmitted diseases.

关 键 词：非婚妇女 人工流产门诊 安全套使用 

分 类 号：R512.91[医药卫生—内科学] R169.41[医药卫生—临床医学]