医院为基础的育龄妇女人工流产影响因素研究:以上海市为例  

Influencing factors on induced abortion in hospital based women of childbearing age in Shanghai

作　　者：柯豫[1] 黄鹰[1] 张治萍[1] 范晓芳 俞琦华 徐俊芝 蔡燕[1] 

机构地区：[1]上海市浦东新区妇幼保健院,200120 [2]上海市普陀区妇婴保健院

出　　处：《中国计划生育学杂志》2015年第11期743-747,共5页Chinese Journal of Family Planning

基　　金：上海市人口和计划生育委员会委级科技发展基金项目(2011JG05);上海市局管科技发展基金项目(2011JG05)

摘　　要：目的：研究以医院为基础研究育龄妇女人工流产影响因素.方法：本研究为多中心横断面研究.研究对象为2011年7月～2012年7月在浦东新区妇幼保健院和普陀区妇婴保健院接受产前检查的育龄妇女（4149人）.采用本研究自行设计的结构式问卷进行调查,内容包括一般人口学特征、婚育史、避孕史、人工流产史、避孕方法使用情况.结果：共收到符合条件的合格问卷3303份.有过人工流产史的研究对象占34.71％.对妇女所选用的避孕方法进行分析,结果显示,使用皮下埋置的研究对象未发生人工流产的比例最高（86.67％）;其次为避孕针（71.43％）.使用宫内节育器的研究对象,发生人工流产的比例最高（69.34％）;其次为使用紧急避孕药（54.55％）.logistic回归模型结果显示,影响研究对象发生人工流产的因素有年龄、文化程度、户籍地、性生活开始年龄、开始避孕年龄和子女数.结论：上海市育龄妇女人工流产比例较高.不仅受避孕方法的影响,还受到社会和个人因素的影响.Objective： To explore the influencing factors on induced abortion ot nospitat oaseu women age. Methods： A cross sectional survey was conducted in women of childbearing age who visited Pu Dong or Pu Tuo Maternal and Child Care Hospital for antenatal examination. A self administered and anonymous questionnaire was used to collect information on women＇s knowledge, attitude, and practice （KAP） on induced abortion. Results=A total of 3303 questionnaires were eligible. The proportion of these women who had ever experienced induced abortion was a- bout 34.71~. According to the analysis of contraceptives using in the women, 86.67~ women with using implants never experienced any induced abortion, and it was the highest; the second was Depot medroxyprogesterone （DMPA） users, 71.43 % women hadn＇t experienced any induced abortion with using DMPA. But women who had intrauterine de- vices inserted had the highest induced abortion rate, which was 69.34% the second was emergency pill users, whose induced abortion rate was 54.55 %. The analysis of logistic regression showed that influencing factors on induced abor- tion were age, education attainment, family income, household registration, age at first coitus, age at first contracep- tion using and number of children. Conclusiom Induced abortion ratio is high in women of childbearing age of Shanghai. The proportion of induced abortion in women is Not only influenced by contraceptives, but also influenced by social e- conomic and personal status.

关 键 词：育龄妇女 人工流产 避孕方法 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]