青少年重复人工流产的原因分析与预防策略  

Analysis on causes of repeated abortion among adolescents and preventive strategies

作　　者：易艳萍 席露[2] 黄丽芳[2] 李雅文 林佩萱 

机构地区：[1]广州市妇女儿童医疗中心(原广州市人口与计划生育技术服务所),广东广州510150 [2]广州医科大学附属第三医院,广东广州510623

出　　处：《中国妇幼保健》2017年第18期4468-4472,共5页Maternal and Child Health Care of China

基　　金：广东省医学科学技术研究项目(B2015107)

摘　　要：目的了解青少年无痛人工流产(人流)者的避孕情况、生殖健康知识的知晓程度,分析重复人流者的影响因素,探索青少年重复人流的预防措施。方法采用横断面调查,对自愿要求无痛人流的青少年进行面对面的问卷调查,调查结果采用方差分析、卡方检验和多因素非条件Logistic回归分析。结果 483例无痛人流青少年中有271例是重复人流。重复人流组与非重复人流组相比,青少年在年龄段(18岁~)、工人或服务业人员等职业、未避孕、生殖健康知识总分比较,两组差异有统计学意义(均P<0.05);采用不同人流方式(无痛人流、普通人流和药物人流)的青少年人流次数与避孕方法知晓、避孕情况、生殖健康知识得分差异无统计学意义(均P>0.05)。经Logistic分析显示青少年重复人流的影响因素为:青少年的年龄(OR=1.788)、首次性生活年龄(OR=0.747)、职业(OR=1.313)、是否避孕(OR=0.385)及生殖健康知识总分(OR=0.330)。结论青少年重复人流率仍较高,青少年在18岁~年龄段、过早性生活、职业不稳定、未采取避孕措施或采取避孕措施不当和生殖健康知识知晓度低是重复人流的主要原因;与人流方式无关联。除了继续加强人流后关怀(PCA),还需社会全方位共同努力(家庭、学校与医务人员教育,网络媒体的正确引导),加强青少年性教育、生殖健康知识教育。Objective To understand the contraception and awareness degree of reproductive health knowledge among adolescents undergoing painless induced abortion, analyze the influencing factors of repeated abortion, and explore the preventive measures of repeated abortion. Methods A cross-sectional and face-to-face questionnaire survey was conducted to investigate the adolescents requesting painless induced abortion vohmtarily. The results were analyzed by analysis of variance, chi-square test, and multivariate unconditional logistic regression modeh Results There were 217 adolescents of repeated abortion among 483 adolescents. There were statistically significant differences in age group （ 18 years old or more than 18 years old） , career （workers or service providers） , disuse of contraceptive methods, and the total score of reproductive health knowledge between repeated abortion group and non-repeated abortion group （ all P〈0. 05 ） . There was no statistically significant difference in the times of abortion, awareness rate of contraceptive methods, contraception, score of reproductive health knowledge among the adolescents receiving different modes of induced abortion （painless induced abortion, conventional induced abortion, and drug induced abortion） （all P〉0. 05） . Logistic analysis showed that the influencing factors of repeated abortion among adolescents included age （OR = 1. 788 ）, the age at the first sexual intercourse （OR = 0. 747 ）, career （OR = 1.313 ）, taking contraceptive meas- ures or not （ OR = 0. 385 ）, and the total score of reproductive health knowledge （ OR = 0. 330） . Conclusion The rate of repeated abortion among adolescents is still high. Aging 18 years old or more than 18 years old, too early premature sex, occupational instability, lack or improper contraceptive measures, and low awareness rate of reproductive health knowledge are the main reasons for repeated abortion, repeated abortion is not correlated with induced abortion modes. In addition to conti

关 键 词：青少年 重复人工流产 避孕 生殖健康知识 

分 类 号：R169[医药卫生—公共卫生与预防医学]