人工流产女性伴侣生殖健康知信行现状及影响因素  

Present situation and determinants of knowledge-attitude-practice of reproductive health in induced abortion female’s partners

作　　者：朱肖 邓琛[2] 毛平[3] 隆益香 Zhu Xiao;Deng Chen;Mao Ping;Long Yixiang(Out-patient Operation Room, Third Xiangya Hospital, Central South University, Changsha 410013, China;General Surgery Ward, Third Xiangya Hospital, Central South University, Changsha 410013, China;Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, China)

机构地区：[1]中南大学湘雅三医院门诊手术室,长沙410013 [2]中南大学湘雅三医院普外科,长沙410013 [3]中南大学公共卫生学院社会医学与卫生事业管理学系,长沙410078

出　　处：《中华生殖与避孕杂志》2019年第6期485-489,共5页Chinese Journal of Reproduction and Contraception

摘　　要：目的研究人工流产女性伴侣生殖健康知信行的现状及其影响因素,为促进男性参与生殖健康相应措施的制定提供参考依据。方法本研究于2016年8月—10月期间采用分层随机抽样法抽取长沙市3家医院,共382名陪同女性手术的女性伴侣作为研究对象。通过自编问卷调查意外妊娠原因和人工流产女性伴侣生殖健康知信行现状。结果58.36%的人工流产源于避孕失败,35.01%因未采取避孕措施;性伴侣参与生殖健康知信行总得分为(163.32±15.53)分,其中知识得分(58.89±6.67)分,态度得分(65.09±7.56)分,行为得分(39.35±5.94)分;单因素方差分析结果显示,不同年龄、文化程度、个人月收入、家庭人均月收入、伴侣文化程度、父母感情状况、与伴侣感情状况、共生育子女数在人流女性伴侣参与生殖健康总得分上差异有统计学意义(P<0.05)。结论人工流产女性伴侣参与生殖健康的态度较为积极,但是生殖健康的知识水平有待提高,行为有待改善,尤其是避孕知识及行为,相应措施的制定可参考上述影响因素。Objective To analyze the current status and determinants of knowledge-attitude-practice (KAP) of reproductive health in induced abortion female’s partners and to provide scientific evidence to improve the male’s participation in the reproductive health. Methods This research selected 382 induced abortion female’s partners who accompanied the female to the hospital from 3 hospitals in Changsha as the respondents by stratified random sampling method during August to October in 2016. Self-designed questionnaires were used to investigate the causes of unexpected pregnancy and current status of KAP of reproductive health in induced abortion female’s partners. Results The induced abortion was caused by accidental pregnancy, which 58.36% was due to contraceptive failure, while 35.01% was due to unprotected sex;the overall average score of Reproductive Health KAP among induced abortion female’s partners was 163.32±15.53, the average score of knowledge was 58.89±6.67, the average score of attitude was 65.09±7.56, the average score of behavior was 39.35±5.94. ANOVA analysis showed that the age, the degree of education, personal monthly income, family average monthly income, the partner’s degree of education, the relationship status of parents, the relationship status with the partner and the number of children had significant differences on the overall KAP score of reproductive health in the induced abortion female’s partners (P<0.05). Conclusion The attitude to reproductive health of the induced abortion female’s partners was relatively positive. However, the level of knowledge and practice required improvement, especially for the contraception. The methods that aimed to improve the situation could be made based on these factors.

关 键 词：人工流产 伴侣 参与生殖健康 知信行 影响因素 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]