北京市石景山地区人工流产情况及避孕失败相关因素分析  

Investigation on the distribution of women with induced abortion in Beijing Shijingshan area and analysis of related factors of contraceptive failure

作　　者：王兴丽 高学军[1] 王欣[1] 陈晨[1] WANG Xingli;GAO Xuejun;WANG Xin;CHEN Chen(Beijing Chaoyang Hospital Affiliate to Capital Medical University,Beijing,100043)

机构地区：[1]首都医科大学附属北京朝阳医院,100043

出　　处：《中国计划生育学杂志》2021年第4期667-670,共4页Chinese Journal of Family Planning

摘　　要：目的:调查了解北京石景山地区人工流产情况以及避孕失败的相关因素。方法:随机整群选取2018年1月—2020年1月北京石景山地区部分计划生育服务机构共5766例人工流产女性,问卷调查并分析人工流产妇女基本情况及避孕失败的影响因素等。结果:发放调查问卷5766份,回收有效问卷5687份,有效问卷回收率为98.6%。5687例被调查对象年龄(33.3±3.4)岁(14~49岁),其中≤20岁14.3%、21≤30岁32.0%、31~40岁45.6%、>40岁占8.1%。教育背景以高中/中专(21.5%)和初中及以下(69.3%)居多,职业以无业(34.0%)、农民(30.8%)占比较高;已婚占68.5%、未婚占27.4%、离异4.1%。避孕失败(61.2%)是导致非意愿妊娠主要因素;64.7%有既往生育史,18.9%有过1次既往流产史,49.4%有≥2次流产史。已生育女性主要采用宫内节育器避孕(43.2%),未生育女性主要采用安全套避孕(47.5%),避孕方式有差异(P<0.05)。多因素logistic回归分析显示,不掌握避孕知识、无业或农民、初中及以下教育背景、避孕方式使用不当是导致避孕失败的独立风险因素(P<0.05)。结论:北京石景山地区人工流产女性以低教育背景、无业或农民、已婚等占比最高,不掌握避孕知识、教育背景、职业、避孕方式不当是导致避孕失败的主要因素。应强化该地区育龄女性避孕知识宣教工作,以降低人工流产发生。Objective:To investigate the distribution of women with induced abortion in Beijing shijingshan area,and to analyze their related factors of contraceptive failure.Methods:A total of 5766 women with induced abortion from family planning services in Beijing shijingshan area between January 2018 and January 2020 were selected by random cluster method.The related epidemiological history and influencing factors of contraceptive failure were analyzed by questionnaire survey.Results:A total of 5766 questionnaires were distributed and 5687 valid questionnaires were recovered,with the recovery rate of 98.6%.The age of 5687 subjects ranged from 14 to 49 years old,with an average age of 33.3±3.4 years old,of which,14.3%subjects were aged≤20 years old,32.0%subjects were aged 21-30 years old,45.6%subjects were aged 31-40 years old,and 8.1%subjects were aged over 40 years old.As for the education background of these subjects,51.7%subjects were in high school/college level,40.7%subjects were in junior high school and below level.34.0%unemployed and 30.8%farmers accounted for the higher in the occupation of these subjects.In these subjects,married accounted for 68.5%,unmarried accounted for 27.4%,and divorced accounted for 4.1%.Contraceptive failure(61.19%)was the main cause of unwanted pregnancy.64.7%subjects had a history of childbearing,18.9%subjects had one previous abortion,and 49.4%subjects had more than one abortion.As for the contraception method,IUD was mainly used by 43.2%subjects who had given birth,condom was mainly used by 47.48%subjects without given birth,and there was statistical significant difference in contraception method between the subjects with given birth and the subjects without given birth(P<0.05).Multivariate Logistic regression analysis showed that un-mastering contraceptive knowledge,unemployment or farmers,junior high school or below educational level,and improper contraception were the high risk independent risk factors of contraceptive failure(P<0.05).Conclusion:The women with low educational l

关 键 词：人工流产 问卷调查 避孕 相关因素 北京石景山地区 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]