已婚育龄妇女避孕方法应用趋势及落实长效避孕方法的影响因素  

Trends on contraceptive use and the factors associated with implementation of long-acting contraceptive methods among married women of child-bearing age

作　　者：刘冬梅 刘鸿雁[1] 王晖[1] LIU Dongmei;LIU Hongyan;WANG Hui(The China Population and Development Research Center,Beijing,100081)

机构地区：[1]中国人口与发展研究中心,北京100081

出　　处：《中国计划生育学杂志》2023年第5期1011-1015,共5页Chinese Journal of Family Planning

摘　　要：目的:分析已婚有偶育龄妇女避孕方法应用趋势,探讨落实长效避孕方法影响因素,为避免非意愿妊娠、减少人工流产提供决策依据。方法:以2017年原国家卫生计生委生育状况抽样调查数据库中15~49岁已经采取避孕方法的已婚有偶育龄妇女为研究对象,采用卡方检验、多因素logistic回归方法分析。结果:111 799例已婚有偶育龄妇女应用长效不可逆避孕方法、长效可逆避孕方法、避孕套、其他短效避孕方法、传统避孕方法的占比分别是23.5%、40.6%、29.6%、2.3%、4.0%。2014年以来避孕套应用构成比例呈现逐年上升的趋势。年龄大、受教育程度低、现在子女数、少数民族、非流动人口、农业户口、居住在农村地区、务农的已婚育龄妇女更有可能采用长效避孕措施。结论:已婚有偶育龄妇女避孕套应用呈现迅速增长趋势,应加强避孕节育咨询、宣传及网络队伍建设,针对重点人群倡导高效避孕方法,避免非意愿妊娠。Objective:To analyze the trends on contraceptive use of married women of child-bearing age,and to explore the factors associated with implementation of long-acting contraceptive methods,in order to provide decision making basis for avoiding unwanted pregnancy and reducing induced abortion.Methods:Married women of childbearing age aged 15-49 years old who had taken contraceptive methods in the sampling survey database of National Health and Family Planning Commission in 2017 were analyzed.Chi square test and multiple Logistic regression analysis were used.Results:The proportion of long acting irreversible contraceptive,long-acting reversible contraceptive,condom,.other short acting contraceptive,and traditional contraceptive methods were 23.5%,40.6%,29.6%,2.3%,and 4.0%,respectively.Since 2014,the proportion of condom use had been increasing year by year.The women of child-bearing age were more likely to use long acting contraception if they were older,were lower education level,had more children,were from ethnic minorities,had household registration,had an agricultural hukou,lived in rural areas,and worked in agriculture.Conclusion:The proportion of the married women of childbearing age using condoms shows a rapidly increasing trend.It is necessary to strengthen the construction of contraceptive counseling,publicity,and net-work team,and advocate high effective contraceptive methods for targeted populations,so as to avoid unwanted preg-nancy.

关 键 词：已婚育龄妇女 避孕方法 影响因素 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]