育龄妇女产后避孕调查及1年内产后避孕方法选择的影响因素  

A Survey of Postpartum Contraception Among Women of Childbearing Age and the Factors Influencing the Choice of Postpartum Contraceptive Method Within 1 Year

作　　者：郑丽千[1] 李敏 白桂芳 罗小婉[1] ZHENG Liqian;LI Min;BAI Guifang;LUO Xiaowan(Department of Gynaecology,Boai Hospital of Zhongshan,Zhongshan Guangdong 528405,China)

机构地区：[1]中山市博爱医院妇科,广东中山528405

出　　处：《中国卫生标准管理》2023年第23期61-64,共4页China Health Standard Management

基　　金：广东省中山市社会公益与基础研究项目(2021B1083);广东省医学科学技术研究基金项目(A2021305)。

摘　　要：目的探讨育龄妇女产后避孕认知和避孕行为的调查及1年内产后避孕方法选择的影响因素。方法选择中山市博爱医院妇科2021年7—12月进行生产的育龄期妇女612例作为研究对象并开展为期1年的随访,其中采取避孕措施患者387例(避孕组),未采取避孕措施患者225例(未避孕组)。分别对所有研究对象的避孕药、宫内节育器、避孕套、安全期避孕、紧急避孕药、皮下埋植、体外排精、绝育手术等认知情况进行分析。研究高效避孕组与非高效避孕组患者的避孕行为之间的差异,多因素分析影响避孕行为的危险因素。结果避孕组与非避孕组患者的避孕药、宫内节育器、避孕套、安全期避孕、紧急避孕药、皮下埋植、体外排精等认知情况比较,差异有统计学意义(P<0.05)。两组患者对于绝育手术的认知情况比较,差异无统计学意义(P>0.05)。高效避孕组与非高效避孕组患者避孕药、宫内节育器、避孕套、安全期避孕、紧急避孕药、皮下埋植、体外排精的认知情况比较,差异有统计学意义(P<0.05)。两组患者对于绝育手术认知情况比较,差异无统计学意义(P>0.05)。避孕组与非避孕组患者年龄、接受教育年限、男方接受教育年限、月收入、孕次、产次以及性生活频次比较,差异有统计学意义(P<0.05)。多因素分析结果显示较低的年龄、接受教育年限、男方接受教育年限、月收入、性生活频次、较高的产次、孕次均是影响患者避孕行为的独立影响因素。结论较低的年龄、接受教育年限、男方接受教育年限、月收入、性生活频次、较高的产次、孕次均是影响患者避孕行为的危险因素,建议在此类人群中加强人群健康教育。Objective To investigate postpartum contraceptive awareness and behavior among women of childbearing age,as well as the factors influencing the choice of contraceptive methods within one year.Methods A total of 612 women of childbearing age who gave birth from July to December 2021 in the Department of Gynecology at Boai Hospital of Zhongshan as the research subjects were selected.Subsequently,a one-year follow-up was conducted on all the research subjects,including 387 patients who received contraception(contraceptive group)and 225 patients who did not receive contraception(non-contraceptive group).Analyze the cognitive status of all research subjects on contraceptives,intrauterine devices,condoms,safe period contraception,emergency contraceptives,subcutaneous implants,external ejaculation,sterilization surgery,etc.Study the differences in contraceptive behavior between patients in the high-efficiency contraceptive group and those in the non high-efficiency contraceptive group,and analyze the risk factors influencing contraceptive behavior.Results There were statistically significant differences in the cognitive status of contraceptives,intrauterine devices,condoms,safe period contraception,emergency contraceptives,subcutaneous implantation and extracorporeal ejaculation between the contraceptive group and the non-contraceptive group(P<0.05),while there were no statistically significant differences in the cognitive status of sterilization between the two groups(P>0.05).There were statistically significant differences in the cognition of contraceptives,intrauterine devices,condoms,safe period contraception,emergency contraception,subcutaneous implantation and extracorporeal ejaculation between the highly effective contraception group and the non-effective contraception group(P<0.05),while there was no statistically significant difference in the cognition of sterilization between the two groups(P>0.05).There were statistically significant differences between the contraceptive group and the non-contraceptive group

关 键 词：避孕认知 避孕行为 影响因素 高效避孕 绝育 育龄妇女 

分 类 号：R715[医药卫生—妇产科学]