育龄女性人工流产现状、生殖健康认知调查及其危险因素的单中心研究  

A single center study on the current situation of induced abortion,reproductive health awareness and its risk factors among women of childbearing age

作　　者：安雅楠 王珺[1] 饶克宇 陈素文[1] AN Ya-nan;WANG Jun;RAO Ke-yu;CHEN Su-wen(Beijing Obstetrics and Gynecology Hospital,Capital Medical University/Beijing Maternal and Child Health Care Hospital,Beijing 100026)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院,北京100026

出　　处：《生殖医学杂志》2024年第8期1022-1028,共7页Journal of Reproductive Medicine

摘　　要：目的调查育龄女性人工流产现状和生殖健康认知情况,分析影响生殖健康认知的危险因素。方法选取2021年1月至2022年12月在我院行人工流产的420例患者作为调查对象,采用人工流产现状问卷、生殖健康认知问卷进行相关调查,比较不同特征人工流产患者生殖健康认知得分,采用多元线性回归分析法分析影响人工流产患者生殖健康认知的危险因素。结果问卷有效回收率94.29%(396/420)。396例人工流产患者中初次流产占52.53%,重复流产占47.47%;本次流产原因为未采取避孕措施(占48.23%)和避孕失败(占51.77%);本次流产时孕周在10周以内占95.20%,10周以上占4.80%;流产相关知识主要获取途径包括网络(占49.24%)、医务人员(占32.83%)、家人/朋友/同事(占17.93%)。生殖健康认知问卷得分为11~36分,平均(26.12±5.44)分,其中得分最低的3项题目分别为人工流产相关并发症、排卵期时间、安全期时间。不同年龄、不同文化程度、性伴侣不同文化程度、不同婚姻状况、既往有无流产史、不同家庭月收入的人工流产患者生殖健康认知得分比较差异有统计学意义(P<0.05)。年龄小、文化程度低、性伴侣文化程度低、既往无人工流产史、家庭月收入低均是影响人工流产患者生殖健康认知的危险因素(P<0.05)。结论人工流产患者重复流产和避孕失败占比较高,生殖健康认知有待进一步提高;年龄、文化程度、性伴侣文化程度、既往人工流产史、家庭月收入均是人工流产患者生殖健康认知的影响因素。Objective:To explore the current situation of induced abortion and the reproductive health awareness among women of childbearing age,and to analyze the risk factors of reproductive health awareness.Methods:A total of 420 women who underwent induced abortion in Beijing Obstetrics and Gynecology Hospital,Capital Medical University from January 2021 to December 2022 were recruited.A survey was conducted using the questionnaire on the status of induced abortion and reproductive health awareness.The scores of reproductive health awareness among patients with different characteristics of induced abortion were compared.Multiple linear regression analysis was used to analyze the risk factors of reproductive health awareness among induced abortion women.Results:The effective response rate of the questionnaire was 94.29%(396/420).Among 396 women with induced abortion,52.53%had first induced abortion and 47.47%had recurrent one.The reasons were no contraceptive use(48.23%)and failure for contraceptive use(51.77%).About 95.20%were within 10 weeks of pregnancy,and 4.80%were over 10 weeks.The main ways of knowledge acquirement related to abortion included the internet(49.24%),medical personnel(32.83%),and family/friends/colleagues(17.93%).The score of the reproductive health awareness was 11 to 36 points,with an average of(26.12±5.44)points.The three items with the lowest scores were complications related to induced abortion,ovulation time,and safe period.There was a statistically significant difference in reproductive health awareness score among patients with induced abortion at different ages,educational levels,sexual partners,marital status,the number of induced abortion,and monthly household income(P<0.05).Young age,low education levels of women and their sexual partner,no history of induced abortion,and low monthly household income were risk factors of reproductive health awareness among induced abortion women(P<0.05).Conclusions:Recurrent induced abortion and contraceptive failure are relatively high in women seeking f

关 键 词：人工流产 生殖健康 避孕 重复流产 危险因素 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]