北京市流产妇女避孕措施状况及影响因素

Situation of contraception and its risk factors among abortion women in Peking

目的分析北京市流产妇女流产后采取避孕措施的状况及影响因素。方法2006年1月,随机选取北京市8家医院,对1980年8月1日以后出生、6个月前曾到这8家医院进行早期人工流产的611名妇女进行问卷调查。结果流产后采取避孕措施的559名妇女中,85.9%采取现代避孕方法,14.1%采取传统避孕方法。单因素分析显示职业(χ2=21.090,P=0.000)、收入(χ2=6.878,P=0.032)、户籍(χ2=13.515,P=0.000)以及男伴等不同因素的调查对象在6个月中采取的避孕方式有所不同。流产后有性生活的577人中,84.4%曾经用过避孕套,其中只有20.7%的流产妇女能够坚持并且正确使用避孕套;用过口服避孕药的妇女中42.3%不知道正确使用方法。30.5%于流产后不能坚持避孕措施。多因素分析显示,本地户口(χ2=12.497,P=0.000)、上次流产原因(χ2=5.149,P=0.023)以及男伴是否关心避孕问题(χ2=9.580,P=0.002)与妇女坚持使用避孕措施有关。结论流产后妇女的避孕措施采用率高,但是正确使用率及坚持使用率低;加强男伴参与有助于流产后避孕措施的正确选择和坚持使用。

Objective To explore the situation of choosing contraception and its risk factors among abortion women in Peking. Methods In January 2006, a study under the adoption of questionnaires was conducted among 611 abortion women, who had induced abortion 6 months ago in 8 hospitals, selected random from the hospitals in Peking. Results Among 577 abortion women 84.4 % used condom, but only 20.7 % could persist in using and use them correctly ;42.3 % didn＇t know the right usage among the women who used oral contraceptive. Among 559 abortion women who selected contraceptives, 14.1% chose the traditional contraception. Single factor analysis showed that profession （x^2 = 21. 090, P = 0. 000 ）, income（ x^2 = 6. 878, P = 0. 032）, registered permanent residence（x^2= 13.515, P = 0. 000）and some factors of male partners were the risk factors;30.5 % couldn＇t persist in using contraception after abortion. Multiple factors analysis showed that registered permanent residence（x^2 = 12. 497, P = 0. 000）, the reason of the latest abortion（ x^2= 5.149, P =0. 023）, and the attention of male partner（x^2= 9.580, P = 0.002） related with the women＇s contraceptive actions. Conclusion The rate of using contraceptives among post - abortion women is relatively high, but the rate of correct and persistent action is low and the male involvement contributes to the correct choice and persistent use of contraception.