重复人工流产女性避孕态度及行为的调查分析

Analysis of contraceptive attitude and practices of women with recurrent induced abortion

目的了解重复人工流产女性、避孕态度及避孕行为,为制定相应干预措施提供依据。方法对2005年9月至2006年8月间,参与北京海淀区"早孕终止妊娠后避孕干预效果分析"项目的 1 098例早孕重复人工流产女性进行问卷调查,干预后6个月时进行随访,了解其避孕行为。结果对于是否避孕及避孕方法的选择,仅65.0%的已婚者及57.1%的未婚者以双方商定为主;已婚者表示今后"一定避孕"的比例(95.7%)高于未婚者(86.6%);未婚者性伴侣不关心避孕的比例明显高于已婚者(x-2=38.244,P<0.001)。丈夫或男友不关心避孕者,此次妊娠的原因47.7%为"完全未避孕",而丈夫或男友关心避孕者,此次妊娠为"避孕失败"者最多,占45.4%。避孕的态度及意愿不同,干预后6个月时的避孕行为也不同。结论不仅要关注妇女避孕知识与技能的干预,更要高度重视其避孕态度与意愿的咨询指导,提高男性参与及男性责任感。

Objective To understand the contraceptive attitudes and practices of men and women with recurrent induced abortion, so as to provide references for intervention. Method 1098 women with recurrent induced abortion on early pregnancy were investigated with self-administered questionnaire, who were the targeted population of project ＂Effect analysis of intervention after early pregnancy abortion＂ from Sept 2005 to Aug 2006 in Haidi- an District. Six-month follow-up study was conducted to evaluate their contraception practice. Results 65.0% of married and 57.1% of unmarried subjects made decisions on contraception along with their sex partners. Married women have a stronger inclination for contraception than unmarried women. The proportion of male partners who did not care about contraception in unmarried women was significantly higher than that in married ones（ X^2 = 38. 244,P〈0. 001）. This pregnancy was due to the failure of contraception （45.4%） for those whose sex partner cared about contraception and no contraception （47.7 ;） for those whose sex partner did not care about contraception. The rates of contraception after 6 months of induced abortion differed in attitudes and willing of contraception. Conclusion Contraceptive attitudes and willingness should be paid attention to as well as contraceptive knowledge and skills. More attention must be paid males＇ involvement and responsibility.