北京市计划生育服务机构中重复人工流产妇女避孕意愿调查

Desire for contraceptive use in women with recurrent induced abortion in Beijing

目的:了解北京市重复人工流产妇女的避孕意愿及其影响因素。方法:在北京市城、近郊区采用分层整群抽样方法随机抽取2005年1月～2010年9月期间接受过人工流产手术,2010年1月1日～2011年10月31日期间再次接受人工流产手术的育龄妇女问卷调查,采用χ2检验和多因素logistic回归方法进行分析。结果:56.40%被调查妇女本次流产前已有过重复人工流产。本次人工流产90.47%属非意愿妊娠,12.44%本次流产后不避孕或未明确表示避孕。在准备实施避孕的妇女中,80.0%计划采用安全套、口服避孕药等避孕方法,而仍有6.83%的妇女准备采用安全期避孕、体外排精等避孕方法。logistic回归分析结果显示:丈夫(性伴)积极避孕(OR=2.078,P=0.033)以及医生告知妇女流产后应避孕(OR=4.492,P<0.01)是重复流产妇女流产后有避孕意愿的保护因素。结论:开展规范的流产后计划生育服务,增加男性的避孕参与率是落实流产后避孕措施率及使用质量的关键环节。

Objective ： To explore the desire for contraceptive use and its influencing factors among women who experienced recurrent induced abortion in Beijing. Methods ： Stratified cluster sampling was conducted. Women undergoing an induced abortion between Jan. 2005 and Sep. 2010 and recurrent induced abortion between Jan. 2010 and Oct. 2011 were recruited. Randomized data collected with a questionnaire survey in various areas in Beijing and analysed with Chi - squared test and logistic regression. Results： About 56.4% of respondents experienced induced abortion at least 2 times. And this time, 90.47% unwanted pregnancy was found, and 12.44% were not going to use contraceptives. For those who wanted to use contraceptives, 80.0% wanted to use condom or oral contraceptives, while 6.83% wanted to use rhythm method or withdrawal. The logistic regression result showed that husband （ sexual partner） involvement（ OR = 2. 078, P = 0. 033 ） and post - abortion care provided by service providers （ OR = 4. 492, P 〈 0.01 ） could be helpful for contraceptive use after recurrent induced abortion. Conclusion ： The normative post - abortion care and promotion of male involvement in contraception are important for contraceptive use after induced abortion.