未婚女性重复人工流产的影响因素分析

Investigation of Repeated Artificial Abortions in Unmarried Females and Its Influencing Factors

目的:分析未婚女性重复人工流产的影响因素。方法:对2010年7月—2010年12月至复旦大学附属中山医院青浦分院自愿要求人工流产的273例未婚女性进行描述性问卷调查并分析。结果:273例中,重复人工流产者为91例(33.3%);与非重复人工流产组相比,重复人工流产组中初中及以下文化程度者比例较高(28.6%比9.9%,P<0.001);社会职业为无业/个体/服务人员的比例较高(50.5%比27.5%,P<0.001);暴露性生活时间≥1年的比例较高(45.1%比21.4%,P<0.001);多性伴的比例较高(15.4%比3.3%,P<0.001)。多因素分析结果也显示,未婚妇女的文化程度、社会职业、避孕意识、暴露性生活时间、性伴数量是重复人工流产的影响因素。结论:未婚女性重复人工流产的发生率高与她们的文化程度、社会职业、性生活方式密切相关,应对重点人群加强避孕和生殖健康知识的宣传教育,指导并督促落实可靠的避孕措施。

Objective：To investigate the current situation of repeated artificial abortions in unmarried females and its influencing factors.Methods：A total of 273 cases of unmarried females who required artificial abortion voluntarily participated the descriptive questionnaires from July to December 2010.Results： Among them,91 cases（33.3%） underwent repeated artificial abortions.Compared with non-repeated abortion group,the proportion of females who had junior high school education or less in repeated abortion group was higher（28.6% vs.9.9%,P0.001）;the proportion of unemployment/small private business/service industries was significantly higher（50.5% vs.27.5%,P0.001）;the proportion of females whoes sexual history were more than one year was higher（45.1% vs.21.4%,P0.001）;The proportion of females who had multiple sex partners was higher（15.4%vs.3.3%,P0.001）.Multivariate analysis also showed that repeated abortions in unmarried females was associated with educational level,socio-professional,contraceptive awareness,exposure time of sexual behavior,number of sexual partners.Conclusion： The incidence of repeated abortions in unmarried females is closely related to education level,socio-professional,lifestyle.It＇s important to guide and supervise the implementation of reliable contraceptive measures in high-riskwomen.