不同婚育状况女性人工流产及相关知识知晓现状分析

Incidence of induced abortion and awareness of correlative knowledge among women with different marriage and fertility history

目的:通过了解不同婚育状况女性人工流产现状,探讨按照婚育状况制定女性计划生育服务的可行性。方法:选择2011年9月～2012年9月就诊于两院门诊进行人工流产妇女695例,根据婚育状况将对象分未婚未育组、已婚未育组和已婚已育组。对各组女性及其性伴侣的一般情况和避孕、生殖健康知识知晓情况进行问卷调查。结果:未婚未育组首次性生活年龄和首次人工流产年龄均小于其他两组(P<0.01)。已婚已育组总流产次数和1年内≥2次人工流产人数最高(P<0.01),对避孕知识和人工流产危害知晓率最高,未婚未育组最低。其性伴侣对避孕知识知晓率最高的是未婚未育组,最低的是已婚已育组。3组本次非意愿妊娠原因权重最高的均为无避孕措施。结论:不同婚育状况女性人工流产发生率及相关知识掌握情况不同,对不同女性及其性伴侣进行计划生育服务和生殖健康宣教工作应有所侧重。

Objective ： To explore the focus of family planning work on women with different marital status. Methods ： Accord- ing to marital status, 695 women seeking for induced abortion in two clinics were divided into 3 groups, as single group, un- productive group and multiparous group. A questionnaire including the personal information, knowledge of contraception and reproduction were answered by all female abortion patients and male partners of three groups. Results ： The age of sexual debut and the age of initial abortion in the single group were less than other two groups, and the difference was significant （ P 〈 0. 01 ）. Total numbers of abortion and numbers of more than 2 times of abortion in 1 year in the multiparous group was more than other two groups （P 〈0.01 ）. Women in the multiparous group knew most about contraception and side effects of abor- tion, but women in single group knew least （P 〈0.01 ）. Male partners in the single group knew most contraceptive knowl- edge, while the multiparous group knew least. No contraception was the most common reason in this unwanted pregnancy of the three groups. Conclusion： According to different women with different marriage and fertility status, family planning serv- ices and reproductive health education should be different.