十堰市未婚女性人工流产率和重复流产情况调查

Investigation on induced abortion rate and repeated abortion among unmarried women in Shiyan city

目的探讨十堰市未婚女性人工流产率和重复流产情况。方法随机选取2015年4-11月在该院实施人工流产的18~28岁未婚女性422名为调查对象,分为重复人工流产组(161名)和对照组(261名),在知情同意、信息保密以及自愿参与的原则下,由经过统一培训的调查员现场进行匿名问卷调查。收集调查对象的一般资料,如首次性行为、年龄、是否重复流产、是否有多性伴侣、避孕频率、文化程度、妊娠原因以及目前是否与异性同居等。结果十堰市未婚女性重复人工流产率为38.2%,而关于性和生殖健康的知识得分普遍不高,不同年龄、不同文化程度、不同职业、不同户口所在地的调查对象评分差异有统计学意义(P<0.05)。两组在是否多性伴侣和目前是否与异性同居两项调查中差异有统计学意义(P<0.05),而在首次性行为年龄以及首次性行为意愿方面比较差异无统计学意义(P>0.05)。本次调查妊娠原因中没有使用避孕措施占58.9%,避孕失败占31.3%,起初想要孩子占8.6%,两组比较差异有统计学意义(χ2=13.98,P=0.003)。结论不使用避孕措施或使用避孕措施不正确以及与异性同居和多性伴侣均是发生重复人工流产的危险因素。因此日常生活中加强对未婚青年性知识和生殖健康教育,对于降低未婚女性人工流产率和重复流产率有着重要的意义。

Objective To explore induced abortion tale and repeated abortion among unmarried women in Shiyan city. Methods A total of 422 unmarried women aged 18-28 years old underwent induced abortion in the hospital from April to November in 2015, then they were selected and divided into induced abortion group （161 women） and control group （261 women） . Under the principle of informed con- sent, informatinn privacy, and voluntary, participation, these women were surveyed by an anonymous questionnaire conducted by trained in- vestigators. The general infnrmation was collected, including the age of initial sex, repeated abortion or not, multiple sexual partners or not, contraceptive frequency, educational level, pregnancy reasons, and heterosexual cohabitation or not. Results The incidence rate of repeat- ed induced abortion among unmarried women in Shiyan city was 38.2%. The scores of sex and reproductive health were generally not high. There were statistically significant differences in the scores among the women in different age, educational levels, occupations, registered permanent residence groups （ P〈0. 05 ） . There were statistically significant differences in the survey results of multiple sexual partners and heterosexual cohabitation between the two groups （ P〈0. 05 ） . There was no statistically significant difference in the survey results of age and will of initial sex between the two groups （P〉0.05） . Among the women, 58.9% of them didn＇t use contraception measures, 31.3% of them failed in contraeeption, 8.6% of them initially wanted children, there was statistically significant difference between the two groups （x2 = 13.98, P=0. 003） . Conclusion Nonuse of contraception measures or incorrect use of contraception measures, heterosexual cohabi- tation, and multiple sexual partners are the risk factors of repeated induced abortion. Strengthening sexual knowledge and reproductive health education among unmarried ynung people is of important significance to reduce induced abortion rate and repeated abortion rate among unmar- ried women.