人工流产妇女避孕知识现状及其影响因素

Survey on the Contraceptive Knowledge of the Women with Induced-abortion and Its influence Factors

目的调查昆明市妇幼保健院843例非意愿妊娠人工流产妇女避孕知识现状,为制定规范的流产后计划生育服务提供依据.方法 2016年3月至9月对在昆明市妇幼保健院实施人工流产手术的843例健康女性进行面对面访谈及统一问卷调查.结果 (1)研究对象避孕知识得分为(7.23±2.81)分,与年龄和文化程度呈正相关关系(P<0.05);(2)调查人群重复流产率54.59%,主要为20~40岁女性,与年龄、文化程度及户口状况有关(P<0.05),年龄越小、文化程度越低,重复流产率越高,流动人口重复流产率高于非流动人口(P<0.05).(3)大专及以上文化、未生育重复流产女性避孕知识得分高于首次流产人群(P<0.05).结论非意愿妊娠人工流产妇女避孕知识与年龄、文化程度、户口因素有关,应针对不同的人群有计划地开展流产后优质计划生育服务,提高避孕知识知晓率及有效避孕率,降低重复流产的发生.

Objective To provide evidence for normative plans of post abortion care（PAC） by collecting data of the contraceptive knowledge of 843 women with unwanted pregnancy. Me thods This study recruited 843 women with unwanted pregnancy from March to September 2016 in Kunming Maternal and Child Health Hospital.Face-to-face interview and questionnaire were applied. Re s ults（1） The score of the contraceptive knowledge was7.23 ±2.81, which was in positive correlation with age and education level（P〈0.05）.（2） Repeated induced-abortion rate was 54.59%,mainly in the women of 20 to 40 years old, which was significantly related to the age, education level and residential status（P〈0.05）.The younger the woman was,the higher the repeated induced-abortion rate went, so was the education level. Repeated induced-abortion rate of the floating population was significantly higher than that of the non-floating population（P〈0.05）.（3） The contraceptive knowledge score of the women who had college educational background, did not give birth and had repeated induced-abortion history was higher than that of the women who first had induced-abortion（P〈0.05）. Conclus ion The contraceptive knowledge of the women with unwanted pregnancy is related to the age, education level and residential status. Varied measures should be taken to improve the awareness rate of contraceptive knowledge and effective contraceptive rate and to reduce the occurrence of repeated abortion.