珠三角地区外来务工女性结束妊娠原因分析

Analysis of the causes of termination of pregnancy among migrant female worker in the Pearl River Delta

目的了解外来务工女性人工流产的原因,为该人群减少人工流产、不安全流产的发生提供建议,以保护女性的生殖健康,减少流产的疾病负担。方法自行设计生殖健康现状基线调查自填问卷,采用横断面的调查方法对来深圳宝安、龙岗各级人民医院进行人流手术的外来务工女性进行面访式调查,采用决策树分析不同情境下流产的相关因素。结果结束妊娠流产的外来务工者总体因经济原因流产占比最高(36.9%),其次是超生(29.3%),因关系不稳定而结束妊娠也占比较高。经决策树分析,未婚患者中因非稳定关系而流产占比最高,尤其在无固定伴侣群体及收入在3 000~5 000元之间的群体;离婚丧偶群体独自居住因非稳定关系而流产的现象较为突出。结论因经济原因流产占比最高,大部分认为人工流产对女性身体健康有较大影响,但对人工流产的风险意识不强,应大力开展健康教育,提高其对人工流产危害的认知。

Objective To understand the causes of the artificial abortion of migrant female worker, offer suggestions for reducing the incidence of induced abortion and unsafe abortion and protect female reproductive health and reduce the burden of abortion. Methods It was self designed a self-administered questionnaire for the baseline survey of reproductive health status. And by means of cross-sectional investigation and research, an interview-based survey was used in the migrant female workers who went to Shenzhen Baoan or Longgang people s hospitals of all levels for the surgical abortion. The decision trees was adopted for analyzing factors related to abortion in different situations. Results The migrant female workers who terminated a pregnancy had the highest proportion of economic reasons (36.9%), followed by illegal birth (29.3%). It was also relatively high that the termination of pregnancy due to unstable relationships. According to the decision tree analysis, the unmarried patients had the highest proportion of abortion due to the unstable relationships, especially in the group that either had unstable sexual partner or income range from 3 000 to 5 000. It is more prominent that the phenomenon of abortion caused by divorce-widowed group with unstable relationships. Conclusion Among the causes of artificial abortion, economic reasons account for the highest proportion. Although most people consider that artificial abortion has a bad impact on women s health, they have low risk awareness of artificial abortion. Health education should be vigorously carried out to raise their awareness of the harm of artificial abortion.