人工流产患者的男性伴侣的生殖健康知信行关联因素调查分析

Investigation and analysis on the related factors of reproductive health knowledge, attitude and practice of male partners in induced abortion

目的了解人工流产患者的男性伴侣对生殖健康的认知情况,为进一步开展降低人工流产率的工作提供依据。方法选取2019年11月至2020年4月在北京市大兴区人民医院行早期人工流产手术的非意愿妊娠患者的男性伴侣作为调查对象。调查采用自行设计问卷以面对面方式进行。结果 49.93%的男性曾受过医院或健康部门的生殖健康教育,22.77%的男性仅从网络等不稳定途径获取生殖健康知识;65.84%和62.77%的男性对人工流产的方式与危害仅了解一点;69.49%的男性很在意避孕,94.01%的男性对女性接受人工流产持很在意的态度;38.69%的男性在18~22岁时发生首次性行为,12.12%的男性在<18岁时发生首次性行为;77.37%的男性至少了解一种长效可逆避孕措施;67.59%的男性因未避孕而发生人工流产事件,心存侥幸和个人疏忽是主要原因。结论北京市大兴区人工流产患者的男性伴侣对生殖健康知识的了解不足,在避孕和维护女性生殖健康的态度上较好,但缺乏在避孕行动上的有效落实。加强对人工流产的认知教育,强化落实避孕的重要性,促使男性共同参与避孕。

Objective To understand the cognition of male partners of induced abortion on reproductive health, and to provide basis for further reducing induced abortion. Methods Male partners of unwanted pregnancy group who underwent early induced abortion in Beijing Daxing District People′s Hospital from November 2019 to April 2020 were selected as the subjects, a self-designed questionnaire was used for face-to-face investigation. Results 49.93% of males had received reproductive health education from hospitals or health departments, and 22.77% of males only obtained reproductive health knowledge from unstable channels such as Internet. 65.84% and 62.77% of men only know a little about the way and harm of induced abortion. 69.49% of men are very concerned about contraception, 94.01% of men are very concerned about women accepting abortion. 38.69% of men had sex for the first time when they were 18-22 years old, 12.12% of men had their first sexual behavior when they were less than 18 years old. 77.37% of men knew at least one kind of long-acting reversible contraception. 67.59% of men did not use contraception leading to induced abortion in women, and fluke and personal negligence were the main reasons. Conclusions The male partners of induced abortion in Daxing District of Beijing have a poor understanding of reproductive health knowledge, and have a good attitude towards contraception and the maintenance of female reproductive health, but lack of effective implementation of contraceptive actions. Strengthen the cognitive education of induced abortion, strengthen the importance of contraception, and encourage men to participate together.