山西省育龄妇女人工流产现状及影响因素分析

Analysis of the status and influence factors of induced abortion among women of childbearing age in Shanxi province

目的:了解山西省育龄妇女人工流产现状并探讨其影响因素。方法:于2020年7-8月在山西省开展整群抽样横断面调查,采用二分类logistic回归探讨人工流产的影响因素。结果:在纳入的10744例研究对象中,2326例发生过至少1次人工流产(21.6%)。最近1次人工流产的主要原因是未避孕(38.4%)和避孕失败(31.4%),因胎儿医学原因流产占20.4%。多因素逐步logistic回归显示,年龄较大、生育过孩子的妇女发生人工流产风险较高,已生育孩子的妇女因医学原因发生人工流产的风险较低。结论:山西省育龄妇女人工流产率较高,应推广长效避孕措施、加强流产后计划生育服务,需要特别重点关注年龄大、职业为工人、非初婚的女性。对于无孩妇女,应特别关注医学原因导致的人工流产,加强优生优育服务。

Objective:To explore the current situation of induced abortion among women of childbearing age in Shanxi province,and to study the influence factors of induced abortion.Methods:A cluster sampling epidemiological cross-sectional study was conducted in Shanxi province from July to August 2020.Binary logistic regression was used to explore the influencing factors of abortion.Results:In 10,744 subjects,2,326(21.6%)subjects had at least once of induced abortion.The main reasons for the most recent abortion of the subjects were lack of contraception(38.4%)and contraceptive failure(31.4%),while 20.4%subjects were given abortion for the medical reasons of"poor fetal quality".Multivariate stepwise logistic regression showed that the risk of induced abortion of women with advanced age or the child-bearing women was higher,but the risk of induced abortion for the medical reasons of the child-bearing women was lower.Conclusion:Women of childbearing age in Shanxi province has high induced abortion rate,so long-term contraceptive measures should be promoted and post-abortion family planning services should be strengthened for these women.Those women with advanced age,working as workers,or having ever divorced are the key population for induced abortion prevention.For childless women,special attention should be paid to induced abortion for medical reasons,and prenatal care services should be strengthened for them.