391例非意愿妊娠人工流产女性问卷调查分析

Aquestionnaire survey of 391 women with unwanted pregnancy and induced abortion

目的:了解海南地区因非意愿妊娠人工流产女性的相关情况,为进一步做好避孕服务工作提供参考依据。方法:经方便抽样方法对前来本省部分市县计划生育服务机构要求人工流产的非意愿妊娠女性391例进行问卷调查。结果:调查对象年龄25~34岁占55%;已婚女性占90.8%;高中及以下学历的占87.5%;农民和无业人员的共52.7%。本次术前未采取避孕节育措施占58.8%,避孕节育措施失败占24.6%。错误认知宫内节育器(IUD)与口服避孕药避孕效果者占81.6%;人工流产时有人陪伴占62.2%。女方在与男方认识1~6个月内发生初次性行为占41.7%,年龄以15~24岁者居高,其中女方和男方分别占81.6%和59.6%(χ^(2)=83.25,P<0.01);法定结婚年龄以下女方占36.9%,男方占14.1%;初次性行为未采取避孕措施占69.1%;初次性行为男伴成为现任丈夫占73.9%。结论:育龄妇女在婚前、婚后或者人工流产手术后发生的非意愿妊娠,以不采取避孕措施的居多。强化科普避孕节育知识,提高免费避孕药具服务工作,将利于预防育龄妇女非意愿妊娠。

Objective:To understand the situation of women with induced abortion due to unwanted pregnancy in Hainan,so as to provide reference for further contraceptive services.Methods:A questionnaire survey was conducted by convenience sampling method among the women with unwanted pregnancies who asked for induced abortion in the family planning service agencies in some cities and counties of Hainan Province.Results:Among the respondents,55%of them were aged 2534 years old,90.8%of them were married women,87.5%of them had a high school education or below,and 52.7%of them were farmers and unemployed people.Among the respondents,58.8%of them did not taken any contraceptive measures before this induced abortion,and 24.6%of them took contraceptive measures but failed.81.6%of these respondents incorrectly recognized that the contraceptive effects of intrauterine device(IUD)and compound oral contraceptives.62.2%of them were accompanied by others during induced abortion.41.7%of them had the first sexual behavior with their partner within 1-6 months of acquaintanceship.In these partners with sex,mostly of them were 15-24 years old,including 81.6%of women and 59.6%of men(χ^(2)=83.2,P<0.01).36.9%of the women with abortion and 14.1%of their partner were under the legal age of marriage.69.1%of the respondents did not take any contraceptive measure during their first sexual behavior.73.9%of the partners of the women after the first sexual behavior became their current husbands.Conclusion:The majority of women with childbearing age who have unwanted pregnancy before marriage,after marriage,or after induced abortion do not take contraceptive measures.Strengthening the knowledge popularization of contraception and improving the service of free contraceptives will prevent unwanted pregnancy among women of childbearing age.