南宁市未婚人工流产女青年性行为和避孕情况调查

目的:了解未婚人工流产女青年的性行为、避孕态度及妊娠原因。方法:采用匿名自填问卷对438名自愿要求人工流产的未婚女青年进行调查。结果:被调查者首次性行为开始于16~31岁,平均20.62岁;首次妊娠年龄平均21.71岁;62.18%为第一次人流。对婚前性行为认同的占83.2%;性行为由男女双方共同决定的占66.37%。有70.17%认为人工流产对人体危害大,影响小、没影响及未考虑的占29.83%。本次妊娠原因未避孕的占31.51%、安全期20.78%、体外排精14.84%、服紧急避孕药无效19.63%、避孕套破裂2.28%、忘服避孕药10.96%。每次性行为都采取避孕措施的占25.34%,偶尔采取避孕措施占60.50%,从未采取避孕措施14.16%;20岁年龄组在性行为时的防范及自我保护意识明显不足;避孕知识主要来源于杂志、同学、朋友、网络、学校。结论:急需对青少年开展性道德教育,进行性观念、避孕知识、预防艾滋病及性病教育,提高对性传播疾病及意外妊娠人流风险的认识,减少和推迟婚前性行为,降低未婚人工流产发生率。

Research of the sexual behavior and contraception of unmarried young women in Nanning

Objective:To study the sexual behavior,the attitude on contraception and the reasons of pregnancy in Nanning.Methods:An anonymous self-questionnaire survey was conducted on 438 unmarried young women requesting artificial abortion.Results:The respondents' average age of having the first sexual activity was 20.62 years(16～31 years old).The average age of the first pregnancy was 21.71 years.The respondents at the first time of abortions were 62.18%.83.2% young women approved of the premarital sexual behavior and it was decided jointly by both male and female was 66.37%.70.17% young women thank that abortion had great influence on human health,29.83% of them thank it had little influence,no influence or not considered.The reasons for this pregnancy were non-contraceptive use(31.51%),safe period contraception(20.78%),vitro sperm ejection(14.84%),invalidity of emergency contraceptive(19.63%),the break of condom(2.28%) and forgetting to take contraceptive(10.96%).25.34% of them used contraception method every time,60.50% not usually and 14.16% never.The protection of sexual behavior and the consciousness of self-protection were obviously insufficient in age group younger than 20 years.The knowledge of contraception was mainly from magazine,classmate,friend internet and school.Conclusion:These results indicate an urgent need to develop sexual moral education and education about sexual concept,contraception knowledge and AIDS/STD prevention among youngsters,through enhancing perception about the risks of sexually transmitted diseases and unwanted abortion,so that to reduce or postpone premarital sexual behavior and harm of unwanted abortion.