城市已婚育龄妇女人工流产史及避孕知识态度和行为现况研究

目的:了解育龄妇女的人工流产史及其原因和有关避孕的知识、态度和行为现状,探讨如何提高避孕知识知晓 率和改善相关的态度和行为,以及减少避孕失败的措施。方法:采用整群抽样的方法对776例年龄为15~49岁的城市已婚育龄妇 女进行有关人工流产和避孕知识、态度和行为的问卷调查和妇女常见疾病检查,数据应用SPSS／PC 10.0软件进行统计分析。结果: 81.9％的妇女有人工流产史,其中人工流产3次及以上者达13.8％;有人工流产史的妇女其子宫内膜异位症或子宫腺肌病、痛经 和慢性盆腔炎的患病率明显高于无人工流产史者(P<0.01或P<0.05);54.8％的人不知道任何一种避孕方法的避孕原理;有 49.73％的妇女不知道人工流产手术对身体健康有不良影响;83.5％的人不知道有紧急避孕法。结论:迫切需要加强有关避孕知识 的健康教育,并将其作为提供优质生殖健康服务的内容,以降低人工流产率。

A study on status of induced abortion history and KAP of contraception in married women with reproductive age in city

Objective: To investigate the status of induced abortion history and KAP of contraception in married women of reproductive age in city. Methods: A total number of 776 married women aged 15-49 years old were investigated through questionnaire and gynecological examination. Statistical analysis was performed using SPSS/PC 10.0 statistical software. Results: Findings showed that the rate of history of induced abortion reached 81.9% and among them 13. 8% total frequence of abortion was more than 3 times. The prevalence of endometriosis or adenomyosis, dysmenorrhea and chronic pelvic inflammatory disease was higher in induced abortion group than that in the group with no history of induced abortion group (P<0. 01 or P<0. 05); There were respectively 54.8%, 49.7% and 83.5% of the interviewees who didn' t know at least one kind of contraception principle, adverse effects of induced abortion and emergency contraceptive method. Conclusion: In the offering of good quality service on reproductive health, health education about contraception knowledge should be included and strengthen.