已婚育龄妇女未婚先孕情况及影响因素

目的了解已婚育龄妇女未婚先孕状况并分析其影响因素, 为制定有效干预措施提高妇女生殖健康水平提供科学依据。方法采用分层整群抽样方法抽取广东省佛山市西樵镇937名本地和358名流动已婚育龄妇女进行问卷调查。结果1 295名已婚育龄妇女中, 未婚先孕420人, 未婚先孕率为32.43%;未婚先孕者中未婚先育、因孕结婚、婚前人工流产、同时有婚前人工流产和未婚先育及同时有婚前人工流产和因孕结婚者分别为48人(11.43%)、262人(62.38%)、60人(14.29%)、15人(3.57%)及35人(8.33%);流动人口、年龄为20~29和30~39岁、文化程度为初中和高中/中专/职中的妇女未婚先孕率较高, 分别为37.43%、46.95%和34.03%、34.81%和38.93%, 其OR值分别为1.634、4.711和2.447、2.487和2.144。结论未婚先孕率较高, 应重点加强青春期、流动人口和未婚育龄男女的生殖健康知识教育, 以保证妇女身心健康, 并更好地落实优生优育政策。

Prevalence and influencing factors of premarital pregnancy among married women of child-bearing age

ObjectiveTo examine the prevalence of premarital pregnancy among married women of child-bearing age and analyze its influential factors to provide evidences for the improvement of reproductive health in the women.MethodsStratified cluster sampling was applied to select 937 local and 358 migrant married women of child-bearing age in Xiqiao town of Foshan city for a questionnaire survey.ResultsAmong all the women,the rate of premarital pregnancy was 32.43%.Among the 420 women with premarital pregnancy history,48(11.43%)gave births to their children; 262(62.38%)married because of the premarital pregnancy; 60(14.29%)had abortion; 15(3.57%)had both induced abortion and giving the birth to the children; and 35(8.33%)had induced abortion and got married because of the premarital pregnancy.The premarital pregnant rate was higher among floating women(37.43%),the women aged 20-29 years(46.95%)and 30-39 years(34.03%),and the women with junior high school education(34.81%) and senior high school or vcational school education(38.93%),with the odds ratio of 1.634,4.711,2.447,2.487,and 2.144,respectively.ConclusionThe rate of premarital pregnancy is high among the married women of child-bearing age in Foshan city,suggesting health education on reproductive health needs to be promoted among the women,especially in migrant and young married women at child-bearing age.