成都市未婚女性重复人工流产情况及影响因素

目的:了解成都市未婚女性重复人工流产情况及影响因素,探讨降低未婚人工流产率的措施。方法:在成都市3类不同等级医院选择人工流产的18～24岁未婚女性进行匿名问卷调查。结果:调查合格对象416人,其中有重复人工流产史者158人,占38.00%;重复人工流产对象中,有3次及以上者高达37.40%。38.00%的对象在20岁前做了首次人工流产;调查对象的妊娠与避孕知识得分低(55.77分);重复人工流产组与非重复人工流产组比较有较高比例的多性伴(57.00%,30.20%,P<0.001)和与异性同居(60.80%,48.10%,P<0.05)。最近半年及本次妊娠前调查对象使用避孕措施情况差,且较多使用低效避孕措施。结论:多性伴、与异性同居、不使用或不当使用避孕措施是发生重复人工流产的危险因素。加强对未婚青年的教育,提高安全性行为意识,正确和坚持使用避孕措施,对于降低未婚人工流产率十分重要。

`Status and influencing factors of repeated induced abortion among unmarried women in Chengdu city

Objective:To understand the status and influencing factors of repeated induced abortion among unmarried women in Chengdu city,and explore appropriate measures to reduce repeated induced abortion rate.Methods:Anonymous questionnaire survey was used to collect data among unmarried women aged 18-24 years old who underwent induced abortion in hospitals at three different levels in Chengdu city.Results:A total of 416 eligible subjects were interviewed,including 158 women with repeated induced abortion history,accounting for 38.00%;among the women with repeated induced abortion,37.40% of them had three times or more than three times induced abortions.Among the unmarried women,38.00% of them had the first induced abortion before 20 years.The scores of knowledge about pregnancy and contraception were poor(55.77 on average).Compared with non-repeated abortion group,the unmarried women in repeated abortion group had higher proportions of having multiple sexual partners(57.00%,30.20%,P<0.001) and cohabitation(60.80%,48.10%,P<0.05).Contraceptive usage of unmarried women during the last 6 months and before the current pregnancy was rather low.In addition,contraceptives they used mostly were less effective.Conclusion:Having multiple sexual partners,cohabitation,not using and/or using contraceptives incorrectly are risk factors of repeated induced abortion.It is important to enhance the awareness of safe sex,provide information of using contraceptives correctly and persistently for prevention of induced abortion among unmarried women.