北京市项目社区已婚育龄妇女人工流产现况调查

目的了解北京市项目社区育龄妇女人工流产的情况,并探讨其影响因素。方法采用多阶段整群抽样方法,对北京市项目社区的两个街道579名育龄妇女进行结构式问卷调查。结果 330人(56.99%)有过人工流产的经历,人工流产的平均次数为(1.36±0.67)次。人工流产的主要原因是避孕失败(51.66%)和未避孕(36.56%)。学历为高中/中专的育龄妇女,其人工流产比例高于初中及以下对象[(近似值差异率(oddratio,OR)=1.754,95%可信区间(confidenceinterval,CI):1.063～2.895];与职业为农民/工人的育龄妇女相比,无业育龄妇女的人工流产率较高(OR=2.213,95%CI:1.063～4.608)。结论不使用或者不正确使用避孕方法,以及对人工流产的错误认识都是人工流产比例居高不下中不可忽视的因素。因此,需针对不同学历、不同职业的育龄妇女开展针对性的避孕节育服务,以降低人工流产的比例,并开展流产后保健服务以减少重复流产率。

Cross-sectional investigation on induced abortion among married women of reproductive age in Beijing communities

Objective To understand the situation of induced abortion and study influencing factors among women of reproductive age in the past one year in Beijing communities.Methods About 579 qualified women in the study were face to face interviewed by the trained investigators with the questionnaires.Results Among 579 women,330 cases(56.99%) had experienced induced abortion and the average times of induced abortion were(1.36±0.67).The main two reasons were contraceptive failure(51.66%) and without using contraception(36.56%).The abortion ratio of reproductive-age women with high school /secondary school was higher than that with junior school or below[(odd ratio,OR)=1.754,95% confidence interval(CI):1.063~2.895];compared with farmers /workers,unemployed objects had higher abortion proportion(OR=2.213,95%CI:1.063~4.608).Conclusion In terms of high proportion of induced abortion,without using or incorrect contraceptive methods,and error knowledge on abortion were main factors.Therefore,to reduce the proportion of abortion,contraception services should be carried out to aim directly at different education and occupation.At the same time,post-abortion care should be adopted to reduce the rate of recurrent miscarriage.