武汉未婚重复人流女性避孕节育知识、态度、行为现状调查

目的 了解武汉未婚重复人流女性对避孕节育的知识、态度、行为(KAP)及生殖健康状况,为降低重复人工流产率提供科学依据及思路。方法 设计KAP问卷调查表进行队列研究,然后在队列数据库中,随机抽取来自武汉13个辖区的共1127名未婚重复人流女性的调查问卷进行分析。结果 未婚女性重复人流的高发年龄段在20-30岁之间,占77.37%;重复人流者对避孕知识的掌握情况较差,答题正确率仅35.89%;在避孕态度方面,表示愿意采取避孕措施的占83.85%;但有53.24%的人对人流的危害认知不足;采用低效避孕措施如体外排精、安全期避孕、紧急避孕药的占50.67%;通过学校、医院、社会宣教等相对正规渠道获取避孕知识的比例不高。结论 社会应关注未婚人群的生殖健康需求,扩大避孕知识的普及率,提高未婚重复人流女性避孕措施使用率。

Contraceptive knowledge,attitude and practice of the unmarried female with repeated abortion history,Wuhan

Objective To investigate the reproductive health status,contraceptive knowledge,attitude and practice (KAP) among the unmarried female with repeated abortion history in Wuhan,and to provide scientific evidence for reducing the rate of repeated abortions.Methods KAP questionnaire was designed for conducting a cohort study,then 1,127 questionnaires which covered 13 districts of Wuhan were randomly selected from the queue database to analyze.Results The age stages among 20-30 years old had a high incidence of repeated abortion among unmarried women,accounting for 70%.The repeated abortion group had a poor mastery of contraceptive knowledge,and the correct rate was only 35.89%.83.85% of subjects had positive attitudes to contraceptive,expressing a willingness to take contraceptive measures.However,there were 53.24% of subjects on the lack of awareness of the hazards of abortion.Using inefficient contraceptive measures such as vitro ejaculation,safe period contraception,and emergency contraception held 50.67%.The proportion of getting contraceptive knowledge through schools,hospitals,social education and other relatively formal channels was not high.Conclusion Our Society should concern the reproductive health needs of unmarried people,and expand the coverage of contraceptive knowledge,and then improve the usage of contraception among unmarried female with repeated abortion history.