我国三城市未婚女青年人工流产后服务需求调查

目的:了解未婚青少年人工流产后计划生育服务需求。方法:在北京、上海、郑州3城市共随机选取27家医院,对2005年7～9月在所选医院寻求早孕人工流产服务的全部<25岁未婚女青年进行问卷调查。结果:39.3%的调查对象在20岁前发生首次性行为,4.1%经历过非意愿性行为,31.3%有重复人工流产史,65.4%本次妊娠缘于未采取避孕措施,仅25.3%选用过紧急避孕药。在用过避孕套的785人中,仅9.0%能坚持每次性行为都使用避孕套。54.7%能主动向医务人员寻求咨询服务,在服务中19.1%主动提出了关于避孕措施的问题,17.9%反映医务人员推荐了合适的避孕措施,仅0.9%获得了当场提供的免费避孕药具。未婚女青年年龄、首次性行为年龄、性伴数、婚前同居、文化水平是重复人工流产的影响因素;避孕知识受到调查对象年龄、首次性行为年龄、文化水平、咨询避孕相关问题主动性等因素的影响。结论:行人工流产的未婚青少年对流产后计划生育服务需求较大,但目前仍未被满足。

Post-abortion care service demands among unmarried young women in three cities in China:A cross-sectional survey

Objective:To explore unmet demands for post-abortion care(PAC) among unmarried young women with induced abortion.Methods:A total of 27 hospitals in Beijing,Shanghai and Zhengzhou were selected by a random sampling as study sites.A cross-sectional survey was conducted among all women younger than 25 years old and seeking for first-trimester pregnancy termination services.Results:About 39.3% of respondents had their sexual debut younger than 20 years old.About 4.1% of respondents experienced an unwanted sex and 22.0% had sex with more than one male partner.Multiple induced abortions occurred in 31.3% of them.And 65.4% of current unintended pregnancies resulted from no use of contraceptives.Among 785 young women who used condoms,only 9.0% used in each sex intercouse.Emergency contraceptive was utilized by only 25.3% of them.The rates of seeking for counseling services and inquiring information about contraception from health professionals initiatively were 54.7% and 19.1% respectively,while only 17.9% and 0.9% acquired medical staffs’ responses to contraceptives and free delivery services of contraceptives.Age,early sexual debut,number of sexual partners,premarital cohabitation,and educational background were statistically associated with occurrence of multiple induced abortions.Respondents’ age,early sexual debut,educational background,and initiative in counseling about contraception issues were influencing factors of the knowledge score of contraceptives.Conclusion:There are enormous unmet demands for PAC services among unmarried young women in China.