未婚人工流产女性非意愿妊娠情况及影响因素研究

目的:了解上海市未婚女性非意愿妊娠状况,探讨非意愿妊娠的影响因素。方法:采用现况研究的方法,应用计算机辅助自填问卷技术,于2009年10月～2010年5月对在上海市3家医院计划生育门诊寻求人工流产的未婚女性进行匿名调查。结果:44.34%被调查者发生过≥2次非意愿妊娠(396/893),其中发生过2次者占71.97%(285/396),发生过3次者占22.47%(89人)。多因素分析显示,在调整了其它可能的影响因素后,年龄大(OR=1.61,95%CI:1.45～1.78)、首次性行为年龄小(OR=0.65,95%CI:0.59～0.71)和未婚同居(OR=1.65,95%CI:1.25～2.19)的未婚女性发生多次非意愿妊娠的危险高;发生多次非意愿妊娠与多性伴(OR=1.38,95%CI:1.00～1.90)有关。结论:未婚流产女性发生多次非意愿妊娠比例高,应加强首次性行为年龄小、多性伴和未婚同居女性的安全性行为教育和流产后服务。

Unwanted pregnancy status among unmarried women seeking an abortion in Shanghai

Objective：To investigate the unwanted pregnancy status among unmarried women seeking an abortion in Shanghai and to explore its related factors.Methods：An anonymous cross-sectional survey through computer-assisted self-interview（CASI） was conducted among unmarried women seeking an abortion in three hospitals in Shanghai.Results：About 44.34% of respondents had two or more times of unwanted pregnancy,71.97% had two times of unwanted pregnancy and about one quarter had three times.Multivariate analysis showed that age（OR=1.61,95%CI=1.45-1.78）,age at the first sex（OR=0.65,95%CI=0.59-0.71）,and unmarried cohabitation（OR=1.65,95%CI=1.25-2.19） were related to multiple unwanted pregnancy among them.Meanwhile,multiple sexual partners were also related to multiple unwanted pregnancy（OR=1.38,95%CI=1.00-1.90）.Conclusion：The prevalence of multiple unwanted pregnancy among unmarried women seeking an abortion is relatively high.It is necessary to promote the education on safe sex and post-abortion service among unmarried women,especially among those having the first sex earlier,having multiple sexual partners and cohabiting.