摘要
对江苏省两个地区８个村２０００名妇女３年的研究结果表明，改善计划生育服务质量前后，人工流产率有明显变化。实施干预措施前３年内，试验和对照地区妇女有人工流产史的百分率相近，分别为９．５２％ 和９．４０％ ，Ｐ＞ ０．０５；实施干预措施后３年内试验地区有过妊娠史妇女人工流产百分率仅为６．６９％ ，明显低于对照地区（１２．３３％ ），Ｐ＜ ０．０１。用综合评分法将试点服务质量按低、中、高分类，随着服务质量提高，人工流产率有明显下降趋势，分别为１．０７、０．７１和０．６２。妇女年龄、婚龄、职业、文化程度、避孕措施的类型均可影响人工流产的比例，而改善服务质量，更好地使用高效避孕方法是降低人工流产的关键。
The project is to survey 2000 married reproductive women's incidence of induced abortion between 4 experimental villages and 4 nonexperimental villages before/after intervention.Results showed that implementation program of improving quality of care has a obvious change in induced abortion incidence during the 3 years' intervention period. The results showed that women who had at least one pregnancy after intervention have the lower induced abortion rate of 6.69% in experimental villages,compared with 12.33% in control villages.However,the incidences of induced abortion in both experimental and control villages are 9.52% and 9.40% respectively before intervention (P<0.01).The difference in the abortion incidences was mainly accounted for by the difference in the incidence of pregnancies.The synthetic scores on care quality from low to high indicate that the average number of induced abortions during the intervention has decreased significantly from 1.07 to 0.71,then to 0.62 as care quality index rose.The results suggest that women's age,married age,occupation,education and the type of contraceptive methods could influence the incidence of induced abortion;it is highly important to reduce induced abortion by improving quality of care and promoting the use of high effective contraceptive methods.
出处
《生殖与避孕》
CAS
CSCD
北大核心
1999年第6期357-362,共6页
Reproduction and Contraception
基金
世界卫生组织(W HO)资助
江苏省科委资助
