摘要
目的了解农村已婚育龄妇女人工流产状况及其影响因素,为采取相应的干预措施提供依据。方法采用多阶段整群抽样方法抽取河北省农村年龄≤49周岁已婚育龄妇女920人,采用自制调查表进行面对面人工流产状况调查,应用多因素logistic回归模型分析已婚育龄妇女人工流产的影响因素。结果调查的920人中,36.3%至少做过1次人工流产,做过≥2次人流的女性占14.9%;人工流产的主要原因为违反计划生育政策和避孕失败造成意外怀孕,占75.7%;人工流产的手术地点大多选择乡镇卫生院、县以上综合医院及妇幼保健院和计生服务站,分别占32.6%、19.2%、16.5%和15.3%,另有10.8%选择村医务室,5.7%选择私人诊所;调查人工流产是否对妇女身心健康有影响时,95.0%认为有影响,5.0%认为无影响;多因素logistic回归分析结果表明,文化程度及家庭年收入越高、怀孕次数越少、采取避孕方法则人工流产率越低。结论加强育龄妇女计划生育政策、避孕知识教育,促进避孕措施的普及,可降低农村育龄妇女的人工流产率。
Objective To explore current situation of artificial abortion and its influential factors among rural married reproductive women for making specific intervention strategies.Methods Using multi-stage cluster sampling method,920 married reproductive women under the age of 49 years were recruited in rural areas of Hebei province and their artificial abortion status was investigated with a self-made questionnaire by face-to-face interview.Logistic regression model was used for multiple factor analysis.Results There were 36.3%（334/920）of the women reporting at least one artificial abortion,with 14.9% reporting 2 or more artificial abortions.The main reasons for the artificial abortion were violating family planning policy and contraceptive failure causing accidental pregnancy（76%）in total.The main places of the abortion operations were township hospital（32.6%）,general hospital at or above county level（19.2%）,maternal and child health hospital（16.5%）,and family planning service centre（15.3%）.In addition,10.8% of the women with artificial abortion chose village clinics and 5.7% chose private clinics.There were about 95.0% of the women surveyed considering adverse effects of artificial abortion on women＇s health.Multivariate logistic regression analyses showed that the women with high education level,high annual family income,few pregnant times,and contraceptive measure had low rate of artificial abortion.Conclusion Education on family planning policy,contraception knowledge,and contraceptive measures need to be promoted to reduce abortion rate among rural married reproductive women.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2013年第10期1521-1523,共3页
Chinese Journal of Public Health
基金
河北省人口和计划生育委员会科技研究计划项目(2013-A17)
关键词
农村
已婚育龄妇女
人工流产
影响因素
rural area
married reproductive women
artificial abortion
infuencing factor
