文章摘要
许洁霜,黄咏梅,程利南.上海市未婚青少年重复人工流产影响因素分析[J].中华流行病学杂志,2007,28(8):742-745
上海市未婚青少年重复人工流产影响因素分析
Factors in relation to repeated abortions among unmarried young people in Shanghai
投稿时间:2007-01-18  修订日期:2007-08-10
DOI:
中文关键词: 人工流产;重复;青少年;知情选择
英文关键词: Repeated abortion;Young people;Informed choice
基金项目:上海市人口和计划生育委员会局管基金资助项目(05JG05008)
作者单位
许洁霜 上海市计划生育技术指导所,中国福利会国际和平妇幼保健院, 200030 
黄咏梅 上海市计划生育技术指导所,中国福利会国际和平妇幼保健院, 200030 
程利南 上海市计划生育技术指导所,中国福利会国际和平妇幼保健院, 200030 
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中文摘要:
      目的 调查上海市未婚青少年重复人工流产的影响因素.方法 采用横断面研究,对上海市10家医院门诊终止早期意外妊娠的≤24 周岁未婚女性进行匿名问卷调查,并分析资料.结果 2343名对象填写了完整问卷,重复人工流产率为38.5%,1年内重复人工流产率为23.5%,高危手术因素为40.2%.年龄>19岁、无职业、文化程度偏低、男朋友年龄偏大以及未婚同居的对象重复流产的危险性高(OR>1).流产后未更换男朋友及近1年内无任何避孕措施的对象1年内重复流产的危险性高(OR>1).结论 人工流产后没有落实可靠避孕措施是再次意外妊娠的主要原因,无职业、文化程度低的社会弱势群体,同时男朋友年龄较大、未婚同居者,应成为干预的重点人群;鼓励男性参与和落实可靠避孕措施应成为干预的重点措施;流产后1年内应成为干预的重点阶段.
英文摘要:
      Objective To study the factors related to repeated abortions among unmarried young people,and to standardize the services as informed choice counseling and post abortion,and to reduce the repeated abortion rate.Methods A cross-sectional survey using anonymous questionnaire was conducted among unmarried young women who requested termination of early pregnancy in 10 hospitals in Shanghai. Results 2343 subjects responded to the questionnaires.Results showed that the repeated abortion rate was 38.5 %,repeated abortion rate within 1 year was 23.5 %,and the high risk factors of abortion accounted for 40.2 %.Subjects who were older than 19,unemployed,with poor education background,cohabitating and boyfriends being elder were more likely to have repeated abortions(OR1).Subjects who did not change boyfriend or use no contraception were more likely to have repeated abortions 1 year after abortion (OR1).Conclusion No reliable contraception used after abortion seemed to be the main reason for repeated unwanted pregnancy.Being socially disadvantaged women such as unemployed or with poor education background,meanwhile cohabitating with boyfriends or boyfriends being elder etc.they should be viewed as the key population for intervention.Male involvement and reliable contraceptive methods use among young people should be emphasized as key steps for intervention.1 year after abortion fell into the key period for intervention.Reinforcement on factors including:training for service providers to improve their skills,setting up standard technical process and monitoring systems to carry out the basic principle of‘Informed Choice’,and widely launching post-coital contraception programs including emergency contraception,luteal phase contraception and menstrual induction should be stressed.
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