文章摘要
郭超,刘鸿雁,裴晓东,裴丽君.中国五城市流动育龄妇女人工流产风险因素研究[J].中华流行病学杂志,2012,33(12):1238-1242
中国五城市流动育龄妇女人工流产风险因素研究
Study on the risk factors of induced abortion among floating women of childbearing age in 5 cities of China
收稿日期:2012-06-23  出版日期:2014-09-18
DOI:10.3760/cma.j.issn.0254-6450.2012.12.009
中文关键词: 人工流产;流动育龄妇女;风险因素
英文关键词: Induced abortion;Floating women of childbearing age;Risk factors
基金项目:2010年教育部人文社会科学规划项目(10YJA840030); 中国流动人口生殖健康服务状况调查(国人口调[2005]4号)
作者单位E-mail
郭超 北京大学人口研究所世再卫生组织人口健康合作中心, 100871  
刘鸿雁 国家人口计生委中国人口与发展研究中心  
裴晓东 北京大学人口研究所世再卫生组织人口健康合作中心, 100871  
裴丽君 包头市第四医院 Peilj@pkv.edu.cn 
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中文摘要:
      目的了解流动育龄妇女人工流产现状段危险周素,为有针对性的改善流动育龄妇女人工流产服务及利用提供借鉴。方法利用2005年中同5城市流动人口生殖健康调查数据,对4687例流动育龄妇女的人口学特征、外出工作生活特征和避孕情况进行描述分析,采用多因素logistic回归模型分析人口学特征、外出工作生活特征和避孕情况与流动育龄妇女人工流产风险暴露的关联。结果<30岁和30~39岁年龄组人工流产发生风险分别是40,49岁组的2.2I倍(95CI:1.47—3J34)和2.38倍(95%CI,:1.53—3.70);受教育程度越高,其发生人工流产的风险越高,小学、初中、高中/中专及以上的流动育龄妇女发生人工流产的风险分别是未上学者的2.15倍(95%CI:1.15—4.03)、2.47倍(95%CI:1.33—4.57)、2.6I倍(95%CI:1.34—5.11)。流入地打工年数在2—4年及≥5年组人工流产发生风险分别是<2年组的2.62倍(95%C!:1,83.3.76)和7.78倍(95%CI:5.63,10.75):流动育龄妇女与配偶共同居住的人工流产风险是不与配偶共同居住者的1.49倍(95qoCI:1.05~2.11);从事家政保洁业.餐饮娱乐业和批发零售业者人工流产风险分别是从事办公室文员的5.82倍(95%C,:1.73一t9 59)、5.07倍(95%Ch l 59—16.ts)和4.37倍(95%d:1.37-13.92)。结论流动育龄妇女的人口学特征、外出工作生活特征等均可增加人工流产风险,血有针对性开展对流动育龄妇女健康教育。
英文摘要:
      Objective To understand the status of abortion and risk factors among floating women of childbearing age and to provide reference for further improvement of induced abortion services in this population.Methods Data on demography,working,and living conditions as well as the use of contraceptive among 4687 persons from a reproductive health survey regarding floating population in five cities in 2005,were involved,while multivariate logistic regression model was used to find out the relationship. Results The risks of abortion among the younger than 30 age group and the 30-39 age groups were 2.21 times (95%CI:1.47-3.34) and 2.38 times (95%CI:1.53-3.70) of the 40-49 age group,respectively.The higher education degree these women had,the higher the risk of abortion was.The risks of abortion among groups having elementary,junior high,senior high school and above,were 2.15 times (95%CI:1.15-4.03),2.47 times (95%CI:1.33-4.57) and 2.61 times (95%CI:1.34-5.11) of those illiterate women.Those having working experience of 2-4 years,5 years or above at the places where the survey was completed,the risks were 2.62 times (95%CI:1.83-3.76)and 7.78 times (95%CI:5.63-10.75) of the less than 2-year-experienced group.The abortion risk of floating women at childbearing age who were living together with their spouses was 1.49 (95%CI:1.05-2.11) times of those women who were not.Conclusion The demographic and lifestyle as well as working features of floating women at childbearing age might increase their risk of abortion.Providing health education regarding these risk factors on the floating women at childbearing age could effectively reduce and prevent the risk of abortion risk among them.
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