| 程怡民,王潇滟,吕岩红,蔡雅梅,李颖,郭欣,黄娜,徐晓,许俊才,Francoice.三城市未婚青少年重复人工流产影响因素研究[J].Chinese journal of Epidemiology,2006,27(8):669-672 |
| 三城市未婚青少年重复人工流产影响因素研究 |
| Study on the risk factors of repeated abortion among unmarried adolescents |
| Received:March 06, 2006 |
| DOI： |
| KeyWord: 人工流产 影响因素 未婚妇女 |
| English Key Word: Repeated induced abortion Ri,k factor .Adole,cent reproductive health |
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| Abstract: |
| 目的了解青少年人工流产者中重复人工流产发生的比例及影响因素。方法从2005年7-9月,采用以医院为基础的描述性流行病学研究方法,在北京、上海和郑州市的27所医院,共调查了2295名<25岁未婚人工流产妇女。在分析时,把其中有重复人工流产的736人作为病例组,把以前无流产史的1559人作为对照组。结果应答者平均年龄为21．92岁,最小为15．25岁。20岁以下占17．2％。重复人工流产发生比例为32．1％。在736名重复人工流产者中,以前有1次流产者占75．3％,2次者占18．1％,3次者占4．2％,4次者有13人,5次者有4人,最高是8次(1人)。与对照组相比,在重复人工流产组中,初次同房<18岁的比例较高(16．2％:9．4％,P<0 01),暴露于性生活已3年及以上的比例较高(33．6％:6．6％,P<0．01),已同居1年以上的比例较高(64．6％:23．9％, P<0．01),有规律性生活的比例较高(48．5％:37．1％,P<0．05),多性伴的比例较高(36．0％: 15．0％,P<0．01),被迫发生性行为的比例较高(6．0％:3．9％,P<0 05),本次怀孕是避孕失败所致的比例较高(39．3％:31．6％,P<0．01)和有高危流产史的比例较高(30．8％:3．1％,P<0．01)。与对照组比,重复人工流产组在男性不支持流产,男性不参与决定及男性没有陪伴来做流产方面都有较高的比例,分别为(10．3％:5．9％,P<0．01;30．3％:24．0％及27．5％:23．5％,P<0．01)。结论未婚重复人工流产比例较高,影响重复人工流产的因素主要有:初次同房年龄小、暴露于性生活的期限长、同居、规律性生活以及多性伴、被迫性行为、避孕失败和高危流产。重复流产与男性因素有关。 |
| English Abstract: |
| Objective To find out the rate of repeated induced abortion among unmarried abortion women and to study the relevant risk factors.Methods From July to September 2005，we used the method of hospital based descriptive epidemiological study to investigate 2295 abortion women below 25 years of age in Beijing, Shanghai and Zhengzhou. Case-control study was used as the method. We considered the women with history of repeated abortion as case group(736 women) and considered the women without history of repeated abortion as control group(1559 women).Results The mean age of respondents was 21.92 years with minimal age as 15 years. 17.2%aborted women aged below 20 years wirh 32. 1%of them were ever having a history of previous induced abortion. Among 736 women with repeated abortion, 75.3% of them had one time of induced abortion previously, 18. 1%having two times, 4.20} having 3 times, 13 women having 4 times and 4 women having 5 times and one even with the maximum of having 8 times of previous abortion. In comparison with control group, the case group had higher rate among women whose first sex was below 18 years(16.2 0}。、.9.4%，P<0.O1).There were higher rates of women under following conditions: having exposed to sexual behavior for more than 3 years (33.6% vs.6.6%，P<0.01)，having cohabited with male partner for over 1 year (64.6%v}.23，9 }0， P<0.O1)，having regular sexual life (48.5%vs.37.1%，P<0.05)，having multiple sexual partners (36.0%vs.15.0%，P< 0.01)having unwanted sex ( 6. 0%。.3.9%，P< 0.05)，whose current pregnancy resulted from contraceptive failure (39.3%:，.31‘6%，P<0.01)，having a history of high- risk abortion (30.8%二、.3.1%，P<0.01)etc. In comparison with the control group, the case group showed higher rates of male partners not supporting this induced abortion, male partner not participating in decision-making on abortion and male partner not accompanying the female partners to seek for abortion service(rates of the three major factor, in case group and in control group were 10. 3%vs.5.9%，P< 0. 01, 30. 3 0}}:，、2d.0%，and 27.5%:、.23.5%，P< 0.01，respectively).Conclusion The rate of repeated induced abortion among unmarried abortion women was relatively high. The risk factors for females would include: younger age of sex debut, longer duration from the beginning of first sex to the current abortion, cohabitation，regular sexual life, multiple sexual partners, unwanted sex, contraceptive failure and high risk induced abortion.Meanwhile, unmarried but repeated abortion was related to the differences of gender between males and females and male partner', concern on induced abartion |
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