武汉市青山区已婚育龄妇女意外妊娠状况调查

邹宇量; 廖四兰; 杨华; 陈如程; 黄丹钦; 李十月; 燕虹

Abstract

邹宇量,廖四兰,杨华,陈如程,黄丹钦,李十月,燕虹.武汉市青山区已婚育龄妇女意外妊娠状况调查[J].Chinese journal of Epidemiology,2012,33(3):291-295

武汉市青山区已婚育龄妇女意外妊娠状况调查

Study on the unintended pregnancy among married women of child-bearing age living in Qingshan district, Wuhan

Received:September 16, 2011

DOI：

KeyWord: 意外妊娠已婚育龄妇女年龄队列

English Key Word: Unintended pregnancy Married women of child-bearing age Age cohort

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Author Name	Affiliation	E-mail
ZOU Yu-liang	Department of Epidemiology and Health Statistics, School of Public Health of Wuhan University, Wuhan 430071, China
LIAO Si-lan	Population and Family Planning Service Sation of Hongshan District
YANG Hua	Population and Family Planning Service Station of Qingshan District
CHEN Ru-cheng	Department of Epidemiology and Health Statistics, School of Public Health of Wuhan University, Wuhan 430071, China
HUANG Dan-qin	Department of Epidemiology and Health Statistics, School of Public Health of Wuhan University, Wuhan 430071, China
LI Shi-yue	Department of Epidemiology and Health Statistics, School of Public Health of Wuhan University, Wuhan 430071, China
YAN Hong	Department of Epidemiology and Health Statistics, School of Public Health of Wuhan University, Wuhan 430071, China	Email: yanhmj@yahoo.cn

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Abstract:

目的探索武汉市青山区不同年龄队列已婚育龄妇女意外妊娠发生状况及影响因素.方法采用横断面调查,于2010年3月以整群抽样抽取青山区18～49岁已婚育龄妇女3256人,应用自编调查表调查意外妊娠史及有关影响因素.结果 3256人中,53.8％报告有意外妊娠史,9.1％报告过去一年有意外妊娠,3个年龄队列(18～30岁、31～40岁和41～49岁)报告过去一年意外妊娠史的比例依次为31.8％、10.5％和1.8％.3个年龄队列均报告最近一次妊娠的主要原因是“没有采取避孕措施”(报告比例分别为69.7％、51.1％和42.4％)；其次是“传统避孕法失败”(18～30岁为13.0％)和“环脱落或带环怀孕”(31～ 40岁为23.4％,41 ～49岁为37.0％).各年龄组队列报告“没有采取避孕措施”的主要原因是“存在侥幸心理”(59.6％).年龄大、初婚年龄小、初次性交年龄小是已婚育龄妇女意外妊娠发生相关危险因素.结论青山区已婚育龄妇女报告意外妊娠者的比例较高.生育健康服务和干预应区别对待不同年龄队列的已婚育龄妇女,尤其重点关注年轻的妇女.

English Abstract:

Objective To investigate the prevalence of unintended pregnancy (UP) and exploring the risk factors of UP for married women of child-bearing age from Qingshan district,Wuhan.Methods A cross-sectional study was adopted in this study.Cluster sampling method was used with 3256 women recruited,in 2010.Information on history and risks related to social-demographic factors of UP were collected,using a self-administered questionnaire.Results Of the 3256 participants,over half of them (53.8％) reorted ever having had the history of UP and 9.1％ reported UP in the past year.Rate of UP in the past year for different age cohorts (18-30,31-40,41-49 years) were 31.8％,10.5％ and 1.8％ respectively.The most frequently reported reason for UP across all the age cohorts was "Did not use any contraceptive methods",with proportions on the reason that reported by women at 18-30,31-40 and 41-49 year-olds,were 69.7％,51.1％ and 42.4％ respectively.The second frequently reported reasons for UP were "Failure of traditional contraception" for younger cohort ( 18-30 years:13.0％ ) and "IUD dropped or pregnancy with IUD" for older-age cohorts (23.4％ at 31-40 year-olds and 37.0％ at the 41-49 year-oplds).The most frequently cited reason for "Did not use any contraceptive methods" was "Believe we were lucky so far,not to get pregnant" (59.6％).The risk factors of UP were being at older age,experiencing sex debut at younger age and got married at younger age.Conclusion The prevalence of lifetime UP history was high among women at child-bearing age from Qingshan district,Wuhan.Reproductive health services and interventions should be taken according to the needs from different age cohorts of women.Younger cohort of women should receive more attention.?

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