中国五城市流动育龄妇女人工流产风险因素研究

郭超; 刘鸿雁; 裴晓东; 裴丽君

Abstract

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].Chinese journal of Epidemiology,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

Received:June 23, 2012 Revised:June 23, 2012

DOI：10.3760/cma.j.issn.0254-6450.2012.12.009

KeyWord: 人工流产流动育龄妇女风险因素

English Key Word: Induced abortion Floating women of childbearing age Risk factors

FundProject: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)

Author Name	Affiliation	E-mail
GUO Chao	institute of Populattioa Research WHO collaborating Center on Reproductive Health and Population Science, peking Univwesity Beijing 100871.China
LIU Hong-yan	Population and Development Research Center , National Population and Family Planning Commission of China
PEI Xiao-dong	institute of Populattioa Research WHO collaborating Center on Reproductive Health and Population Science, peking Univwesity Beijing 100871.China
PEI Li-jun	The Fourth Hospital of Baotou, inner Mongolia	Peilj@pkv.edu.cn

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Abstract:

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。

English Abstract:

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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