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目的:了解上海市人工流产妇女的避孕节育现状,探讨人工流产对象避孕节育措施使用的影响因素。方法:2013年8月—10月在上海市4家医院对寻求人工流产服务的1 261例妇女进行匿名电子问卷调查。结果:近60%的流产对象为29岁及以下的妇女,未婚对象占32.6%;50%以上的对象属于重复流产。未婚者中未避孕的比例(48.0%)高于已婚者(33.9%),而避孕失败的比例(38.6%)低于已婚者(47.8%)。Logistic回归分析显示,已婚人工流产对象中,年龄较小者、性生活频率低者更倾向于不采取避孕措施;年轻、未婚、收入较高、有人工流产史者更倾向于使用紧急避孕药。结论:上海市人工流产妇女年龄构成年轻化,重复流产比例较高;采取避孕措施比例低与避孕失败比例高是非意愿妊娠的主要原因;人工流产对象避孕意识淡薄和避孕节育知识匮乏;应加强流产后保健服务和避孕措施尤其是紧急避孕药的使用方法指导。
Objective: To understand the status of contraception in Shanghai induced abortion women and to explore the influencing factors of the use of contraception in abortion. METHODS: Anonymous electronic questionnaires were conducted among 1,261 women seeking abortion services at four hospitals in Shanghai from August to October 2013. Results: Nearly 60% of the abortion subjects were women aged 29 and under, with unmarried subjects accounting for 32.6%; more than 50% of the abortion subjects were repeat abortion. The proportion of unmarried persons without contraception (48.0%) was higher than that of married persons (33.9%), while the contraceptive failure rate (38.6%) was lower than that of married persons (47.8%). Logistic regression analysis showed that among the married abortion subjects, the younger ones and the lower frequency of sexual life tended to not take the contraceptive measures. The young, unmarried and higher-paid people who had the history of artificial abortion tended to use emergency contraception . Conclusion: The age of induced abortion in Shanghai is relatively young with a high proportion of repeat abortion. The low proportion of contraceptives and the high proportion of contraceptive failure are the main causes of unwanted pregnancies. The abortion awareness of abortion is low and the knowledge of contraception is limited. Abortion should be strengthened Post-care services and methods of contraception, especially emergency contraception.