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目的了解广州市萝岗区常住人口已婚育龄妇女节育措施的现状,为减少避孕失败的伤害提供科学的依据。方法于2013年9月~2014年6月在广州市萝岗区的九佛居委、镇龙居委、萝岗街居委的计划生育服务所,采用自行设计的调查问卷,随机抽查了1 091例受访者,在自愿的情况下进行自填式问卷调查。结果不同组别的已婚妇女采用的避孕方式存在统计学差异(P<0.05)。Logistic分析显示:在以年龄分组中,20~25岁组出现的意外怀孕几率最高(OR=0.720,95%CI:0.427~1.213);在以职业分组中,农民组(OR=1.827,95%CI:1.164~2.869)和普通工人组(OR=1.796,95%CI:1.172~2.752)出现了更高的意外怀孕风险。按对可靠避孕知识掌握程度分组,避孕知识掌握程度越好的组别出现意外怀孕风险越低(OR=1.606,95%CI:1.148~2.248),各组间存在统计学的差异(P<0.05)。结论萝岗区的已婚育龄妇女对避孕知识掌握度越低、年龄越年轻、从事务农、普通工人职业的人员出现意外怀孕的几率越大,这一类人的文化知识水平相对较低,萝岗区已婚妇女仍需要避孕知识和生殖健康知识的健康教育,更需要一个系统化、规范化、有效的健康教育模式。
Objective To understand the status of birth control measures among married women of childbearing age who live in Luogang District, Guangzhou City, and to provide a scientific basis for reducing the harm of contraception failure. Methods From September 2013 to June 2014, the family planning service of JiuFu JuWei, ZhenLong JuWei and Luogang Street neighborhood committee in Luogang District of Guangzhou City adopted a questionnaire designed by themselves and randomly selected 1 Of the 091 respondents, self-administered questionnaires were conducted on a voluntary basis. Results There were significant differences in contraceptive methods among married women of different groups (P <0.05). Logistic analysis showed that in the age group, the incidence of unplanned pregnancies in the age group of 20-25 years was the highest (OR = 0.720, 95% CI: 0.427-1.213); in the occupational group, the farmer group (OR = 1.827, 95% CI: 1.164-2.869) and general workers (OR = 1.796, 95% CI: 1.172-2.752) showed a higher risk of unwanted pregnancies. The risk of unintended pregnancies was lower in groups with a better grasp of contraceptive knowledge (OR = 1.606, 95% CI: 1.148-2.258), with statistically significant differences among groups (P <0.05 ). Conclusion The lower the mastery of contraceptive knowledge, the younger the age of married women of childbearing age in Luogang District, the greater the probability of unintended pregnancy among those engaged in agriculture and general workers’ occupations. The cultural knowledge level of such people is relatively low. Married women in post district still need health education on contraception knowledge and reproductive health knowledge, but also need a systematic, standardized and effective health education model.