论文部分内容阅读
对上海市两社区 71 0 1对于 1 987～ 1 988年初婚并于婚后 5～ 6年时已有孩子的夫妇进行 8年的前瞻性队列调查。结果显示 ,其中 9.3 % (6 6 3对 )的夫妇是于人工流产(人流 )术后开始选用避孕措施 (在本次调查的 2 52 7例产后至少有一次人流者中占2 6 .2 % )。在 6 3 3例产后完全暴露于妊娠危险状况的夫妇中 ,1 / 3的妻子因感避孕麻烦而原就准备于人流术后放环避孕。 51 .3 %的夫妇认为产后夫妇性生活少、哺乳期或未转经、月经量少不会受孕等而未于产后及时避孕。近 80 %未及时避孕的妻子于恢复性生活后 1年内受孕。56 .4 %未及时避孕的妻子均于人流术后放置环 ,其中 1 / 2的妻子认为于该时放环最有效。在产后非人流术后开始避孕的妻子中仅 8.1 %首选放环 ,从有效性出发首选放环的仅占 1 / 3。拟合双反应 L ogistic回归模型显示夫妇人口统计学 (妻子婚龄、宗教信仰、夫妇月收入 ) ,生育意愿 (婚后推迟生育时期 ) ,心理学因素 (产后妻子健康状况 ) ,妻子对人流的态度 ,夫妇的避孕知识 (特别丈夫在二访时 ) ,性生活状况等多种因素均显著影响到夫妇产后是否及时避孕。结果显示 :(1 )要加强对夫妇 ,特别是妻子 ,产后一旦恢复性生活及时避孕的教育 ;(2 )对有关人流后放环和人流术本身对妇女健康潜在危险性等开
An eight-year prospective cohort of couples in Shanghai’s two communities 71 0 1 who were married between the period 1987-1988 and who had children 5 to 6 years after marriage. The results showed that 9.3% (663 pairs) of couples started contraception after abortion (abortion) (among the 527 cases of this survey, at least one abortion accounted for 26.2% ). Among 63,33 couples who were completely exposed to the risk of pregnancy after delivery, one third of the wives were prepared to put a ring-for-loop contraception after abortion. 51.3% of couples believe that postpartum couples sex life less, breast-feeding or not transpose, less menstruation will not conceive, etc., but not timely post-partum contraception. Nearly 80% of wives who do not receive timely contraception conceive within 1 year after resuming sexual activity. Fifty-four percent of wives who did not receive timely contraception placed a ring after abortions, of which one in two wives considered the ring was the most effective. Only 8.1% of the wives who started contraception after delivery of non-abortion postoperatively preferred the release ring, with only one-third of the preferred release rings in terms of effectiveness. The fitted two-response L ogistic regression model revealed that the demographics of couples (age of marriage, religious beliefs, couple’s monthly income), fertility wishes (delayed postpartum birth), psychological factors (postpartum wife’s health status), wife’s attitudes toward people , Couple’s knowledge of contraception (special husband in the second interview), sexual life and other factors have significantly affected whether the couple timely contraception after childbirth. The results showed that: (1) to strengthen the couple, especially the wife, once the baby after birth, timely contraception of sexual life education; (2) on the flow of people after the release of ring and abortion itself potential risks to women’s health and other open