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目的:研究人工流产女青年的性知识掌握情况和性行为特征。方法:以自填式问卷,对年龄≤24岁,自愿要求行人工流产的女青年618名进行横断面调查。结果:女青年的避孕知识和生殖健康知识缺乏,其中部分知识点知晓情况已婚者好于未婚者,具有显著性差异(P<0.05)。41.0%的人知道性生活后立即冲洗阴道不能有效避孕,知道避孕失败可用紧急避孕作为补救方法的占52.2%, 口服避孕药和紧急避孕药服用时间回答正确的分别占9.2%和30.0%,认为使用避孕套比安全期和体外射精避孕有效的分别占56.2%和61.1%。调查对象首次性行为和首次人工流产的平均年龄分别为20.42岁和21.42岁,其中首次人工流产年龄≤19岁的占16.5%。最近3个月内性生活时有效避孕措施使用率低,均使用避孕套的仅为9.2%,29.3%使用过紧急避孕药。34.0%的女青年为多次人工流产。结论:人工流产女青年性相关知识掌握较差,有效避孕措施使用率低,首次性行为年龄小, 多次人工流产率高。应对青少年加强性教育,促进安全、有效避孕措施的使用,减少非意愿妊娠的发生。
Objective: To study the mastery of sexual knowledge and sexual behavior of induced abortion young women. METHODS: A cross-sectional survey of 618 young women aged 24 years or younger who volunteered for abortion was conducted using a self-administered questionnaire. Results: There was a lack of knowledge about contraception and reproductive health among young women. Some of them knew that married persons were better than unmarried persons, with significant difference (P <0.05). 41.0% of people know that rinsing the vagina immediately after sexual life can not be effective contraception, contraceptive failure know available emergency contraception as a remedy accounted for 52.2%, oral contraceptives and emergency contraception take the correct time were 9.2 % And 30.0%, respectively, that the use of condoms than safe and in vitro ejaculation effective contraception accounted for 56.2% and 61.1%. The average age of the first sexual behavior and the first abortion were 20.42 years and 21.42 years respectively, of whom the first abortion ≤19 years accounted for 16.5%. In the last 3 months, the effective use of contraceptives in sexual life was low, using only 9.2% of condoms and 29.3% of emergency contraceptives. 34.0% of young women were repeatedly induced abortion. CONCLUSION: The abortion knowledge of young women with abortion is poor, the effective contraceptive use rate is low, the first sexual behavior is young, and the rate of induced abortion is high. We should strengthen sexual education for young people, promote the use of safe and effective contraception, and reduce the incidence of unwanted pregnancies.