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目的了解农村已婚育龄妇女人工流产状况及其影响因素,为采取相应的干预措施提供依据。方法采用多阶段整群抽样方法抽取河北省农村年龄≤49周岁已婚育龄妇女920人,采用自制调查表进行面对面人工流产状况调查,应用多因素logistic回归模型分析已婚育龄妇女人工流产的影响因素。结果调查的920人中,36.3%至少做过1次人工流产,做过≥2次人流的女性占14.9%;人工流产的主要原因为违反计划生育政策和避孕失败造成意外怀孕,占75.7%;人工流产的手术地点大多选择乡镇卫生院、县以上综合医院及妇幼保健院和计生服务站,分别占32.6%、19.2%、16.5%和15.3%,另有10.8%选择村医务室,5.7%选择私人诊所;调查人工流产是否对妇女身心健康有影响时,95.0%认为有影响,5.0%认为无影响;多因素logistic回归分析结果表明,文化程度及家庭年收入越高、怀孕次数越少、采取避孕方法则人工流产率越低。结论加强育龄妇女计划生育政策、避孕知识教育,促进避孕措施的普及,可降低农村育龄妇女的人工流产率。
Objective To understand the status of induced abortion and its influencing factors in rural married women of childbearing age and provide the basis for taking corresponding intervention measures. Methods The multistage cluster sampling method was used to select 920 married women of childbearing age in rural areas of Hebei province aged 49 or younger. The self-made questionnaire was used to investigate the status of face-to-face induced abortion. Multivariate logistic regression model was used to analyze the influencing factors of induced abortion . Results Of the 920 people surveyed, 36.3% had at least one abortion and 14.9% had done ≥2 abortions. The main reasons for abortion were unplanned pregnancies (75.7%) in violation of the family planning policy and contraceptive failure. Most of the surgical sites for induced abortion are township hospitals, general hospitals at county level, maternity and child health centers and family planning service stations, accounting for 32.6%, 19.2%, 16.5% and 15.3% respectively, and 10.8% selecting village clinics and 5.7% Private clinics; investigate whether abortion affects women’s physical and mental health, 95.0% think it has an impact, 5.0% think it has no effect; multivariate logistic regression analysis showed that the education level and the family annual income is higher, the less the number of pregnancies, Contraceptive methods, the lower the rate of induced abortion. Conclusion Strengthening the family planning policy of women of childbearing age, contraceptive knowledge education and promoting the popularization of contraceptive measures can reduce the rate of induced abortion in rural women of childbearing age.