中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
3期
291-295
,共5页
邹宇量%廖四兰%杨华%陈如程%黄丹钦%李十月%燕虹
鄒宇量%廖四蘭%楊華%陳如程%黃丹欽%李十月%燕虹
추우량%료사란%양화%진여정%황단흠%리십월%연홍
意外妊娠%已婚育龄妇女%年龄队列
意外妊娠%已婚育齡婦女%年齡隊列
의외임신%이혼육령부녀%년령대렬
Unintended pregnancy%Married women of child-bearing age%Age cohort
目的 探索武汉市青山区不同年龄队列已婚育龄妇女意外妊娠发生状况及影响因素.方法 采用横断面调查,于2010年3月以整群抽样抽取青山区18～49岁已婚育龄妇女3256人,应用自编调查表调查意外妊娠史及有关影响因素.结果 3256人中,53.8％报告有意外妊娠史,9.1％报告过去一年有意外妊娠,3个年龄队列(18～30岁、31～40岁和41～49岁)报告过去一年意外妊娠史的比例依次为31.8％、10.5％和1.8％.3个年龄队列均报告最近一次妊娠的主要原因是“没有采取避孕措施”(报告比例分别为69.7％、51.1％和42.4％)；其次是“传统避孕法失败”(18～30岁为13.0％)和“环脱落或带环怀孕”(31～ 40岁为23.4％,41 ～49岁为37.0％).各年龄组队列报告“没有采取避孕措施”的主要原因是“存在侥幸心理”(59.6％).年龄大、初婚年龄小、初次性交年龄小是已婚育龄妇女意外妊娠发生相关危险因素.结论 青山区已婚育龄妇女报告意外妊娠者的比例较高.生育健康服务和干预应区别对待不同年龄队列的已婚育龄妇女,尤其重点关注年轻的妇女.
目的 探索武漢市青山區不同年齡隊列已婚育齡婦女意外妊娠髮生狀況及影響因素.方法 採用橫斷麵調查,于2010年3月以整群抽樣抽取青山區18～49歲已婚育齡婦女3256人,應用自編調查錶調查意外妊娠史及有關影響因素.結果 3256人中,53.8％報告有意外妊娠史,9.1％報告過去一年有意外妊娠,3箇年齡隊列(18～30歲、31～40歲和41～49歲)報告過去一年意外妊娠史的比例依次為31.8％、10.5％和1.8％.3箇年齡隊列均報告最近一次妊娠的主要原因是“沒有採取避孕措施”(報告比例分彆為69.7％、51.1％和42.4％)；其次是“傳統避孕法失敗”(18～30歲為13.0％)和“環脫落或帶環懷孕”(31～ 40歲為23.4％,41 ～49歲為37.0％).各年齡組隊列報告“沒有採取避孕措施”的主要原因是“存在僥倖心理”(59.6％).年齡大、初婚年齡小、初次性交年齡小是已婚育齡婦女意外妊娠髮生相關危險因素.結論 青山區已婚育齡婦女報告意外妊娠者的比例較高.生育健康服務和榦預應區彆對待不同年齡隊列的已婚育齡婦女,尤其重點關註年輕的婦女.
목적 탐색무한시청산구불동년령대렬이혼육령부녀의외임신발생상황급영향인소.방법 채용횡단면조사,우2010년3월이정군추양추취청산구18～49세이혼육령부녀3256인,응용자편조사표조사의외임신사급유관영향인소.결과 3256인중,53.8％보고유의외임신사,9.1％보고과거일년유의외임신,3개년령대렬(18～30세、31～40세화41～49세)보고과거일년의외임신사적비례의차위31.8％、10.5％화1.8％.3개년령대렬균보고최근일차임신적주요원인시“몰유채취피잉조시”(보고비례분별위69.7％、51.1％화42.4％)；기차시“전통피잉법실패”(18～30세위13.0％)화“배탈락혹대배부잉”(31～ 40세위23.4％,41 ～49세위37.0％).각년령조대렬보고“몰유채취피잉조시”적주요원인시“존재요행심리”(59.6％).년령대、초혼년령소、초차성교년령소시이혼육령부녀의외임신발생상관위험인소.결론 청산구이혼육령부녀보고의외임신자적비례교고.생육건강복무화간예응구별대대불동년령대렬적이혼육령부녀,우기중점관주년경적부녀.
Objective To investigate the prevalence of unintended pregnancy (UP) and exploring the risk factors of UP for married women of child-bearing age from Qingshan district,Wuhan.Methods A cross-sectional study was adopted in this study.Cluster sampling method was used with 3256 women recruited,in 2010.Information on history and risks related to social-demographic factors of UP were collected,using a self-administered questionnaire.Results Of the 3256 participants,over half of them (53.8％) reorted ever having had the history of UP and 9.1％ reported UP in the past year.Rate of UP in the past year for different age cohorts (18-30,31-40,41-49 years) were 31.8％,10.5％ and 1.8％ respectively.The most frequently reported reason for UP across all the age cohorts was "Did not use any contraceptive methods",with proportions on the reason that reported by women at 18-30,31-40 and 41-49 year-olds,were 69.7％,51.1％ and 42.4％ respectively.The second frequently reported reasons for UP were "Failure of traditional contraception" for younger cohort ( 18-30 years:13.0％ ) and "IUD dropped or pregnancy with IUD" for older-age cohorts (23.4％ at 31-40 year-olds and 37.0％ at the 41-49 year-oplds).The most frequently cited reason for "Did not use any contraceptive methods" was "Believe we were lucky so far,not to get pregnant" (59.6％).The risk factors of UP were being at older age,experiencing sex debut at younger age and got married at younger age.Conclusion The prevalence of lifetime UP history was high among women at child-bearing age from Qingshan district,Wuhan.Reproductive health services and interventions should be taken according to the needs from different age cohorts of women.Younger cohort of women should receive more attention.
