CAJ | 학술논문

目的：了解海淀区流动人口产后妇女意外妊娠情况及其影响因素。方法方便抽样选取海淀区8所社区卫生服务中心，利用调查问卷对1124例流动人口产后1～1．5年的妇女意外妊娠情况进行回顾性调查。结果产后第1年意外妊娠发生率为4．6％，经多因素分析：丈夫文化程度（OR＝0．427）、纯母乳喂养时间（相比3个月内，4～6个月：OR＝0．425；≥7个月：OR＝0．450）、人工流产或药物流产次数（相比0次，1次：OR＝9．159；≥2次：OR＝6．402）、月经恢复时间（相比4个月以内，5～8个月：OR＝0．600；≥9个月：OR＝0．267）、丈夫对避孕的态度（OR＝0．331）是产后1年内发生意外妊娠的影响因素（均 P＜0．05）。结论加强避孕节育知识的宣传，纠正人们在避孕节育思想中的错误传统观念，积极推进男性参与避孕节育的宣传活动，同时要加强宣传男性在避孕节育方面的责任感，尤其是对低学历男性。
목적：료해해정구류동인구산후부녀의외임신정황급기영향인소。방법방편추양선취해정구8소사구위생복무중심，이용조사문권대1124례류동인구산후1～1．5년적부녀의외임신정황진행회고성조사。결과산후제1년의외임신발생솔위4．6％，경다인소분석：장부문화정도（OR＝0．427）、순모유위양시간（상비3개월내，4～6개월：OR＝0．425；≥7개월：OR＝0．450）、인공유산혹약물유산차수（상비0차，1차：OR＝9．159；≥2차：OR＝6．402）、월경회복시간（상비4개월이내，5～8개월：OR＝0．600；≥9개월：OR＝0．267）、장부대피잉적태도（OR＝0．331）시산후1년내발생의외임신적영향인소（균 P＜0．05）。결론가강피잉절육지식적선전，규정인문재피잉절육사상중적착오전통관념，적겁추진남성삼여피잉절육적선전활동，동시요가강선전남성재피잉절육방면적책임감，우기시대저학력남성。
Objective To investigate the unintended pregnancy and its influencing factors of postpartum women among floating population in Haidian District of Beijing .Methods Eight community health service centers in Haidian District were randomly selected for sample inspection.Retrospective study was conducted to investigate the unintended pregnancy of 1 124 floating postpartum population 1 and 1.5 years after childbirth.Results The rate of unintended pregnancy within the first year after childbirth was 4.6%.Multivariate factor analysis indicated that the education level of husband (OR=0.427), duration of exclusive breastfeeding (compared to 3 months,4-6 months:OR=0.425;7 months and above:OR=0.450), the number of induced abortion or drug-induced abortion(compared to 0,1:OR=9.159;2 or more:OR=6.402), the menstruation recovery time(compared to 4 months,5-8 months:OR=0.600;9 months and above:OR=0.267), and husband ’ s attitude towards contraception ( OR =0.331 ) were influencing factors of unintended pregnancy within one year after childbirth (all P<0.05).Conclusion It is necessary to enhance the contraceptive knowledge , to correct traditional wrong ideas about contraception , and to promote active involving of male in birth control .Meanwhile , strengthen the responsibility of men , especially those less educated , in terms of contraception and birth control .