Objective: To study the acceptability of the medical abortion and its related factors. Methods: A questionnaire survey was conducted on 1,342 women who sought an abortion selected by stratified cluster random sampling from hospitals and family planning service stations. 1305 of those who provided valid responses were divided into 2 groups according their choices; 331 women in medical abortion (MA) group, and 974 women in surgical abortion (SA) group. Visual analog scale was used to evaluate the acceptability of the medical abortion. Results; 98. 5% of respondents in the MA group were at 20 -39 years of age, a significantly higher percentage than that of the SA group. The education level and social - economic conditions were significantly higher in MA group than in SA group. Age and education level were the influencing factors of abortion choice. The information on abortion from the medical personnel and the health providers had a negative effect on the choice of MA. For 108 participants with a history of both medical and surgical abortions ( there was no significant difference in the satisfaction with these 2 methods. Conclusions: Medical abortion was more acceptable in the patients who are better educated. There was no significant difference in the acceptability of the two ahortion methods in trie abortion clients. The medical personnel and the health providers are usually dominant in choosing the abortion method.%目的:了解药物流产可接受性及其影响因素.方法:采用分层整群随机抽样方法,在三级医院、二级医院、计划生育服务站共调查要求人工流产的妇女1 342人,有效问卷1 305份,以药物流产组331人作为观察组,手术流产组974人作为对照组进行分析.采用视觉模拟表格做可接受性的评估.结果:药物流产组20～ 39岁年龄比例(98.5％)高于手术流产组,大专及以上学历(60.4％)、月收入＞3000元者(38.1％)、管理营销和自由职业(76.4％)均高于手术流产组.多因素分析显示年龄、文化程度是流产方式选择的影响因素.医护人员和乡(村)计生人员等渠道获取流产知识不利于药物流产的选择.对既有药物流产史又有手术流产史的108人进行分析,结果显示该人群对两种流产方式的满意度无差异.结论:药物流产更易被教育水平高的人群接受,有人工流产经历的妇女对药物流产的可接受性与手术流产相似,应尊重妇女流产方式的知情选择,更好地开展流产后计划生育服务.
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