乌鲁木齐市流动育龄妇女的人工流产情况和影响因素研究

摘要

Objective To understand the status of induced abortion (IA)and influencing factors among floating women of childbearing age in Urumchi. Methods Stratified-cluster-random sampling was used to recruit subjects aged from 18 to 50 years old in communities of six urban districts and one rural county.The questionnaire included demography characteristics,marriage and induced abortion history. Results A total of 106 568 female migrants were enrolled in this study.The proportion of IA was 16.2%.IA rates were different in terms of age,race,education,occupation,income, marriage status,sexual life age group,contraceptive method use and parity.The risk of IA among women who had sexual life after 30 years old was lower (OR=0.83,95% CI:0.80-0.86),but it was higher among those who did not use contraceptive methods (OR=1.21,95% CI:1.16-1.26)or those who were remarried (OR=1.55,95%CI:1.38-1.75 ). Conclusion Information,education and communication about contraception and post abortion care should be strengthened among floating women of childbearing age,with special emphasis on those who are remarried or do not use contraceptive methods.%目的：了解乌鲁木齐市流动育龄妇女的人工流产情况及影响因素。方法采取分层-整群-随机抽样的方法，在乌鲁木齐市六区一县流动人口较集中的社区对18～50岁的流动育龄妇女进行问卷调查，内容包括人口学特征、婚育史、人工流产情况。采用卡方检验和Logistic回归方法进行分析。结果共回收合格的问卷106568例，既往人工流产占16.2％。既往发生流产的次数和民族、年龄、学历、职业、月收入、婚姻状况、首次性生活年龄、目前未避孕措施和产次均有关。多因素Logistic回归分析表明，首次性生活年龄30岁及以上者人工流产的风险降低（OR＝0.83，95％ CI：0.80～0.86）；未避孕（OR＝1.21，95％CI：1.16～1.26）或再婚（OR＝1.55，95％CI：1.38～1.75）者人工流产的风险升高。结论应加强对流动育龄妇女的避孕方法宣教、指导及流产后服务，特别是对未婚或再婚、未避孕的对象，应加大服务的强度。