未婚女青年人工流产现状分析

摘要

目的了解未婚女青年人工流产现状，为未婚女青年生殖健康保健提供依据。方法对2012年1至12月在西安市中心医院妇产科门诊和西安交通大学医学院第一附属医院妇产科门诊行人工流产和药物流产（以下统称为人工流产）的未婚女青年进行问卷调查，以既往有过至少1次人工流产史定义为重复人工流产（研究组），本次为第1次人工流产者为对照组，比较两组的社会人口学、性行为、人工流产原因等方面的差异。结果本次为第1次人工流产者（对照组）121例（36．01％），重复人工流产者（研究组）215例（63．99％）。研究组平均年龄低于对照组（t＝2．80，P＜0．05），且在校学生及外来务工者比例高、文化程度偏低、首次性行为年龄小、多个性伴比例高，经比较有显著性差异（χ2值分别为18．22、12．60、21．57、7．44，均P＜0．05）。结论重复人工流产者性生活开始较早，在校学生和外来务工人员比例较高，学历偏低，多性伴比例较高。因此建议开展流产后避孕咨询服务，促进未婚女青年的生殖健康。%Objective To understand the current status of induced abortion among unmarried young women , so as to provide basis for reproductive health care for them .Methods From January to December 2012, questionnaire survey was conducted among unmarried young women undergoing artificial abortion and drug abortion ( here in after referred to as induced abortion ) both in obstetrics and gynecology clinics of Central Hospital of Xi'an City and First Affiliated Hospital of Medical College of Xi'an Jiaotong University .Patients who had at least one history of induced abortion were defined in the group with repeated abortion ( study group) , and those having the only induced abortion was recruited in control group .The differences in social demography , sexual behaviors , and reasons for induced abortion were compared between two groups .Results There were 121 cases(36.01%) in the control group and 215 cases(63.99%) in the study group.The average age of the study group was smaller than that of the control group (t=2.80,P<0.05).Compared with the control group, the study group had the characteristics of high proportion of students and migrant workers , low educational level , small age of first sexual behavior and high proportion of multiple sex partners .There were significant differences between two groups (χ2 value was 18.22, 12.60, 21.57 and 7.44, respectively, all P<0.05).Conclusion Early sexual life, high proportion of students and migrant workers , low educational level and high proportion of multiple sexual partners are found in patients with repeated induced abortion .Therefore, post-abortion service is suggested to be provided so as to promote the reproductive health of unmarried young women .