人工流产的流行病学特征及影响因素研究.pdfVIP

中国全科医学2004 年 12 月第 7 卷第 24 期 18·21 · ·论著· 人工流产的流行病学特征及影响因素研究 杜玉开 　方为民 　贾桂珍 　　【摘要】　目的 　探讨人工流产的流行病学特征及其主要影响因素 , 为制定降低人群人工流产率的有效措施提供 理论依据。方法 　采用多阶段抽样方法在武汉市抽取两个区的 20～49 岁的已婚妇女 854 人 , 并选用非条件Logistic 回归 方法分析人工流产的影响因素。结果 　4930 %的妇女有过 1 次及以上人工流产史 , 年龄集中在 21～34 岁 ; 职业、避孕 知识掌握程度、生育孩子性别和生育调节咨询服务为人工流产的影响因素。结论 　人工流产率水平较高 , 且年龄趋向 年轻 , 因此加强生殖健康教育, 控制或降低人工流产率势在必行。 　　【关键词】　人工流产 　　流行病学特征 　　影响因素 　　【中图分类号】　R 719 　　【文献标识码】　A Epidemiological Characteristics and Influential Factors of Induced Abortion 　D U Yu - kai , FAN G Wei - min , J IA Gui - z hen. Tongj i Medical College , Huaz hong University of Science and Technology , Wuhan 430030 , China 　　 【Abstract 】　Objective 　To explore epidemiological characteristic and main influential factors of induced abortion in order to pro vide theoretical basis for effective measure to decrease induced abortion rate. Methods 　Multistage random sampling and strict quality con trolling are applied during the process of the research. The actual sample size is 854 married women of 20 ～49 ages from two districts of Wuhan city. Logistic regression is applied to analyze the factors influencing abortion. Results 　Nearly half (4930 %) of the respondents experienced at least one induced abortion. The age of induced abortion was from 21 to 34 years old. The influential factors of induced abortion are occupation , contraceptive knowledge , child gender and accessibility of counseling services of fertility regulation. Conclusion 　The study showed that the rate of induced abortion i