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目的了解北京市项目社区育龄妇女人工流产的情况,并探讨其影响因素。方法采用多阶段整群抽样方法,对北京市项目社区的两个街道579名育龄妇女进行结构式问卷调查。结果 330人(56.99%)有过人工流产的经历,人工流产的平均次数为(1.36±0.67)次。人工流产的主要原因是避孕失败(51.66%)和未避孕(36.56%)。学历为高中/中专的育龄妇女,其人工流产比例高于初中及以下对象[(近似值差异率(oddratio,OR)=1.754,95%可信区间(confidenceinterval,CI):1.063～2.895];与职业为农民/工人的育龄妇女相比,无业育龄妇女的人工流产率较高(OR=2.213,95%CI:1.063～4.608)。结论不使用或者不正确使用避孕方法,以及对人工流产的错误认识都是人工流产比例居高不下中不可忽视的因素。因此,需针对不同学历、不同职业的育龄妇女开展针对性的避孕节育服务,以降低人工流产的比例,并开展流产后保健服务以减少重复流产率。
Objective To understand the situation of induced abortion among the women of childbearing age in Beijing project community and to explore the influencing factors. Methods A multistage cluster sampling method was used to conduct a structured questionnaire survey on 579 women of childbearing age in two streets in Beijing’s project community. Results 330 (56.99%) had experienced abortion, the average number of induced abortion (1.36 ± 0.67) times. The main reasons for induced abortion were contraception failure (51.66%) and non-contraception (36.56%). The proportion of women of childbearing age with secondary education and secondary school education is higher than that of junior high school and below (odds ratio (odds ratio = 1.754; 95% confidence interval, CI: 1.063-2.895); and Compared with women of childbearing age who were employed as farmers / workers, the rate of induced abortion was higher in non-employed women of childbearing age (OR = 2.213, 95% CI: 1.063 ~ 4.608) .Conclusion The use of contraceptive methods, incorrect use of artificial contraception, Awareness is a factor that can not be ignored in the high proportion of abortion, therefore targeted contraceptive services should be targeted at women of childbearing age with different qualifications and different occupations to reduce the proportion of induced abortion and post-abortion health services to reduce Repeat abortion rate.