【摘要】 [目的]了解江西省南昌市已婚育龄妇女人为终止妊娠率及其人群分布情况。[方法]采用多阶段分层随机整群抽样方法抽取南昌市2县(进贤县、安义县)2区(青山湖区、西湖区)5468名已婚育龄妇女,对其社会人口学特征、婚姻、生育状况进行问卷调查。[结果]人为终止妊娠(包括人工流产、药物流产和中期引产)率为33.9%(1855/5468),其中人工流产率最高,为27.2%(1487/5468),其次为药物流产率7.1%(390/5468)和中期妊娠引产率3.4%(186/5468)。单因素分析显示:年龄在30岁以上的各组人为终止妊娠率均较高(≥35.7%)(P﹤0.001);初孕年龄在20岁以下人为终止妊娠率最低(5.0%),20～24和25～29岁较高(34.9%和35.9%)(P﹤0.001);结婚年数10～14年和15～19年人为终止妊娠率较高(39.2%和38.0%)(P﹤0.001);职业为教师、专业技术人员、商业服务业和行政干部的人为终止妊娠率较高(分别为53.9%,49.6%,43.1%和42.7%),而农民最低(23.1%)(P﹤0.001);文化程度越高,人为终止妊娠率越高(P﹤0.001)。城镇育龄妇女人为终止妊娠率显著高于农村妇女(P﹤0.001)。非条件Logistic回归分析显示:教师、专业技术人员、行政干部和结婚年数是人为的终止妊娠的危险因素;文化程度越高,初孕年龄越小,家庭人均年收入越高,发生人为终止妊娠的危险性越高;城镇育龄妇女人为终止妊娠的危险性高于乡村。[结论]预防人为终止妊娠发生的重点人群为教师、专业技术人员和行政干部等文化程度较高者,以及居住城镇和初孕年龄为20～29岁的育龄妇女,提倡晚婚晚育是预防人为终止妊娠的重要措施。更多还原

【Abstract】 Objective To understand the state and the proportion of ending gestation artificially in married fertile women in Nanchang of Jiangxi.Methods 5468 married women of child-bearing age investigated by using random sampling in 2 counties(Jinxian county and Anyi county) and 2 districts(Qingshan lake district and Xihu lake district of Nanchang, and questionnaires were conducted to collect information including their demography characteristics, marriage and reproductive state.Results The incidence of the ending gestation artificially including artificial abortion, drugging abortion, and induced labor of middle period of gestation was 33.9%, of which the artificial abortion was highestwith 27.2%(1 487/5 468), also followed by the abortion rate by drugs and induction of labor in midpregnancy rate were 7.1%(390 / 5468) and 33.9%(1855 / 5468), respectively.The results of single factor analysis indicated:The people above the age of 30 years had the highest termination of pregnancy rate(≥35.7%)(P﹤0.001);People below the age of 20 years who had pregnant had the lowest termination of pregnancy rate of 5.0%, also people at the age of 20 to 24 and 25 to 29 had the highest rates of 34.9% and 35.9%, respectively(P ﹤0.001).The termination of pregnancy rates of people who had the married years of 10 to 14 and 15 to 19 years were 39.2% and 38.0%, respectively.The termination of pregnancy rates of the occupations of teacher, specialized and technical personnel, commercial service women, and administrative persons were 53.9%, 49.6%, 43.1% and 42.7%, respectively(P﹤0.001), while the farmers had the lowest rate of 23.1%(P﹤0.001).People with the highest education level had the highest rate of termination of pregnancy.The rate of termination of pregnancy among urban areas showed to be significantly higher than the rate of rural areas(P﹤0.001).The unconditional Logistic regression analysis indicated that the teachers, professional technical workers, administrated government workers and married years were the risk factors of intentional termination of pregnancy.People had the highest education level, lowest pregnant age, highest family income and intentional termination of pregnancy;The risk of intentional termination of pregnancy among urban women was significantly higher than the risk of rural women.Conclusion The main people which should be intentional termination of pregnancy are teacher, specialized and technical personnel, and administrative women with higher levels of education, and city reproductive women, and first pregnant women at the age of 20 to 29 years.Advocating later marrying and promoting child-bearing could reduce the intentional termination of pregnancy.更多还原