【摘要】 目的了解武汉市育龄妇女人工流产状况,分析人工流产的影响因素,为有关部门采取有效措施降低人工流产率、提高母婴健康水平提供科学依据。方法采用横断面调查的方法,对2003年5~11月在6所医疗保健机构住院分娩的产妇进行问卷调查,对其人工流产状况进行描述性分析,并运用非条件Logistic回归分析方法对人工流产的影响因素进行单因素和多因素分析。结果在1826例调查对象中,49.40%有人工流产史。人工流产者在行首次人工流产时年龄集中在20~29岁年龄段,占86.47%。首次人工流产时已婚者为52.61%,未婚者47.39%。人工流产的首要原因是意外妊娠,占41.10%。多因素分析显示人工流产的危险因素按贡献大小依次为产妇年龄大和家庭经济状况好;保护因素按贡献大小依次为产妇文化程度高、知晓紧急避孕法和掌握较多的避孕知识。结论武汉市育龄妇女人工流产比例高,有向年轻、未婚妇女发展的趋势,且影响因素多。应以20~30岁妇女为重点对象开展健康教育,采取科学有效地干预措施降低人工流产率,提高妇女生殖健康水平。更多还原

【Abstract】 Objective:To understand the distribution and common reasons for induced abortion of child-bearing women in Wuhan, analyze the influencing factors, and provide scientific evidence for the government to take effective measures to decrease the number of induced abortion and reduce the abortion rate.Methods:Adopt across-sectional study to understand the induced abortion status of Wuhan, question the parturien in hospital, describe the status of induce abortion, and analyze the influencing factors with single and multi-factor analysis.Results:Among 1 826 subjects, women had an history of induce abortion constituted 49.40%; the highest proportion at the first time of abortion occurs among women aged 20～29; the married women at the first time of abortions constituted 52.61% and the unmarried women 47.39%; induced abortions following unintended pregnancy became the prime reason, which constructed the proportion of 41.10%. Multi-variate non-conditional logistic regression indicated that the risk factors of induced abortion were orderly (according to the contribution): older parturien and better economic condition; defending factors was (according to the contribution): higher education level of parturien, knowing emergent contraceptive and understanding more contraceptive method.Conclusion:The proportion of induced abortion of child-bearing women in Wuhan is higher, has the tendency of young and unmarried women and the influencing factors are more. Scientific and effective measures should be taken to reduce induced abortion rate, and improve maternal reproductive health, especially in the women aged 20～30.更多还原