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目的了解北京市重复人工流产妇女流产后避孕方法坚持使用情况及其影响因素。方法采用卡方检验和多元Logistic回归方法对问卷调查结果进行分析。结果被调查妇女中30.29%接受过2次及以上人工流产手术,90.47%选择人工流产的原因是非意愿妊娠。55.54%的妇女在人工流产4周后恢复月经,平均首次使用避孕方法的时间是在流产后5.11周。在本次流产前3个月,30.54%的妇女没有避孕。采取避孕措施的妇女中,仅有30.12%妇女自述能够坚持每次性生活都使用避孕方法。多元Logistic回归分析结果显示:妇女自身学历高、知道人工流产危害且丈夫对避孕态度积极的妇女坚持每次使用避孕方法的发生比是低学历妇女、不清楚人工流产危害以及丈夫避孕态度不积极妇女的1.702倍、3.377倍和4.076倍。结论妇女重复人工流产现象值得引起关注,通过提供流产后服务可以降低重复人工流产,其关键在于落实避孕方法的使用。在为育龄妇女提供生殖健康服务的同时,也应重视男性参与生殖健康服务,从而更好地提高服务效果。
Objective To understand the persistence of abortion methods and its influencing factors in repeated abortion women in Beijing. Methods Chi-square test and multivariate Logistic regression were used to analyze the results of questionnaire survey. Results 30.29% of the women investigated had undergone 2 or more abortions and 90.47% chose abortion due to unplanned pregnancy. 55.54% of women resume menstruation after 4 weeks of abortion, and the average time to first use contraceptive method is 5.11 weeks after abortion. In the first 3 months of this abortion, 30.54% of women did not have contraception. Among women who took birth control, only 30.12% reported that they could insist on the use of contraceptive methods for every sex life. Multivariate logistic regression analysis showed that women with high academic qualifications and knowledge of the hazards of induced abortion and the husband’s attitude toward contraception were more likely to persist in each contraceptive use than those with low education and were not aware of the risks of induced abortion and the contraceptive attitude of their husbands. 1.702 times, 3.377 times and 4.076 times respectively. CONCLUSIONS: It is worth noting that repeated abortion in women deserves attention. Reducing repeated induced abortion by providing post-abortion services is crucial in implementing the use of contraceptive methods. While providing reproductive health services for women of childbearing age, men should also attach importance to participating in reproductive health services so as to better improve their service delivery.