Madeiro Alberto Pereira, Rufino Andréa Cronemberger
Faculdade de Ciências Médicas, Universidade Estadual do Piauí, Teresina, PI.
Cien Saude Colet. 2012 Jul;17(7):1735-43. doi: 10.1590/s1413-81232012000700012.
This study assesses the prevalence of induced abortion among prostitutes and lists the most common abortion practices. A survey was conducted with 310 prostitutes between 18 and 39 years of age, by sampling age quotas in the 5 territorial areas of Teresina in the state of Piauí. Data collection was conducted through the use of 2 questionnaires: the first, by the ballot-box technique, with questions about abortion; the second, completed by the researcher, with socio-demographic information. The practice of abortion was reported by 163 (52.6%) women. Most prostitutes performed 1 abortion (50.3%), but 16.5% of them reported carrying out 3 or more. Misoprostol was used alone in 68.1% of the reports and associated with tea and/or probes in 9.2%, followed by tea in 13.4%, probes in 3.7%, and uterine curettage in unregulated clinics in 3.7%. There was post-abortion hospitalization in 47.8% of the cases. After adjustment of the multiple logistic regression model, the variable that remained significantly associated with abortion was to have had 3 or more pregnancies. These results revealed that induced abortion is an event of great prevalence among prostitutes in Teresina. Misoprostol is the most common method to abort and hospitalization was necessary in almost half of cases.
本研究评估了妓女中人工流产的患病率,并列出了最常见的流产方式。在皮奥伊州特雷西纳的5个地区,通过按年龄配额抽样,对310名年龄在18至39岁之间的妓女进行了一项调查。数据收集通过使用两份问卷进行:第一份问卷采用投票箱技术,包含有关流产的问题;第二份问卷由研究人员填写,包含社会人口统计学信息。163名(52.6%)女性报告有过流产行为。大多数妓女进行过1次流产(50.3%),但其中16.5%报告进行过3次或更多次流产。在报告中,68.1%的人单独使用米索前列醇,9.2%的人将其与茶和/或探针联合使用,其次是13.4%的人使用茶,3.7%的人使用探针,3.7%的人在无监管的诊所进行刮宫。47.8%的病例在流产后住院。在调整多元逻辑回归模型后,与流产仍有显著关联的变量是怀孕3次或更多次。这些结果表明,人工流产在特雷西纳的妓女中是一种非常普遍的现象。米索前列醇是最常见的流产方法,几乎一半的病例需要住院治疗。