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[中国5个城市流动育龄妇女人工流产危险因素研究]

[Study on the risk factors of induced abortion among floating women of childbearing age in 5 cities of China].

作者信息

Guo Chao, Liu Hong-yan, Pei Xiao-dong, Pei Li-jun

机构信息

Institute of Population Research WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing 100871, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2012 Dec;33(12):1238-42.

Abstract

OBJECTIVE

To understand the status of abortion and risk factors among floating women of childbearing age and to provide reference for further improvement of induced abortion services in this population.

METHODS

Data on demography, working, and living conditions as well as the use of contraceptive among 4687 persons from a reproductive health survey regarding floating population in five cities in 2005, were involved, while multivariate logistic regression model was used to find out the relationship.

RESULTS

The risks of abortion among the younger than 30 age group and the 30 - 39 age groups were 2.21 times (95%CI: 1.47 - 3.34) and 2.38 times (95%CI: 1.53 - 3.70) of the 40 - 49 age group, respectively. The higher education degree these women had, the higher the risk of abortion was. The risks of abortion among groups having elementary, junior high, senior high school and above, were 2.15 times (95%CI: 1.15 - 4.03), 2.47 times (95%CI: 1.33 - 4.57) and 2.61 times (95%CI: 1.34 - 5.11) of those illiterate women. Those having working experience of 2 - 4 years, 5 years or above at the places where the survey was completed, the risks were 2.62 times (95%CI: 1.83 - 3.76) and 7.78 times (95%CI: 5.63 - 10.75) of the less than 2-year-experienced group. The abortion risk of floating women at childbearing age who were living together with their spouses was 1.49 (95%CI: 1.05 - 2.11) times of those women who were not.

CONCLUSION

The demographic and lifestyle as well as working features of floating women at childbearing age might increase their risk of abortion. Providing health education regarding these risk factors on the floating women at childbearing age could effectively reduce and prevent the risk of abortion risk among them.

摘要

目的

了解流动育龄妇女的流产状况及危险因素,为进一步改进该人群的人工流产服务提供参考。

方法

纳入2005年对五个城市流动人口进行的生殖健康调查中4687人的人口统计学、工作和生活状况以及避孕使用情况数据,采用多因素logistic回归模型分析关系。

结果

30岁以下年龄组和30 - 39岁年龄组的流产风险分别是40 - 49岁年龄组的2.21倍(95%可信区间:1.47 - 3.34)和2.38倍(95%可信区间:1.53 - 3.70)。这些妇女受教育程度越高,流产风险越高。小学、初中、高中及以上文化程度组的流产风险分别是文盲妇女的2.15倍(95%可信区间:1.15 - 4.03)、2.47倍(95%可信区间:1.33 - 4.57)和2.61倍(95%可信区间:1.34 - 5.11)。在调查地有2 - 4年、5年及以上工作经历的人群,其风险分别是工作经历不足2年组的2.62倍(95%可信区间:1.83 - 3.76)和7.78倍(95%可信区间:5.63 - 10.75)。与配偶同住的流动育龄妇女的流产风险是未与配偶同住妇女的1.49倍(95%可信区间:1.05 - 2.11)。

结论

流动育龄妇女的人口统计学特征、生活方式及工作特点可能增加其流产风险。针对这些危险因素对流动育龄妇女开展健康教育可有效降低和预防她们的流产风险。

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