Ngo Thoai D, Free Caroline, Le Hoan T, Edwards Phil, Pham Kiet H T, Nguyen Yen B T, Nguyen Thang H
Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK; Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK.
Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Int J Gynaecol Obstet. 2014 Jun;125(3):247-52. doi: 10.1016/j.ijgo.2013.11.015. Epub 2014 Mar 5.
To investigate the attributes of service users associated with uptake of medical abortion (MA) versus manual vacuum aspiration (MVA) at public health facilities in Vietnam.
Structured exit interviews were conducted among women who underwent termination at 62 public health facilities in Hanoi, Khanh Hoa, and Ho Chi Minh City (HCMC) between August and December 2011. Data on sociodemographic, abortion-related, and service-related factors were compared between women who underwent MVA versus MA.
Overall, 1233 women completed the study survey: 541 (43.9%) from Hanoi; 163 (13.2%) from Khanh Hoa; and 529 (42.9%) from HCMC. Almost one-quarter of women (23.1%) had chosen MA. After controlling for sociodemographic factors, women living in Khanh Hoa (odds ratio [OR], 13.4; 95% confidence interval [CI], 5.3-33.8) and HCMC (OR, 5.8; 95% CI, 2.1-15.9) were more likely to have undergone MA than women in Hanoi. Older women were less likely to have undergone MA (P < 0.05), and those who had previously heard of MA were twice as likely to have undergone MA (P = 0.020).
Uptake of MA was lower than that of MVA and varied by province. Women in Vietnam will make their own judgment about which method to choose if they have prior knowledge of both.
调查在越南公共卫生机构中，与采用药物流产（MA）和人工流产负压吸引术（MVA）相关的服务对象特征。
2011年8月至12月期间，对在河内、庆和省和胡志明市（HCMC）62家公共卫生机构接受终止妊娠的妇女进行了结构化的出院访谈。比较了接受MVA与MA的妇女在社会人口统计学、流产相关因素和服务相关因素方面的数据。
总体而言，1233名妇女完成了研究调查：541名（43.9%）来自河内；163名（13.2%）来自庆和省；529名（42.9%）来自胡志明市。近四分之一的妇女（23.1%）选择了MA。在控制了社会人口统计学因素后，庆和省（优势比[OR]，13.4；95%置信区间[CI]，5.3 - 33.8）和胡志明市（OR，5.8；95% CI，2.1 - 15.9）的妇女比河内的妇女更有可能接受MA。年龄较大的妇女接受MA的可能性较小（P < 0.05），而那些之前听说过MA的妇女接受MA的可能性是前者的两倍（P = 0.020）。
MA的采用率低于MVA，且因省份而异。如果越南妇女对两种方法都有先验知识，她们会自行判断选择哪种方法。
