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1979年至2010年中国已婚女性的人工流产模式及影响因素

Induced abortion patterns and determinants among married women in China: 1979 to 2010.

作者信息

Wang Cuntong

机构信息

Associate Professor, School of Social Development, Central University of Finance and Economics, Beijing, China;; and Post-doctoral researcher, Department of Sociology, University of Illinois at Urbana-Champaign, Urbana, USA.

出版信息

Reprod Health Matters. 2014 May;22(43):159-68. doi: 10.1016/S0968-8080(14)43753-4.

Abstract

China has launched the one-child policy to control its rapidly expanding population since 1979. Local governments, tasked with limiting regional birth rates, commonly imposed induced abortions. After 1994, China's family planning policy was relatively loosened and mandatory induced abortion gradually gave way to client-centered and informed-choice contraceptive policy and the "Compensation" Fee policy. This study assesses trends in and determinants of induced abortion among married women aged 20-49 in China from 1979 to 2010, using data from national statistics and nationally representative sample surveys. The incidence of induced abortions among married women aged 20-49 began to decrease in the mid-1990s. The induced abortion rate reached its highest level in the early 1980s (56.07%) and its lowest level in the 2000s (18.04%), with an average annual rate of 28.95% among married women 20-49 years old. The likelihood of a pregnant woman undergoing an induced abortion during this period depended not only on individual characteristics (including ethnicity, age, education level, household registration, number of children, and sex of children), but also on the stringency of the family planning policy in place. The less stringent the family planning policy, the less likely married women were to undergo an induced abortion.

摘要

自1979年以来,中国推行了独生子女政策以控制其迅速膨胀的人口。地方政府负责限制地区出生率,普遍实施人工流产。1994年后,中国的计划生育政策相对放宽,强制人工流产逐渐被以服务对象为中心的知情选择避孕政策和“补偿”费政策所取代。本研究利用国家统计数据和全国代表性样本调查数据,评估了1979年至2010年中国20至49岁已婚妇女的人工流产趋势及决定因素。20世纪90年代中期,20至49岁已婚妇女的人工流产发生率开始下降。人工流产率在20世纪80年代初达到最高水平(56.07%),在21世纪初达到最低水平(18.04%),20至49岁已婚妇女的年均人工流产率为28.95%。在此期间,孕妇进行人工流产的可能性不仅取决于个人特征(包括种族、年龄、教育水平、户籍、子女数量和子女性别),还取决于当时计划生育政策的严格程度。计划生育政策越宽松,已婚妇女进行人工流产的可能性就越小。

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