[2010 - 2011年北京非医学原因人工流产女性的调查]

[A survey of women undergoing nonmedical induced abortions during 2010-2011 in Beijing].

作者信息

Zhang Yali, Luo Baorong, Li Hongtian, Zhou Yubo, Zhu Liping, Liu Jianmeng

机构信息

Institute of Reproductive & Children Health /Ministry of Health Key Laboratory of Reproductive Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China.

Email:

出版信息

Zhonghua Yi Xue Za Zhi. 2014 Aug 5;94(29):2304-7.

DOI:

PMID:25391878

Abstract

OBJECTIVE

To explore the population characteristics of women undergoing induced abortions and determine high-risk populations for reproductive health services in China's metropolises.

METHODS

Study subjects were all women undergoing induced abortions at a large service center for family planning between January 2010 and December 2011 in Beijing. Relevant information was extracted from unified registration forms for induced abortions developed by the Ministry of Health, including age, permanent residency (Beijing/floating population in Beijing), marital status (single/married) and pregnancy history. The population characteristics were described. They were then divided into 3 groups according to marital status and reproductive history: unmarried, married without children and married with children. The population characteristics were further compared among three groups, including age, permanent residency, number of abortion and time interval between current induced abortion and previous one.

RESULTS

A total of 18 745 women were identified, including 9 601 women undergoing an induced abortion in 2010 and 9 144 in 2011. The average age was (27 ± 6) (14-49) years. The women under 20 years accounted for 4.5% (845/18 745), floating women 63.1% (11 829/18 745), unmarried 45.0% (8 437/18 745) and women with repeated abortion 54.2% (10 161/18 745). Among women with repeated abortion, the women whose time interval between current abortion and previous one was under 1 year accounting for 26% (2 639/10 161) and those with induced abortions more than thrice (39.4%, 4 006/10 161). The percentage of floating women was the highest in unmarried group (P < 0.01). And the percentage for those time interval between current abortion and previous one was less than 1 year. And it was also the highest in unmarried women among three groups (P < 0.01).

CONCLUSION

In Chinese metropolitan areas, two-thirds of women with induced abortions is from floating population. Approximately a half are unmarried, over a half have induced abortions and time interval is the shortest in unmarried women. It suggests that reproductive health services for floating and unmarried women should be strengthened.

摘要

目的

探讨人工流产女性的人群特征，确定中国大城市生殖健康服务的高危人群。

方法

研究对象为2010年1月至2011年12月在北京某大型计划生育服务中心接受人工流产的所有女性。从卫生部制定的统一人工流产登记表中提取相关信息，包括年龄、常住人口（北京/北京流动人口）、婚姻状况（未婚/已婚）和妊娠史。描述人群特征。然后根据婚姻状况和生育史将其分为3组：未婚、已婚未育和已婚已育。进一步比较三组人群的特征，包括年龄、常住人口、流产次数以及本次人工流产与上次人工流产的时间间隔。

结果

共纳入18745名女性，其中2010年接受人工流产的有9601名，2011年有9144名。平均年龄为（27±6）（14 - 49）岁。20岁以下女性占4.5%（845/18745），流动女性占63.1%（11829/18745），未婚女性占45.0%（8437/18745），重复流产女性占54.2%（10161/18745）。在重复流产女性中，本次流产与上次流产时间间隔不足1年的占26%（2639/10161），人工流产3次以上的占39.4%（4006/10161）。流动女性比例在未婚组中最高（P<0.01）。且本次流产与上次流产时间间隔不足1年的比例也是最高的。在三组中未婚女性中该比例也最高（P<0.01）。