Rottenstreich Misgav, Loitner Limor, Dar Shir, Kedem Ron, Smorgick Noam, Vaknin Zvi
Medical Corps, Israel Defense Forces.
Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, affiliated with Sackler School of Medicine, Tel Aviv University, Israel.
Contraception. 2017 Jul;96(1):62-65. doi: 10.1016/j.contraception.2017.03.006. Epub 2017 Mar 16.
The objective was to identify the prevalence of and variables associated with unintended pregnancy among young, unmarried women serving in the Israeli military.
We performed a retrospective cohort study of unmarried women drafted by the Israeli military between 2013 and 2015 at the age of 18 years. We used multivariable logistic regression to examine associations between unintended pregnancy and women's education, IQ, immigration status, country of origin, neighborhood socioeconomic status and history of psychiatric illness.
Most women (n=127,262) did not become pregnant while serving in the Israeli military. Unintended pregnancy was reported by 2365, with an additional 6 women reporting pregnancy resulting from sexual assault and 5 an intended pregnancy. Annual rates of unintended pregnancy among young women serving in the Israeli military declined from 1.69% in 2013 to 1.56% in 2014 and 1.33% in 2015. In multivariable models, unintended pregnancy was more common among women soldiers who had not graduated from high school (adjusted relative risk [RR], 5.3; 95% confidence interval [CI], 4.69-6.04) and those who were first-generation immigrants (adjusted RR, 2.1; 95% CI, 1.90-2.35).
Unintended pregnancy is rare among women serving into the Israeli military.
Increasing contraceptive use among women who have not graduated from high school may further reduce rates of unintended pregnancy among women serving in the Israeli military.
本研究旨在确定以色列军队中年轻未婚女性意外怀孕的患病率及相关变量。
我们对2013年至2015年期间应征入伍的18岁未婚以色列女性进行了一项回顾性队列研究。我们使用多变量逻辑回归分析来研究意外怀孕与女性教育程度、智商、移民身份、原籍国、社区社会经济地位以及精神病史之间的关联。
大多数女性（n = 127,262）在服兵役期间未怀孕。报告意外怀孕的有2365例，另有6名女性报告因性侵犯而怀孕，5名报告为计划内怀孕。在以色列军队服役的年轻女性意外怀孕年发生率从2013年的1.69%降至2014年的1.56%，2015年为1.33%。在多变量模型中，未高中毕业的女兵意外怀孕更为常见（调整后相对风险[RR]为5.3；95%置信区间[CI]为4.69 - 6.04），第一代移民女兵也是如此（调整后RR为2.1；95%CI为1.90 - 2.35）。
在以色列军队服役的女性中，意外怀孕很少见。
提高未高中毕业女性的避孕措施使用率可能会进一步降低在以色列军队服役女性的意外怀孕率。
