Mao Lele, Bai Wenpei, Huo Yuliang, Zhou Yingfang, Yao Chen, Xi Sisi, Chen Xing, Sun Yu
Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China.
Department of Obstetrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Arch Gynecol Obstet. 2018 May;297(5):1193-1199. doi: 10.1007/s00404-018-4687-7. Epub 2018 Feb 21.
To evaluate the contraceptive status among Chinese women of reproductive age and factors associated with contraceptive methods.
A cross-sectional study from November 2015 to January 2016 was conducted. We used APP to collect demographics and contraceptive use information of women aged 14-44 years in China.
A total of 23,669 women completed the study. After data cleaning, 19,768 (83.5%) women were included in the final analysis. The prevalence of contraceptive use was 78.9%; while 21.05% of women did not use any method, condoms (40.10%), rhythm, or withdrawal (31.03%) were the most commonly used methods. When contraceptive methods were divided into four categories-long-acting contraceptives (LAC), short-acting contraceptive (SAC), Others, and "No use"-the prevalence was 6.1% (601/19,678), 40.8% (8022/19,678), 35.1% (6912/19,678), and 21.1% (4143/19,678), respectively. Women with a high level of education, being unmarried, and sexually active women tended to choose SAC; married women were associated with LAC usage. Women with irregular menstrual cycle used a high proportion of emergency contraception.
The prevalence of contraceptive use was 78.9%, with condom use being most prominent. Young women of reproductive age have low awareness of contraception. Relevant departments should take necessary measures to improve this situation.
评估中国育龄妇女的避孕状况及与避孕方法相关的因素。
于2015年11月至2016年1月进行了一项横断面研究。我们使用应用程序收集了中国14至44岁女性的人口统计学和避孕使用信息。
共有23,669名女性完成了研究。经过数据清理后，19,768名（83.5%）女性被纳入最终分析。避孕使用率为78.9%；而21.05%的女性未使用任何避孕方法，避孕套（40.10%）、安全期避孕或体外射精（31.03%）是最常用的方法。当避孕方法分为长效避孕法（LAC）、短效避孕法（SAC）、其他方法和“未使用”四类时，其使用率分别为6.1%（601/19,678）、40.8%（8022/19,678）、35.1%（6912/19,678）和21.1%（4143/19,678）。受教育程度高、未婚以及性活跃的女性倾向于选择短效避孕法；已婚女性与长效避孕法的使用相关。月经周期不规律的女性使用紧急避孕药的比例较高。
避孕使用率为78.9%，其中避孕套的使用最为突出。育龄年轻女性的避孕意识较低。相关部门应采取必要措施改善这种状况。
