1999年至2018年全球未婚女性的避孕与生殖健康行为：系统评价与荟萃分析

Contraceptive and reproductive health practices of unmarried women globally, 1999 to 2018: Systematic review and meta-analysis.

作者信息

Wang Meng-Yao, Temmerman Marleen, Zhang Wei-Hong, Fan Yu, Mu Yi, Mo Si-Ping, Zheng Ai, Li Jin-Ke

机构信息

Department of Gynaecology and Obstetrics, West China Second Hospital, Sichuan University.

Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, People's Republic of China.

出版信息

Medicine (Baltimore). 2020 Dec 4;99(49):e23368. doi: 10.1097/MD.0000000000023368.

DOI:10.1097/MD.0000000000023368

PMID:33285718

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7717803/

Abstract

BACKGROUND

Premarital sex practices and contraceptive prevalence rate (CPR) among unmarried women worldwide remain unclear, even though unmarried women tend to have multiple sex partners over time, which makes their sexual behaviors particularly important to the sexual and reproductive health of society more broadly.

METHODS

We searched the MEDLINE, PubMed, and Google Scholar databases for relevant articles published between January 1, 1999 and December 31, 2018. Data on prevalence of premarital sexual intercourse, use of highly prevalent contraceptive methods, as well as CPR overall and at first sexual intercourse were extracted and estimated using a DerSimonian- Laird random effects model.

RESULTS

Of the 3918 articles identified, 37 covering 19 countries were included. The estimated overall prevalence of premarital sexual intercourse was 41.9% (95%CI 34.2-49.6%). Pooled CPR was 57.0% (95%CI 44.3-69.8%) overall and 57.6% (95% CI 39.5- 75.6%) at first intercourse. The overall prevalence of condom use was 51.2% (95%CI 42.7-59.7%), followed by oral contraceptives (20.5%, 95%CI 13.7-27.3%), withdrawal (12.7%, 95%CI 9.4-15.9%), and rhythm (12.1%, 95%CI 6.7-17.4%).

CONCLUSION

The findings of this global study indicate worrying trends in unprotected intercourse and contraceptive practices, suggesting the need for greater attention and resources aimed at educating unmarried adolescent women about sexual and reproductive health.

SYSTEMATIC REVIEW REGISTRATION NUMBER

CRD42019132736.

摘要

背景

尽管随着时间推移未婚女性往往有多个性伴侣，这使得她们的性行为对更广泛的社会性健康和生殖健康尤为重要，但全球范围内未婚女性的婚前性行为及避孕普及率（CPR）仍不明确。

方法

我们检索了MEDLINE、PubMed和谷歌学术数据库，查找1999年1月1日至2018年12月31日期间发表的相关文章。提取了婚前性交发生率、常用避孕方法的使用情况以及总体和首次性交时的CPR数据，并使用DerSimonian-Laird随机效应模型进行估计。

结果

在识别出的3918篇文章中，纳入了涵盖19个国家的37篇。估计婚前性交的总体发生率为41.9%（95%CI 34.2 - 49.6%）。总体合并CPR为57.0%（95%CI 44.3 - 69.8%），首次性交时为57.6%（95%CI 39.5 - 75.6%）。避孕套的总体使用率为51.2%（95%CI 42.7 - 59.7%），其次是口服避孕药（20.5%，95%CI 13.7 - 27.3%）、体外射精（12.7%，95%CI 9.4 - 15.9%）和安全期避孕法（12.1%，95%CI 6.7 - 17.4%）。