Department of gynecology &obstetrics, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Department of rehabilitation, Nanhai Hospital, Southern Medical University, Foshan, China.
BMC Health Serv Res. 2021 May 28;21(1):519. doi: 10.1186/s12913-021-06263-0.
In China, post-abortion care (PAC) services mainly focus on married couples, such that adolescents and unmarried young womenhave limited access to those services for contraception counseling. The provision of youth-friendly PAC services in public hospitals is a new concept in China. This study examined the magnitude of PAC services utilization as well as factors influencing it's uptake among adolescents and young women in Guangzhou, China.
A cross-sectional study was performed from 1st March 2020 to 30th September 2020 using anonymous self-administered questionnaire among 688 women aged 15-24 years in Tianhe district, Guangzhou. The Multivariate logistic regression was used to determine factors that were significantly associated with the uptake of PAC services.
The magnitude of PAC services utilization was 35.9% among adolescents and young women in Guangzhou, China. Students were 69.0% significantly less likely to use PAC services compared to women who had no job. Immigrants were 59.0% significantly less likely to use PAC services than their native counterparts. Women who had a feeling of stigma were 70.0% significantly less likely to use PAC services compared to those who did not feel stigmatized.
The study highlights the need to strengthen youth-friendly PAC services provision, and emphasizes the importance of education about both family planning and abortion services among disadvantaged sub-groups of women in the study setting.
在中国，流产后护理 (PAC) 服务主要针对已婚夫妇，因此青少年和未婚年轻女性获得避孕咨询等服务的机会有限。在公立医院提供青年友好型 PAC 服务是中国的一个新概念。本研究调查了广州市青少年和年轻女性对 PAC 服务的利用程度以及影响其利用的因素。
2020 年 3 月 1 日至 9 月 30 日，采用横断面研究方法，对广州市天河区 688 名 15-24 岁女性进行匿名自填式问卷调查。采用多因素 logistic 回归分析确定与 PAC 服务利用显著相关的因素。
广州市青少年和年轻女性 PAC 服务利用率为 35.9%。与无业女性相比，学生使用 PAC 服务的可能性低 69.0%。与本地女性相比，移民使用 PAC 服务的可能性低 59.0%。与没有感到耻辱感的女性相比，感到耻辱感的女性使用 PAC 服务的可能性低 70.0%。
本研究强调了需要加强青年友好型 PAC 服务的提供，并强调了在研究环境中，针对弱势女性亚群进行计划生育和堕胎服务教育的重要性。
