Gazibara Tatjana, Bila Jovan, Tulic Lidija, Maksimovic Natasa, Maksimovic Jadranka, Stojnic Jelena, Plavsa Dragana, Miloradovic Maja, Radovic Milos, Maksimovic Katarina, Dotlic Jelena
Institute of Epidemiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Clinic for Obstetrics and Gynecology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
Medicina (Kaunas). 2024 Nov 26;60(12):1944. doi: 10.3390/medicina60121944.
: The issue of high rates of abortion among Serbian women has been previously highlighted, yet its social underpinnings are still not clear. The aim of this study was to investigate the lifetime use of and intention to use contraception among women after having an abortion. : A cross-sectional study was carried out from 2022 to 2024 at the Clinic for Obstetrics and Gynecology, University Clinical Center of Serbia. The study participants were women who underwent induced abortions at the clinic. They filled in an anonymous questionnaire examining their demographic data, life-style and habits, medical history, lifetime use of contraception and intention to use contraception after their abortion. : A total of 433 women aged 16 to 49 years (mean age 32.0 years) participated in the study. In our sample, 81.1% of women had ever used contraception, with condoms being the most common, while 18.9% never used any contraception. Around 70% of women expressed the intention to use contraception post-abortion. Women who were of Serbian ethnicity, who had a higher level of education, who had no chronic illnesses and who already had multiple children were more likely to ever use contraception. Being of Serbian ethnicity, having higher education level and chronic illnesses and not smoking were associated with the intention to use contraception post-abortion. : Most women who had abortions used contraception at least occasionally during their reproductive life and had the intention to start using it again. Therefore, women need to be continuously reminded by their gynecologists of contraception possibilities.
塞尔维亚女性堕胎率高的问题此前已被凸显,但社会根源仍不明确。本研究旨在调查堕胎后女性的避孕措施终身使用情况及使用意愿。
2022年至2024年在塞尔维亚大学临床中心妇产科诊所开展了一项横断面研究。研究参与者为在该诊所接受人工流产的女性。她们填写了一份匿名问卷,内容包括人口统计学数据、生活方式和习惯、病史、避孕措施的终身使用情况以及堕胎后的避孕意愿。
共有433名年龄在16至49岁(平均年龄32.0岁)的女性参与了研究。在我们的样本中,81.1%的女性曾使用过避孕措施,其中避孕套最为常见,而18.9%的女性从未使用过任何避孕措施。约70%的女性表示堕胎后有避孕意愿。塞尔维亚族、教育程度较高、无慢性病且已有多个子女的女性更有可能曾使用过避孕措施。塞尔维亚族、教育程度较高、患有慢性病且不吸烟与堕胎后使用避孕措施的意愿相关。
大多数堕胎女性在其生育期至少偶尔使用过避孕措施,并有再次开始使用的意愿。因此,妇科医生需要持续提醒女性避孕的可能性。