Holmgren K
Department of Obstetrics and Gynecology, Karolinska Hospital, Stockholm, Sweden.
Gynecol Obstet Invest. 1994;37(4):254-9. doi: 10.1159/000292572.
Semistructured interviews were made among a random sample of applicants for abortion in Stockholm, when legal abortion on demand had been available in Sweden for 10 years. One hundred and twenty women were interviewed, 75 of them having their first abortion and 45 having a repeat abortion. The use of contraceptives was similar among first-time aborters and repeat aborters, but 70% in both groups had temporarily been without contraceptives at the time of conception. The interviews show that the family circumstances were more difficult for the women who had already experienced an abortion than for those who had not. The study indicates that the male partner and family circumstances were important for the decision to abort. Thus, family planning programs should reach also men. The main way to prevent repeat abortions seen in this study is to prevent abortions in general, by making contraceptives accepted by and easily obtainable for all groups in society, thus diminishing those times when sexually active men and women temporarily do not use contraceptives.
在瑞典实行按需合法堕胎10年后,对斯德哥尔摩随机抽取的堕胎申请者样本进行了半结构式访谈。共采访了120名女性,其中75人是首次堕胎,45人是重复堕胎。首次堕胎者和重复堕胎者使用避孕药具的情况相似,但两组中70%的女性在受孕时曾暂时未采取避孕措施。访谈表明,与未经历过堕胎的女性相比,已堕胎女性的家庭情况更为困难。该研究表明,男性伴侣和家庭情况对堕胎决定很重要。因此,计划生育项目也应该覆盖男性。本研究中所见预防重复堕胎的主要方法是总体上预防堕胎,通过使避孕药具为社会所有群体所接受并易于获取,从而减少性活跃男女暂时不使用避孕药具的次数。