论文部分内容阅读
目的了解泰安市青少年女性流产现状及影响因素,为制定青少年女性意外妊娠的防治措施提供依据。方法采用现场流行病学调查方法,选取2013年7月-2015年2月泰安市4家医院门诊流产室年龄<19岁、户籍在本市的人工流产青少年女性为调查对象,在知情同意的基础上按照自制问卷进行调查。结果共收回有效调查信息表89份,平均年龄18.22岁,6例有负性生活事件;学生77例,占86.52%;父母抚养54例,占60.67%。月经初潮平均年龄12.63岁;首次性行为平均年龄17.79岁;首次流产平均年龄18.07岁;对人工流产危害不了解者70例,占78.65%;对性及健康知识不了解者60例,占67.42%;因避孕失败意外妊娠者61例,占68.54%。抚养人与首次性行为年龄差异无统计学意义(P>0.05);家庭管理方式与首次性行为年龄差异无统计学意义(P>0.05);年龄与非意愿妊娠原因有关(P<0.05);首次性行为年龄在性伴侣选择中,男朋友组和朋友、同学组间差异有统计学意义(P<0.05)。结论抚养人及家庭管理方式对泰安市青少年女性初次性行为年龄没有直接影响;随着年龄的增长,泰安市青少年女性对性伴侣的选择越来越理性,性伴侣相对固定,性心理逐渐成熟,自我防护意识逐渐增强,但性及生殖健康知识水平较低,避孕方法掌握不佳或使用不得当;延缓青少年女性首次性行为年龄可以有效避免其首次人工流产的发生。
Objective To understand the current status and influencing factors of abortion in adolescent girls in Tai’an city and provide evidence for the prevention and treatment of adolescent unwanted pregnancies. Methods The field epidemiological survey method was used to select the outpatient abortion rooms of four hospitals in Tai’an from July 2013 to February 2015. The age of the abortion rooms was 19 years old and the abortion adolescent females living in the city were the subjects of investigation. According to self-made questionnaire survey. Results A total of 89 valid questionnaires were retrieved, with an average age of 18.22 years. Six patients had negative life events. There were 77 students, accounting for 86.52%. Parental rearing occurred in 54 patients (60.67%). The average age of menarche was 12.63 years; the average age of first sex was 17.79 years; the average age of first abortion was 18.7 years old; 70 cases did not know about the hazards of induced abortion, accounting for 78.65%; 60 cases did not know about sex and health, accounting for 67.42% 61 cases of unexpected pregnancy due to failure of contraception, accounting for 68.54%. There was no significant difference in the age of the first-time dependents between dependents and first-time sex (P> 0.05). There was no significant difference in the age of first-time behavior between the family management methods and the age of the first sex (P> 0.05). For the first time of sexual intercourse, there was significant difference between boyfriends group, friends and classmates in the choice of sexual partners (P <0.05). Conclusions The supportive and family management methods have no direct influence on the initial sexual behavior of adolescent girls in Tai’an. With advancing age, adolescent girls in Taian have more and more rational choices for sexual partners, sexual partners are relatively fixed and sexual psychology is gradually maturing. Self-protection awareness gradually increased, but the level of knowledge of sexual and reproductive health is low, poor control of contraception methods or use inappropriately; delaying adolescent sexuality for the first time can effectively avoid the first abortion.