上海市未婚青少年非意愿妊娠状况(1)
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【摘要】 目的 了解上海市未婚青少年非意愿妊娠状况，探讨非意愿妊娠的相关因素，为改善青少年性与生殖健康状况提供参考。方法 应用计算机辅助自填问卷技术匿名收集15～24岁未婚青少年的性与生殖健康相关资料。 结果 性活跃青少年发生非意愿妊娠的比例为17.4%，其中男性使性伴非意愿妊娠比例为19.3%，女性非意愿妊娠的比例为13.7%。多因素分析显示，在调整了其它可能的影响因素后，男性使性伴非意愿妊娠与文化程度(与高中及以下学历者相比，大专学历OR=0.43，95%CI=0.20～0.92，本科及以上学历OR=0.34，95%CI=0.14～0.81)、多性伴(OR=1.74，95%CI=1.02～2.98)和未婚同居(OR=2.98，95%CI=1.78～4.99)有关；女性非意愿妊娠与非意愿发生首次性行为(OR=3.93，95%CI=1.57～9.89)和未婚同居(OR=4.07，95%CI=1.67～9.92)有关；在P=0.10水平上，女性非意愿妊娠同时与多性伴有关(OR=2.10)。 结论 应采取有效措施减少青少年多性伴、未婚同居及非意愿性行为的发生，以减少青少年非意愿妊娠，提高其生殖健康水平。
【关键词】 妊娠，意外；性行为；避孕；流产，人工；青少年
【中图分类号】 R 714.15 G 479 【文献标识码】 A 【文章编号】 1000-9817(2010)11-1312-04
Study on the Unintended Pregnancy Among the Unmarried Young Adults in Shanghai/FENG Yong-liang*, LOU Chao-hua, CHENG Yan, et al. * School of Public Health, Fudan University, Shanghai (200032), China
【Abstract】 Objective To study the situation of the unintended pregnancy among the unmarried young adults in Shanghai and to explore its related factors. Methods The information regarding sexual and reproductive health of the unmarried young adults aged 15-24 was collected by Computer Assisted Self Interview (CASI) through a cross-sectional survey. Results Among those young adults who had sexual experiences, 19.3% of the males had made their sex partners unintended pregnant and 13.7% of the females had experienced unintended pregnancy. Multivariate analysis showed that less educational level, multiple sexual partners(OR=1.74, 95%CI=1.02-2.98) and ever cohabit(OR=2.98, 95%CI=1.78-4.99)were related to unintended pregnancy among males; while the non-consensual first sex(OR=3.93, 95%CI=1.57-9.89) and multiple sexual partners(OR=4.07, 95%CI=1.67-9.92) were related to unintended pregnancy among females. Conclusion More measures should be performed to reduce the prevalence of multiple sexual partners, the non-consensual first sex and cohabit to improve the sexual and reproductive health.
【Key words】 Pregnancy,unplanned;Sexual behavior;Contraception;Abortion,induced;Adolescent
1994年开罗人口与发展大会(ICPD)提出其行动纲领，明确要求大力降低少女怀孕数量[1]。在本世纪初，世界卫生组织已将未婚先孕及人工流产列为影响青少年生殖健康的3大因素之一[2]。减少非意愿妊娠和人工流产的发生 ......
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