青少年重复人工流产心身症状及避孕行为调查(1)
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[摘要] 目的 探讨未婚重复人工流产青少年心身症状及生殖避孕状况,关注青少年生殖健康。 方法 对青少年文化程度、不同年龄段、性生活及流产情况及未婚青少年妇科疾病检出率等进行比较,心身行为调查采用90项症状自评量表(SCL-90)进行。 结果 青少年人流中高职院校人数最多,其中20~21岁为高发年龄段;首次性生活年龄小,人流次数多,而且多伴有生殖道感染,生殖避孕知识和性卫生知识缺乏、性生活活跃、流产次数多和流产间隔时间短是重复流产青少年心理健康和生殖道感染的主要危险因素。大多数有焦虑、抑郁等心理症状。 结论 为青少年提供性与生殖健康信息和服务,不仅能增强他们对性行为的责任感,推迟他们性行为开始的年龄,而且可提高避孕措施的使用率并减少不安全的性行为。
[关键词] 青少年;未婚;反复人工流产;心身症状;避孕行为
[中图分类号] R714.21 [文献标识码] B [文章编号] 1673-9701(2012)03-0013-03
The survey on psychosomatic symptoms and contraceptive behaviors in youth with repeat bortion
WANG Juying
Department of Gynaecology and Obstetrics, the Changle Town Central Hospital of Shengzhou City, Shengzhou 312467, China
[Abstract] Objective To explore unmarried repeat induced abortion psychosomatic symptoms and reproductive teenagers contraceptive status, pay attention to teenagers reproductive health. Methods Studied youth culture degree, different age, sex and abortion and young unmarried female diseases such as the detection rate, compared with 90 survey of psychosomatic behavior symptoms since the rating scale(SCL-90). Results Teenagers in the largest number of people in higher vocational colleges, including 20-21 years old for high-risk age; First sex age small, poured more frequently, and many with reproductive tract infection, reproductive contraceptive knowledge and sexual health knowledge, were sexually active, lack of abortion more frequently and abortion interval time was short repeat abortion mental health and reproductive tract infection teenagers of the main risk factors. Most had such as depression and anxiety psychological symptoms. Conclusion For young people to provide sex and reproductive health information and services, can not only enhance their sexual behavior in the sense of responsibility, to delay their sexual behavior of began to age, and can improve their utilization rate of contraceptive measures and reduce unsafe sex.
[Key words] Teenagers; Unmarried; Relapse induced abortion; Psychosomatic symptoms; Contraceptive behavior
青少年妊娠是全球流行的一种社会病态现象,对其发生与流行的社会心理因素进行调查研究与分析有重要意义,由于社会进步,思想意识的开放,婚前性行为呈普遍现象,甚至未婚先孕不得不选择人工流产,人工流产所导致的并发症及生理心理的影响严重威胁着女性的性和生殖健康,生殖道感染是威胁人类生殖健康特别是女性身心健康的重要疾病,直接威胁着新婚家庭及下一代的健康[1]。据沿海某市的一项调查表明,因避孕失败而不得不进行人工流产术者占总人工流产人数的46%[2]。值得关注的是,由于种种原因,一些城市未婚育龄妇女的人流率高于已婚育龄妇女。本研究对102例未婚青少年人工流产(以下简称人流)者的社会心理因素进行分析评价,现报道如下。
1 资料与方法
1.1 一般资料
选择笔者所在科室2011年1~9月符合条件的102例要求人工流产未婚青少年纳入研究。入选标准:①未婚且年龄<24岁;②已确诊为宫内妊娠 ......
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