上海市长宁区人工流产门诊非婚妇女安全套使用的影响因素

发布时间：2018-01-16 19:09

本文关键词：上海市长宁区人工流产门诊非婚妇女安全套使用的影响因素　出处：《中国艾滋病性病》2015年07期 　论文类型：期刊论文

【摘要】：目的回顾性评价上海市长宁区人工流产门诊未婚妇女安全套的使用情况,探究影响其安全套使用的态度、认识和社会文化因素。方法采用横断面调查方法,对400名2013年4月至6月期间,在长宁区妇幼保健院人工流产门诊进行人工流产的未婚妇女,进行一对一问卷调查。结果 400名调查对象中41.75%曾有流产史,有流产史者既往平均流产次数为(1.57±0.866)次,54%的受访者首选安全套作为其避孕方法。高学历受访者选择安全套作为其首选避孕方式的比例,要高于中低学历受访者,差异有统计学意义(χ2=5.65,P=0.017);年龄≤25岁的受访者将安全套作为其首选避孕方式的比例更高,差异有统计学意义(χ2=9.62,P=0.08)。在安全套使用上,42.75%的受访者最后3次性行为均未使用安全套。半数左右的受访者不会主动与性伴谈论关于使用安全套的话题,性伴不愿使用安全套时仍能坚持使用的受访者仅有18.75%。19.75%的受访者不会尝试说服性伴使用安全套,经过劝说能成功说服对方使用安全套仅有63.0%的受访者。愿意主动与性伴谈论使用安全套的话题,性伴不愿意时仍能坚持使用安全套的非婚女性,使用安全套的概率较高,比值比(OR)分别为1.603和2.973。同时感到说服对方使用安全套有困难的非婚女性,也更有可能不使用安全套(OR=0.493)。结论非婚女性对安全套使用的自主性、坚持性和说服技巧,会影响其安全套的使用情况。在今后针对非婚女性的安全套推广中,应加强这方面的宣传教育,提升其自我效能,从而提高安全套使用率,降低流产率,预防性传播疾病的发生。
[Abstract]:Objective to evaluate the condom use of unmarried women in induced abortion clinic in Changning District of Shanghai, and to explore the attitude, understanding and sociocultural factors affecting condom use. Methods A cross-sectional survey was conducted. During the period from April 2013 to June, 400 unmarried women who underwent artificial abortion in the clinic of MCH in Changning District were selected. Results 41.75% of the 400 subjects had a history of abortion, and the average number of miscarriages was 1.57 卤0.866. 54% of the respondents chose condoms as their first choice of contraception. The proportion of highly educated respondents choosing condoms as their first choice of contraception was higher than that of middle and low education respondents. The difference was statistically significant (蠂 ~ 2 = 5.65). The proportion of interviewees who were younger than 25 years old who took condom as their first choice of contraception was higher, and the difference was statistically significant (蠂 2 9.62 P < 0.08). 42.75% of the respondents did not use a condom for the last three times. About half of the respondents did not actively discuss condom use with their partners. Only 18.75.19.75% of the respondents who were not willing to use condoms would try to persuade their partners to use condoms. Only 63.0% of the respondents were successfully persuaded to use condoms. Those who were willing to talk about condom use with their sexual partners and who could still stick to condom use when they were not willing to do so were able to do so. The odds of condom use were 1.603 and 2.973.At the same time, the odds of condom use were 1.603 and 2.973.At the same time, they felt that it was difficult for them to use condom. It is also more likely not to use condom ORO 0.493.Conclusion the autonomy, persistence and persuasion of condom use among non-married women are more likely to be avoided. It will affect the condom use. In the future condom promotion for non-married women, we should strengthen this aspect of publicity and education, improve their self-efficacy, so as to improve condom use, reduce abortion rate. Prophylaxis of sexually transmitted diseases
【作者单位】：上海市长宁区疾病预防控制中心;上海市长宁区妇幼保健院;
【分类号】：R169.41
【正文快照】： 使用是防治艾滋病和其他各类性病传播的最有效的方式之一,也是实行计划生育的重要手段。但不少现况调查表明,育龄妇女中安全套使用情况存在诸多问题[1]。影响安全套使用的因素包括:缺乏防病意识、缺乏保护动机、相关知识缺乏等个人障碍,也包括缺乏社会支持、男性主导文化因素

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