Risk factors for induced abortions in St Petersburg, Estonia and Finland. Results from surveys among women of reproductive age
Risk factors for induced abortions in St Petersburg, Estonia and Finland. Results from surveys among women of reproductive age
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DOI：
10.1080/13625180902916038
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发表时间：
2009-01-01
影响因子：
1.7
通讯作者：
Hemminki, Elina
中科院分区：
文献类型：
--
作者：
Regushevskaya, Elena;Dubikaytis, Tatiana;Hemminki, Elina
目的 比较圣彼得堡、爱沙尼亚和芬兰这三个堕胎率不同的邻近地区的自我报告堕胎风险因素。方法 使用四次基于人口的问卷调查（芬兰 1992 年和 1999 年；圣彼得堡 2003 年；爱沙尼亚 2004 年）的数据。除 1992 年芬兰调查（基于访谈）外，所有调查均为邮寄调查。芬兰有 1070 名受访者（回复率分别为 78% 和 52%），圣彼得堡有 1147 名受访者（68%），爱沙尼亚有 5190 名受访者（54%）。结果 圣彼得堡的女性以及讲俄语的爱沙尼亚人的两个最年长的年龄组中，自我报告堕胎的患病率最高。在所有地区，有堕胎史的女性更有可能受教育程度较低、有孩子、有多个伴侣，并且首次性行为年龄小于 18 岁。在第一次和最后一次性交时没有充分使用可靠的避孕措施是圣彼得堡和爱沙尼亚比芬兰更常见的唯一危险因素。在爱沙尼亚，使用可靠避孕药具的爱沙尼亚妇女多于讲俄语的妇女。结论 三个领域的比较表明，高堕胎率与避孕措施使用率低有关，而不是与其他危险性行为有关。
Objectives To compare the risk factors of self-reported abortion in St Petersburg, Estonia and Finland, which are neighbouring areas having different abortion rates. Methods Data from four population-based questionnaire surveys (Finland 1992 and 1999; St Petersburg 2003; Estonia 2004) were used. With the exception of the 1992 Finnish survey (based on interviews) all were postal surveys. There were 1070 respondents in Finland (78% and 52% response rates), 1147 (68%) in St Petersburg, and 5190 (54%) in Estonia. Results The prevalence of self-reported abortions was highest among women in St Petersburg and among the two oldest age groups of Russian-speaking Estonians. In all areas women with a history of abortion were more likely to have low education, children, a history of multiple partners and to have had their first intercourse when younger than 18 years. Insufficient use of reliable contraception, both at first and last intercourse, was the only risk factor that was more common in St Petersburg and in Estonia than in Finland. In Estonia, more Estonian than Russian-speaking women used reliable contraceptives. Conclusion The comparison of three areas suggests that high abortion rates are related to low contraceptive use and not to other risky sexual behaviour.