Unintended pregnancy and induced abortion among unmarried women in China: a systematic review.

Unintended pregnancy and induced abortion among unmarried women in China: a systematic review.
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DOI:
10.1186/1472-6963-4-1
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发表时间:
2004-01-22
影响因子:
2.8
通讯作者:
Garner P
Garner P
中科院分区:
医学3区
文献类型:
--
作者:
Qian X;Tang S;Garner P

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直到最近,在中国,男女婚前检查还是一项法定要求。根据这一独特的基于人口的数据,研究人员对与会者的性活动、婚前怀孕和堕胎进行了调查,试图绘制出中国的生殖健康需求。系统地识别、评估和总结所有记录中国未婚妇女参加婚前检查的怀孕和人工流产的现有研究。检索1978 - 2002年中国生物医学文献索引;PUBMED;和EMBASE。试验由两个人独立评估和提取数据。9项研究符合纳入标准,其中7项在城市地区进行,1项在农村地区进行,1项在城市和农村地区进行。在城市地区的七项研究中,大多数未婚女性都有过性行为,其中五项研究的估计比例从54%到82%不等。以前怀孕的估计在12%到32%之间。堕胎率很高,8项研究报告的堕胎率在11%到55%之间,其中不包括一项农村研究。在报告怀孕和流产的三项研究中,大多数怀孕的妇女都进行了人工流产(范围为86%至96%)。一项大型农村研究记录了较低的低妊娠率(20%)和人工流产率(0.8%)。中国城市地区对临时避孕方法的需求很大。
Until recently, premarital examination for both men and women was a legal requirement before marriage in China. Researchers have carried out surveys of attendees' sexual activity, pregnancy and abortion before their marriages, trying to map out reproductive health needs in China, according to this unique population-based data. To systematically identify, appraise and summarise all available studies documenting pregnancy and induced abortion among unmarried Chinese women attending premarital examinations. We searched the Chinese Biomedical Literature Index from 1978 to 2002; PUBMED; and EMBASE. Trials were assessed and data extracted by two people independently. Nine studies, of which seven were conducted in the urban areas, one in the rural areas, and one in both urban and rural areas, met the inclusion criteria. In the seven studies in urban areas, the majority of unmarried women had experienced sexual intercourse, with estimates ranging from 54% to 82% in five studies. Estimates of a previous pregnancy ranged from 12% to 32%. Abortion rates were high, ranging between 11 to 55% in 8 studies reporting this, which exclude the one rural study. In the three studies reporting both pregnancy and abortion, most women who had become pregnant had an induced abortion (range 86% to 96%). One large rural study documented a lower low pregnancy rate (20%) and induced abortion rate (0.8%). There is a large unmet need for temporary methods of contraception in urban areas of China.
DOI: 10.1136/bmj.326.7383.277
发表时间: 2003-02-01
影响因子: --
作者:
Hesketh, T
通讯作者: Hesketh, T