UNINTENDED PREGNANCIES AND THE USE OF CONTRACEPTION - CHANGES FROM 1984 TO 1989

UNINTENDED PREGNANCIES AND THE USE OF CONTRACEPTION - CHANGES FROM 1984 TO 1989
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DOI:
10.1136/bmj.302.6769.147
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发表时间:
1991-01-19
影响因子:
--
通讯作者:
FLEISSIG, A
FLEISSIG, A
中科院分区:
医学1区
文献类型:
--
作者:
FLEISSIG, A

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最近关于堕胎时限的议会辩论突出表明,英格兰和威尔士的意外怀孕人数很多,计划生育服务不足。“我报告了1989年对最近的母亲进行的一项邮政调查,询问她们是否有意怀孕以及怀孕时使用避孕措施的情况。结果进行了比较,从1984.2主题,方法和结果20个地区在英格兰和威尔士的出生人数与概率成正比。在每个地区随机抽取一个月内登记的100名新生儿。母亲们在孩子出生六个月后收到了一份调查问卷,76%的人在两次提醒后回复。(The 1984年的回应率为79%。分析中使用了比例差异检验和趋势X2检验。5%水平的差异被认为是显著的。意外怀孕的妇女比例从26%上升到7%,(398/1490),1984年降至31.3%(464/1483),但在这两个时期,1989年和1984年分别有70.5%(327/464)和69.1%(271/392)的妇女在怀孕时采取了避孕措施。该表显示,1984年和1989年意外怀孕的母亲主要是单身、年轻或已经有两个或两个以上孩子的母亲。
The recent parliamentary debate on time limits for abortion has highlighted the high number of unwanted pregnancies in England and Wales and the adequacy of family planning services.'I report a postal survey of recent mothers in 1989, who were asked whether their pregnancy had been intended and about the use of birth control at conception. The results were compared with those from a similar postal survey from 1984.2Subjects, methods, and results Twenty areas in England and Wales were chosen with probability proportional to the number of births. In each area a random sample of 100 births registered during one month was selected. Mothers were sent a questionnaire six months after the birth and 76% replied after two reminders.(The response rate in 1984 was 79%.) Tests for differences between proportions and X2 test for trends were used in the analyses. Differences at the 5% level were considered significant. The proportion of women who had an unintended pregnancy increased from 26-7%(398/1490) in 1984 to 31 3%(464/1483) in 1989, but similar proportions of these mothers in both periods (70 5%(327/464) in 1989 and 69-1%(271/392) in 1984) were using some method of birth control when they became pregnant. The table shows that in 1984 and 1989 the mothers who had unintended pregnancies were mainly single, young, or those who already had two or more children.