Contraceptive practices and induced abortions status among internal migrant women in Guangzhou, China: a cross-sectional study.
Contraceptive practices and induced abortions status among internal migrant women in Guangzhou, China: a cross-sectional study.
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DOI：
10.1186/s12889-015-1903-2
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发表时间：
2015-06-17
影响因子：
4.5
通讯作者：
Ling L
中科院分区：
文献类型：
--
作者：
Zeng J;Zou G;Song X;Ling L
中国正面临着前所未有的内部移民挑战。与当地居民相比，流动人口对卫生和计划生育服务的利用往往较差。移民妇女由于缺乏避孕知识和态度，面临更大的人工流产风险。本研究旨在了解广州市流动妇女的避孕行为和人工流产史，探讨影响其人工流产的潜在因素，并评价流动妇女对计划生育服务的利用情况。2013年，在中国广州对1003名18-49岁的流动妇女进行了匿名自填问卷调查。采用多阶段抽样方法。采用二元Logistic回归模型分析人工流产的危险因素。在1003名参与者中，810人（80. 8%）报告在过去6个月内有过性行为，其中已婚715人（88. 3%），未婚95人（11. 7%）。报告最多的避孕方法是男用避孕套（44.9%），而8.1%的人从未使用过任何避孕方法。只有10.4%的人报告曾从计划生育服务站获得免费避孕套，39.3%的人报告曾从计划生育工作人员那里获得避孕知识。在所有参与者中，417人（41.6%）有人工流产史。在已婚和未婚妇女中，分别有389人（49.1%）和28人（14.0%）进行过人工流产.其中，152例（36.5%）反复流产。据报告，人工流产的最主要原因是避孕失败（31.9%），其次是未使用任何避孕药具（21.1%）。流动人口人工流产者年龄大、户籍在广东省外、未进行过年度健康检查、文化程度低、户籍在城市、在广州居住时间长、有子女者多（P < 0.05）。中国广州市流动人口妇女人工流产率，特别是重复流产率较高。迫切需要提高对定期和适当使用避孕药具的认识。据报告，移民妇女对FPSS的利用率很低。应改进计划生育制度，使移徙者更容易获得计划生育服务，并使其更好地与一般保健服务结合起来。本文的在线版本（doi：10.1186/s12889-015-1903-2）包含补充材料，可供授权用户使用。
China is facing the unprecedented challenges of internal migration. Migrants tend to have poorer utilization of health and family planning services as compared to the local residents. Migrant women are at greater risk of induced abortions due to their poor contraceptive knowledge and attitude. This study aims to understand the contraceptive practices and history of induced abortions, explore the potential factors influencing induced abortions, and evaluate the utilization of family planning services among migrant women in Guangzhou, China. An anonymous, self-administered questionnaire survey was conducted with 1003 migrant women aged 18–49 in Guangzhou, China in 2013. A multi-stage sampling method was employed. Binary logistic regression model was used for analyzing risk factors of induced abortions. Among the 1003 participants, 810 (80.8 %) reported having sex in the past 6 months, including 715 (88.3 %) married and 95 (11.7 %) unmarried. The most reported contraceptive method was male condom (44.9 %), while 8.1 % never used any contraceptive methods. Only 10.4 % reported having attained free condoms from family planning service stations (FPSSs) and 39.3 % reported having acquired contraceptive knowledge from family planning workers. Of all the participants, 417 (41.6 %) had a history of induced abortion. Of married and unmarried women, 389 (49.1 %) and 28 (14.0 %) had induced abortion respectively. Of these, 152 (36.5 %) had repeated abortions. The most reported reason for having induced abortion was failure of contraception (31.9 %), followed by nonuse of any contraceptives (21.1 %). Migrants who had induced abortion tended to be older, have household registration outside Guangdong province, receive no annual health checkup, have lower education, have urban household registration, have lived longer in Guangzhou and have children (P < 0.05). The prevalence rate of induced abortion, especially repeated abortions among migrant women was high in Guangzhou, China. There is an urgent need to improve the awareness of regular and appropriate use of contraceptives. The utilization of FPSSs among migrant women was reportedly low. Family planning system should be improved to provide better access for migrants and better integrated with the general health services. The online version of this article (doi:10.1186/s12889-015-1903-2) contains supplementary material, which is available to authorized users.
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DOI：
10.1186/1472-6874-9-5
发表时间：
2009-03-20
期刊：
BMC women's health
影响因子：
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DOI：
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发表时间：
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