Contraceptive Use and Abortion Among Women Of Reproductive Age in St. Petersburg, Russia
Contraceptive Use and Abortion Among Women Of Reproductive Age in St. Petersburg, Russia
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DOI：
10.1363/4105109
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发表时间：
2009-03-01
影响因子：
5.8
通讯作者：
Hemminki, Elina
中科院分区：
文献类型：
--
作者：
Regushevskaya, Elena;Dubikaytis, Tatiana;Hemminki, Elina
背景：虽然与俄罗斯妇女之间的避孕使用的特点进行了研究，没有大规模的研究已经进行了妇女使用不同的避孕方法和aborte.METHODS：随机抽样的1,147名妇女年龄在18-44岁完成了问卷调查，在当地的妇女诊所在圣彼得堡彼得堡在2003-2004年。卡方检验被用来检查在选定的年龄组之间的特征的差异，和逻辑回归被用来评估这些特征和使用避孕方法在最后性交和流产history.RESULTS：在意外怀孕的风险的妇女之间的关联，6在10使用可靠的避孕药具（避孕药，宫内节育器或避孕套）在最后性交，42%使用避孕套。中等收入妇女比低收入妇女更有可能使用避孕药（比值比，2.1）;同居妇女和有孩子的妇女使用避孕套的几率较低（分别为0.6和0.3-0.5）。超过一半的受访者报告曾堕胎。与堕胎几率增加相关的特征包括25岁或以上（2.2-3.5），同居（2.9），高收入（1.7），在18岁之前经历过第一次性交（2.2）和第一次性行为时未使用避孕方法（1.5）。与堕胎最密切相关的因素是一个女人的出生次数（4.9-5.7）。结论：教育计划，促进一致使用避孕套，特别是年轻女性，计划生育计划，减少财政障碍，避孕药具的使用，是迫切需要在俄罗斯。
CONTEXT: Although the characteristics associated with contraceptive use among Russian women have been studied, no large-scale research has been conducted on women's use of different contraceptive methods and abortion.METHODS: A random sample of 1,147 women aged 18-44 completed questionnaires at local women's clinics in St. Petersburg in 2003-2004. Chi-square tests were used to examine differences in selected characteristics among age-groups, and logistic regression was used to assess associations between these characteristics and the use of contraceptive methods at last intercourse and abortion history.RESULTS: Among women at risk of unintended pregnancy, six in 10 had used reliable contraceptives (the pill, the IUD or condoms) at last intercourse; 42% had used condoms. Women in the middle income level were more likely than women with lower income to have used the pill (odds ratio, 2.1); cohabiting women and those who had had children had lowered odds of using condoms (0.6 and 0.3-0.5, respectively). More than half of those surveyed reported having had an abortion. Characteristics associated with increased odds of having had an abortion included being 25 or older (2.2-3.5), cohabiting (2.9), having high income (1.7), having experienced first intercourse before turning 18 (2.2) and having used no contraceptive method at first sex (1.5). The factor that was most strongly associated with abortion was a woman's number of births (4.9-5.7).CONCLUSIONS: Educational programs that promote the consistent use of condoms, especially among young women, and family planning programs that reduce financial barriers to contraceptive use, are critically needed in Russia.