|
|
|
| Investigation on the distribution of women with induced abortion in Beijing Shijingshan area and analysis of related factors of contraceptive failure |
| Beijing Chaoyang Hospital Affiliate to Capital Medical University, Beijing, 100043 |
|
|
|
|
Abstract To investigate the distribution of women with induced abortion in Beijing shijingshan area, and to analyze their related factors of contraceptive failure. Methods: A total of 5766 women with induced abortion from family planning services in Beijing shijingshan area between January 2018 and January 2020 were selected by random cluster method. The related epidemiological history and influencing factors of contraceptive failure were analyzed by questionnaire survey. Results: A total of 5766 questionnaires were distributed and 5687 valid questionnaires were recovered, with the recovery rate of 98.6%. The age of 5687 subjects ranged from 14 to 49 years old, with an average age of 33.3±3.4 years old, of which, 14.3% subjects were aged ≤20 years old, 32.0% subjects were aged 21-30 years old, 45.6% subjects were aged 31-40 years old, and 8.1% subjects were aged over 40 years old. As for the education background of these subjects, 51.7% subjects were in high school/college level, 40.7% subjects were in junior high school and below level. 34.0% unemployed and 30.8% farmers accounted for the higher in the occupation of these subjects. In these subjects, married accounted for 68.5%, unmarried accounted for 27.4%, and divorced accounted for 4.1%. Contraceptive failure (61.19%) was the main cause of unwanted pregnancy. 64.7% subjects had a history of childbearing, 18.9% subjects had one previous abortion, and 49.4% subjects had more than one abortion. As for the contraception method, IUD was mainly used by 43.2% subjects who had given birth, condom was mainly used by 47.48% subjects without given birth, and there was statistical significant difference in contraception method between the subjects with given birth and the subjects without given birth (P<0.05). Multivariate Logistic regression analysis showed that un-mastering contraceptive knowledge, unemployment or farmers, junior high school or below educational level, and improper contraception were the high risk independent risk factors of contraceptive failure (P<0.05). Conclusion: The women with low educational level, unemployment or farmers, and married account for the highest proportion of induced abortion in Beijing shijingshan area. Lack of contraceptive knowledge, low educational level, occupation status, and improper contraception are the main factors leading to contraceptive failure. Strengthening contraceptive knowledge education among women of childbearing age in Beijing shijingshan area is an effective way to reduce the induced abortion rate.
|
|
|
|
|
|
|
|
|
