标题：育龄女性重复人工流产的避孕认知、生殖健康状况及相关因素调查

      作者：代晓银 1，冉华利 2    1.西安市第八医院妇科，陕西 西安 710061；2.西安市阎良区妇幼保健计划生育服务中心，陕西 西安 710089

      卷次： 2021年32卷23期

      【摘要】 目的 调查育龄女性重复人工流产的避孕认知、生殖健康状况，并分析其相关因素。方法 选择2019年7月至2020年7月西安市第八医院行人工流产的369例妇女为研究对象，根据流产次数分为重复人工流产组172例及初次流产组197例，比较两组妇女的避孕认知度、生殖道疾病发生率及一般资料，采用多元Logistic回归分析导致妇女重复人工流产的危险因素；根据生殖道疾病发生情况将重复人工流产组分为生殖感染组76例和生殖健康组96例，采用多元Logistic回归分析影响重复流产妇女生殖健康的危险因素。结果 重复流产组及初次流产组妇女对避孕方法的知晓率比较差异均无统计学意义(P>0.05)；重复流产组妇女的生殖系统感染发生率为42.44%，明显高于初次流产组的31.98%，差异有统计学意义(P<0.05)；重复流产组及初次流产组妇女的生殖道肿瘤发生率比较差异无统计学意义(P>0.05)；重复流产组妇女在文化程度初中及以下、未避孕、已婚、已生育、性生活频率≥1次/周方面的人数比例明显高于初次流产组，差异均有统计学意义(P<0.05)；经多元Logistic回归分析结果显示，文化程度为初中及以下、未避孕是影响重复人工流产发生的危险因素(P<0.05)；生殖健康组妇女在文化程度初中及以下、未避孕、已生育、性生活频率≥1次/周方面的人数比例明显高于生殖感染组，差异均有统计学意义(P<0.05)；经多元Logistic回归分析结果显示，文化程度初中及以下、已生育是影响重复人工流产妇女生殖健康的危险因素(P<0.05)。结论 重复人工流产及初次人工流产妇女对避孕方法的知晓率相当，文化程度为初中及以下、未避孕是影响重复人工流产发生的危险因素，且文化程度初中及以下、已生育是影响重复人工流产患者生殖健康的危险因素。
      【关键词】 育龄女性；重复人工流产；避孕认知；生殖健康；影响因素
      【中图分类号】 R169.42 【文献标识码】 D 【文章编号】 1003—6350（2021）23—3119—04

Investigation of contraception cognition, reproductive health status and its related factors in childbearing-agewomen having repeated induced abortions.
DAI Xiao-yin 1, RAN Hua-li 2. 1. Department of Gynecology, Xi'an EighthHospital, Xi'an 710061, Shaanxi, CHINA; 2. Family Planning Service Center, Yanliang District Maternal and Child HealthHospital, Xi'an 710089, Shaanxi, CHINA
【Abstract】 Objective To investigate contraception cognition and reproductive health status, and analyze its relat-ed factors in childbearing-age women having repeated induced abortions. Methods A total of 369 women undergoing in-duced abortion in Xi'an Eighth Hospital between July 2019 and July 2020 were enrolled as the research objects. Accordingto different abortion times, they were divided into repeated abortion group (172 cases) and first abortion group (197 cases).The contraception cognition, incidence of reproductive tract diseases and general data were compared between the twogroups. The risk factors of repeated induced abortions were analyzed by multivariate logistic regression analysis. Accordingto presence or absence of reproductive tract diseases, patients in repeated abortion group were divided into reproductive in-fection group (76 cases) and reproductive health group (96 cases). The risk factors of reproductive health were analyzed bymultivariate logistic regression analysis. Results There was no significant difference in cognition rate of contraceptionmethods between repeated abortion group and first abortion group (P>0.05). The incidence of reproductive system infectionin the repeated abortion group was significantly higher than that in first abortion group (42.44% vs 31.98%, P<0.05). Therewas no significant difference in the incidence of reproductive tract tumors between repeated abortion group and first abor-tion group (1.74% vs 1.02% , P>0.05). The proportions of cases with education level of junior high school or below,non-contraception, married status, generational experience and frequency of sexual life ≥once/week in repeated abortiongroup were significantly higher than those in first abortion group (P<0.05). The results of multivariate logistic regressionanalysis showed that education level of junior high school or below, and non-contraception were risk factors of repeated in-duced abortions (P<0.05). The proportions of cases with education level of junior high school or below, non-contraception,generational experience and frequency of sexual life ≥once/week in reproductive health group were significantly higherthan those in reproductive infection group (P<0.05). The results of multivariate logistic regression analysis showed that edu-cation level of junior high school or below and generational experience were risk factors of reproductive health in women·调查研究·doi:10.3969/j.issn.1003-6350.2021.23.035