| Objective:This research studies the basic situation of unmarried female who takes induced abortion and analyzes the reproductive health knowledge, attitude and behavior status and explores the influence factors of the reproductive health knowledge,attitude to premarital sexual behavior,and Frequency of contraceptive measures of unmarried female who takes induced abortion,so as to take effective measures to improve the reproductive health knowledge’s level, the self-protect consciousness and the effective birth control skills of unmarried female who takes induced abortion. So that reducing the incidence of unmarried women abortion, and providing scientific basis for promoting the work of family-planning, material and child hygiene in our province.Method:By using stratified random sampling method, this research investigates2650unmarried female who were diagnosed of pregnancy by outpatient department of family planning but were asked terminated gestation and comes from part of level Ⅰ hospital, level Ⅱ hospital and level Ⅲ hospital in changsha city from July2010to June2012. Import all the information of research into Epidata statistical software to build a database. Then use the statistical software SPSS17.0and MLwiN to make an analysis of the qualitative and quantification level indexes which should be quantified and unified coding. The Statistical methods include statistical description, one-way analysis (ANOVA and Chi-square test, Nonparametric test), multi-way analysis (Clustering analysis, two level variance component model, single-level Logistic regression analysis, two-level Logistic regression model)Result:①Unmarried female who take induced abortion have an average age of age (23.93±23.93), the ratio of urban and rural population of2.29:1, of whom51.8%female are migrants and65.2%female have the culture level of college or above. These respondents are main composed of company employees (39.9%), and civil service (10.8%) and students (10.1%), and of whom40.6%monthly income reaches1201-1201yuan and36.3%have better family situation,and57.5%female who were the age of18～25for the first time of working,64%changed jobs. The proportion for women who have first sexual intercourse in20to24years old accounted for72.8%, and the major reason (79.8%)of having sex for the first time is out of love.②The average score about reproductive health knowledge was (22.26+7.03) points among unmarried female who take induced abortion, and most of whom can master the basic knowledge of reproductive health, but litter know about the calculation of ovulation period and likely pregnancy period, other index about morning sickness but the gold standard, new Contraceptive Methods, chancroid and other sexually transmitted diseases. The main access to reproductive health knowledge are books, newspapers and magazines (80.6%) and radio, movies, television (59.2%) for unmarried female who take induced abortion, and what they want to understand about the reproductive health knowledge is physiological health knowledge (82.9%),contraceptive knowledge(63.1%),eugenic knowledge (61.9%).66.4%of unmarried female who take induced abortion hold support or indifferent attitude on premarital sex,80.3%of female recognize it’s harmful to abortion,and86.8%of these female are willing to take effective measures to prevent the accidental pregnancy in the future sexual life.93.6%of unmarried female who take induced abortion have taken contraceptive measures, but only9.2%insisting on contraception, and major contraception is a condom (66.8%), Onanism (16.0%).②28.2%of women have done two or more induced abortion. Investigating the reason for the abortion, it shows that42.9%of women were unplanned sex,24.9%of the female contraceptive failure,29.4%of women are exposed to harmful environment or embryo dysplasia. Spearman correlation analysis and Nonparametric test show that the multiple abortions is correlated to reproductive health knowledge and the frequency of contraceptive measures (P<0.05);④Multiple levels of model research shows that culture degree, occupation, monthly income, parents’ education, school, community publicity, boyfriend peer exchanges, and other factors have effect on the knowledge of reproductive health for unmarried female who take induced abortion, the attitude to premarital sex, contraception frequency and the number of induced abortion (P<0.05). Single-level Logistic regression analysis showed that13factors including age, residence, native place, time to live in this city, educational level, occupation, Monthly Income, families’ economic conditions, number of siblings, marital status of parents, Publicity among school and community, communication with boy-friend and score of reproductive health knowledge,affect attitude to pre-marital sex of Unmarried female who take induced abortion (αλ=0.05,α出=0.10). Two-level Logistic regression model shows that18factors including age, residence, native place, time to live in this city, educational level, occupation, monthly income, families’ economic conditions, number of siblings, marital status of parents,age for the first time work, number of changing jobs, parents’ education, Publicity among school and community, communication with boy-friend and score of reproductive health knowledge, attitude toward "pre-marital sex, willingness to take contraceptive measures, have effect on frequency of contraceptive measures of Unmarried female who take induced abortion (P<0.05).Conclusion:①The age of unmarried female who take induced abortion is young. They mainly come form urban city and mostly are migrants, and generally have high cultural level, mainly are the company’s staff and students, most changed work. The major reason is love for sexual intercourse in the first time of female.②Most of the unmarried female who take induced abortion have certain understanding to the knowledge of reproductive health but only litter, for whom the main access to the knowledge of reproductive health is book or media; Most women holds support or indifferent attitude on premarital sex, and the large majority of women are willing to take effective measures to prevent the accidental pregnancy in the future sexual life; Most unmarried female who take induced abortion have taken contraceptive measures mainly by condom and Onanism, but only a fraction can insist.③The main reason of most abortion are unplanned sex or contraceptive failure, and the multiple abortions is correlated to reproductive health knowledge and the frequency of contraceptive measures.④Culture degree, occupation, monthly income, parents’ education, school, community publicity, boyfriend peer exchanges, and other factors have effect on the knowledge of reproductive health, attitude and behavior for unmarried female who take induced abortion. Focusing on the key crowd choosing community, establishing the "triangle of health education based on home-school-community, we should adopt flexible and varied forms to carry out the reproductive health knowledge, attitude and behavior education in the future work of maternal and child health care, which will to provide more and more effective reproductive health service before marriage for unmarried female. |
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