摘要
目的:了解未婚流动人口的避孕措施使用状况及其影响因素。方法:采用结构式匿名问卷对上海市长宁区新泾镇1092名15～24周岁未婚流动人口的性与生殖健康知识、态度、行为和避孕措施使用状况等进行调查。结果:有22.6%的对象自我报告有性经历,男女性经历比例分别为34.8%和12.7%。9.4%的对象曾经怀孕或使其性伴怀孕,男女分别为13.7%和6.0%。其中,1/3的对象或其性伴有过2次及2次以上的妊娠。怀孕的主要原因为未避孕(54.4%)。仅7.3%的对象坚持每次性生活都使用避孕措施,21.1%的对象从未使用过避孕措施。59.8%的对象首次性行为时未使用避孕措施。使用最多的避孕方法为避孕套(76.4%),其次是口服避孕药(34.4%)、安全期(33.3%)和体外排精(30.3%)。避孕药具主要来源于药店(60.5%)。不避孕或未坚持使用避孕的主要原因是因为“偶尔的性生活不会怀孕(36.7%)”、“通常性生活是在无思想准备情况下发生(24.0%)”“不懂得避孕(17.5%)”及“不好意思买/要避孕药具(16.2%)”等。多因素分析结果提示,月平均收入较高、在上海居住时间较短、避孕知识得分较高者避孕使用频率较高;文化程度较高、服务行业职工、避孕知识得分较高、与媒体接触较多者避孕套使用比例较高。结论:未婚流动人口的避孕措施使用率低,提高他们的避孕知识水?
Objective: To understand the situation of contraceptive use and the impact factors among unmarried migrant young people. Method: A total of 1 092 unmarried migrant youth aged 15-24 in Xinjing Town of Changning District, Shanghai, were recruited in a cross-sectional, anonymous and questionnaire-based survey, where information on subjects’ sexual and reproductive health knowledge, attitude toward sex-related issues, sexual and contraceptive behaviors, and needs on sexual and reproductive health education and services were collected. Results: A proportion of 22.6% of the respondents (male: 34.8%, female: 12.7%) were sexually active. Totally 9.4% of the respondents or their female partners had experienced pregnancy, the ration for male was 13.7%, and for female was 6.0%. Among them, one third had two or more than two pregnancies. The main reason for the pregnancy was nonuse of contraception (54.4%). Only 7.3% of sexuallyactive subjects used contraceptives at every intercourse, 21.1% never used contraceptives and 59.8% didn’t use contraceptives at their first intercourse. The most commonly used contraceptive method was condom (76.4%), followed by O.C. (34.4%), rhythm (33.3%) and withdrawal (30.3%). The important source of the contraceptives mentioned was pharmacies (60.5%). The main reasons for nonuse or discrete use of contraception included “thought occasional sex could not result in pregnancy (36.7%)”“sex intercourse happened unexpectedly, and no contraceptives were prepared (24.0%)”, , “lack of awareness of contraception (17.5%)” and “be embarrassed to buy/get contraceptives (16.2%)”, etc. Results of multivariate logistic regression analysis indicated that those who has higher income, stayed shorter in Shanghai, had more contraceptive knowledge were more commonly to use contraceptives; those who were better educated, were shop/restaurant employees, had more contraceptive knowledge and were more exposed to media were more likely to use condom. Conclusion: The contraceptive use among unmarried migrant young people was low. It is very necessary to increase their awareness of contraceptive and accessibility to contraceptive service.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2004年第6期349-354,共6页
Reproduction and Contraception
关键词
流动人口
未婚青年
避孕
migrant youth
unmarried
contraceptive use
