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A Hospital-based Study on Birth Control and Unintended Pregnancy in Female Non-residents

Author: HuZuoQing
Tutor: XuZuo；WangZuo
School: Fudan University
Course: Public Health
Keywords: Non-household women Contraception Service use Knowledge Attitude Unwanted pregnancy Abortion Reason
CLC: R169.4
Type: Master's thesis
Year: 2009
Downloads: 104
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Abstract

Population movements associated with the process of industrialization and urbanization since the reform and opening up and inevitably produce social phenomenon, is also an important manifestation of China's social development and progress. In the new century, China's population flow to enter a new period of development. Shanghai's non-household population from 600,000 in 1984, rising to 5.87 million in 2005, accounting for 1/3 of the total population in Shanghai has become the national inter-provincial flow region with the highest proportion of the population. Approximately 63.1% of the non-household population aged between 20-39 years of age, the proportion of the number of men and women are similar. The floating population into the cities would produce both material and cultural impact, especially for young women, the issues related to sexual and reproductive. Shanghai household registration of women of childbearing age total abortion rate declined, but the high abortion rate for non-household women. In this study, through a combination of quantitative and qualitative research methods, summary of the non-permanent contraception for women the status quo, unexpected pregnancy situations, contraception and cognitive factors analysis of impact of the non-household women's contraceptive knowledge awareness and choice of contraceptive methods, and to explore artificial abortion reasons, from community hospitals function to explore the provision of services and management of non-permanent contraception for women countermeasures, provide basic information and policy recommendations to improve the health of non-permanent contraception for women. The first part of women's non-permanent contraception status quo and influencing factors analysis Objective: To understand the status of non-permanent contraception for women, and its influencing factors, and provide the basis for further improvement of the non-household population of contraceptive services. Methods: Street Community Health Center in Huangpu District, half-Sung Park gynecology clinic from July 2007 to December 2008, all non-household women of childbearing age, excluding referral women, a total of 430 cases. Unified design of the survey carried out for all subjects. Describe the object of general, pregnancy history of contraception. Using multivariate logistic regression models, in-depth analysis of the factors affecting the status of non-permanent contraception for women. Results: 430 subjects were an average age of 29.17 ± 6.19 years, 79.3% of women currently or contraceptive measures have been taken, mainly married women with IUD (intrauterine device), accounting for 50.8%; unmarried women with condom mainly accounted for 61.3%. Choice of contraceptive methods, both parties decided to 64.8%; women, I decided that accounted for 24.3%; another 4.7% by the man decided; 6.2% required by the planning department. On the means of access to contraceptives, 90.3% of unmarried through purchase get free access to only 9.7%. 71.3% of women are satisfied with the contraceptive methods taken below the other findings, the single factor analysis of the satisfaction of the different methods of contraception. Multivariate analysis revealed that the possibility of higher than the frequency of abortion and contraception, abortion 2 times or more, (OR = 2.367); increase with age, the possibility of choosing the IUD (OR = 1.804); the contraceptive methods determined by the woman herself proportion also increased (OR = 1.136); the original domicile possibility to choose the IUD rural than urban (OR = 3.047); without industry the possibility of contraception was significantly lower than in industry ( OR = 0.307). Conclusion: still a part of non-household women can not decide for themselves contraceptive methods; of contraception overall satisfaction is lower than previous studies; free contraceptives and family planning departments provided free family planning technical service low utilization rate. Should strengthen the publicity for free family planning services (including access to contraceptives and family planning, validation, etc.), and help to improve the the household registration Philippine women's contraceptive prevalence rate and reduce unintended pregnancy rate. Knowledge, attitude and purpose of the survey in the second part of the non-permanent contraception for women: the mastery of non-household women on contraceptive knowledge and its influencing factors, and to provide a basis for exploring women's characteristics suitable for non-permanent contraceptive health education. Methods: Street Community Health Center in Huangpu District, half-Sung Park gynecology clinic from July 2007 to December 2008, all non-household women of childbearing age, excluding referral women, a total of 430 cases. Unified design of the survey carried out for all subjects. Describe research objects contraceptive knowledge and attitude score, univariate analysis using t-test and one-way ANOVA analysis, multivariate analysis using binary Logistic regression model. Results: Knowledge Questionnaire total score of 12 points, 430 subjects were contraceptive knowledge score mean of 7.17 ± 2.65 points, the highest score of 12 points, the lowest of 0; 52.8% of women who agree with the attitude of unmarried cohabitation; survey in 65.1% of the women had access to contraceptive knowledge; 84.7% of women want to learn more about this knowledge; 86.7% of women are happy with professionals to conduct face-to-face consultation. Multivariate analysis showed that age for women aged 25 to contraception knowledge score was significantly higher than that of women aged ≥ 35 years (OR = 2.192); primary and lower educational level of women's contraceptive knowledge score significantly lower than junior high or The extent of women (OR = 0.2l0); EC awareness also significantly lower (OR = 0.180); take temporary methods of contraception women EC awareness was significantly higher than contraception for women (OR = 2.137). Conclusion: The non-household women know about the basic knowledge of contraception is not comprehensive; sexual concept, easily lead to the occurrence of premarital sex and unmarried cohabitation; health education should come from the multi-channel publicity professionals, should be more in-depth educational content. The third part of the non-household women accidental pregnancy investigation and abortion cause analysis purposes: to understand the non-permanent female unintended pregnancy to explore the reasons for the abortion, a function from community hospitals to provide basic information to improve the health of non-permanent contraception for women and policy recommendations. Methods: in Huangpu District, a semi-Sung Park Street Community Health Center between July 2007 to December 2008 asked to do a surgical abortion (vacuum aspiration), all non-household women of childbearing age, excluding repeat abortion during this period, a total of 127 cases. Face-to-face survey of all objects unified design. Describe the object of the study in general, pregnancy history, unwanted pregnancies, etc. distribution characteristics. And among subgroups of x ~ 2 test was used to compare differences in the correlation analysis to reflect the relationship between the sociodemographic characteristics and pregnancy, pregnancy history of abortion. Results: 127 subjects were an average age of 27.93 ± 6.73 years, young people under the age of 20 accounted for 3.9%; the average abortion times of 1.98 ± 1.46, up to 14 times; mean gestational age of 52.23 ± 9.65 days; reasons for surgery The largest unprotected accounted for 63.0%, of which the largest proportion of trusting to luck, accounting for 53.8%; contraceptive failure accounted for 33.9%, including condoms mistakes proportion, accounting for 34.9%. 52.0% of women associated with common reproductive tract infections; 55.9% abortion heard of emergency contraception. Univariate analysis showed that age to 35 - year-old women and abortion ratio was significantly higher than other age groups (P lt; 0.001); married person crowd was significantly higher than the proportion of unmarried persons (P lt; 0.001 ); significantly higher than the proportion of the flow of people have children childless (P lt; 0.001); the unmarried average miscarriage age of significantly less than married persons (F = 26.533, P lt; 0.001); married by the surgeon primary and lower education level, the unemployed significantly greater than the proportion of unmarried by the surgeon, P values ??were 0.012,0.041. Conclusion: Not to take contraceptive measures and lead to the abortion continued to hold a high proportion of their most important reason for trusting to luck; the main contraceptive failure condoms mistakes; unmarried by the average miscarriage age significantly less than married. The high incidence of non-household women of reproductive tract infections, less understanding of emergency contraception, the proper use of contraceptive methods need to be improved to strengthen publicity and education to carry out reproductive health and contraceptive knowledge, at the same time proposes to extend the range of family planning services , unmarried people and the spouses of married women.

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