女性性行為前預防狀況調(diào)查分析及對策研究

付天芳+李冰

【摘要】目的：調(diào)查分析女性性行為前預防狀況及相應對策的研究。方法：選取2012年3月至2015年3月我院收治的未婚非意愿妊娠女性142例為研究對象，現(xiàn)場采用自編問卷調(diào)查的方式，在專門的醫(yī)師指導下對未婚意外妊娠女性的性行為前預防狀況和應對策略進行資料收集分析。結果： 未婚非意愿妊娠女性多同居，超過50%的人有過生殖道感染癥狀，調(diào)查對象的性行為狀況存在差異；有34.51%的未婚意外妊娠女性對避孕方法全然不知，超過50%的人主要通過媒體或日常生活中同學、同事間的交流獲取性生理知識和避孕知識，家庭教育和學校教育的作用相對弱；非意愿妊娠的多數(shù)女性不經(jīng)常采用避孕措施，存僥幸心理；年齡和文化程度越高，對人流風險知曉程度越高，男伴避孕知識越充分及其避孕積極性越高，性行為前采取預防措施的概率更大。結論：未婚非意愿妊娠女性避孕知識知情況總體不高，不經(jīng)常采用避孕措施，常存僥幸心理，家庭和學校教育力度顯弱，男伴的保護作用沒有較好發(fā)揮，應加強對育齡男女青年的宣教，推進避孕知識和避孕技巧的普及，促進男伴積極主動參與避孕，減少未婚女性非意愿妊娠的發(fā)生。

【關鍵詞】未婚女性；性行為前預防狀況；調(diào)查分析；對策研究

Female contraceptive methods analysis and counter measuresFU Tianfang， LI Bing. Department of Obstetrics， Weinan Maternal and Children Health Care Hospital， Weinan 714000， Shaanxi， China

【Abstract】Objectives： To study the situation of female contraceptive methods and countermeasures. Methods： 142 unmarried pregnant women treated in our hospital from March 2012 to March 2015 were selected. Questionnaire survey was done under the guidance of physicians to collect the data of contraceptive methods and countermeasures for analysis. Results： Most unmarried unwanted pregnancy women were in cohabiting with their boyfriends. More than 50% of them had reproductive tract infection symptoms. There were differences in sexual behavior： 34.51% of unmarried women were completely unaware of contraceptive methods； more than 50% of them mainly got the biology of sex and contraception knowledge through the exchange of students， colleague media and daily life. The role of family education and school education was relatively weak. Most women did not regularly use contraception methods； the higher age and education level was， the higher degree of induced abortion risk awareness was. The more contraceptive knowledge male partner knew， the more positive and greater the probability to take precautions before sex was. Conclusion： Contraception knowledge level in single unwanted pregnancy female is not high. They do not often take contraceptive methods. Family and school education is significantly weak and protective effect of male partners is relatively low. Therefore， education for men and women in childbearing age should be strengthened， to promote the popularization of contraceptive knowledge and contraceptive techniques， and promote active participation of the male partner and unmarried women in contraception to reduce the incidence of unintended pregnancy.

【Key words】Unmarried women； Contraceptive methods； Investigation； Countermeasures

【中圖分類號】R169【文獻標志碼】Aendprint

近年來，隨著我國對外開放、媒體和網(wǎng)絡技術的快速發(fā)展，未婚青年的性觀念也日趨開放，婚前性行為、女性非意愿妊娠和人工流產(chǎn)發(fā)生率也呈逐年上升趨勢[1，2]，給未婚女性帶來身心和生殖上的痛苦，嚴重影響她們的生活質(zhì)量，這也是人們?nèi)諠u關注的醫(yī)學問題。……