| ObjectiveWith the opening of the sexual concept, teenagers’sexual behaviour before marriage is increased,it lead to the abortion rate and repeated abortion rate remains high in unmarried women, it isvery harmful to their health of body and mind.The study is to learn the status of induced abortionand post-abortion care, and to explore the factors of repeated abortion in unmarried women forproviding basis for protect their reproductive health and perfect the system of post-abortion care.Methods492 cases of unmarried women aged 18-24 years, classified into repeated abortion group with163 cases and abortion for the first time group with 329cases, from six hospitals of ShanxiProvince were surveyed from July 2010 to January 2011 through questionnaires,collect the dataof abortion knowledge,attitude and behavior,EpiData software was applied to input the data andSPSS13.0 software was used for analysis of data, and multi-factor logistic regression model anddecision tree model were used to explore the factors concerning repeated abortion.Results(1) The mean age of the objects was 21.62±1.82 years; 52.6% of all objects were registeredresidents of other cities; 47.9% had received education of a junior college or higher; and 20.5%of company staff, 20.9% of students, 23.0% of attendants; and 73.6% of all objects didn’t livewith their parents; 5.3% and 48.8% communicate the topic of sex with their father and mother.(2) 58.9% of all objects agreed to have premarital sex with the consent from both sides; 44.1%agreed that whether lovers were right to be together or not could be judged through premaritalsex; 17.3% thought that one-night stand was acceptable; 86.0% and 79.5% agreed that theywould have contraception in the future and believed that they were needy in reproductive healthknowledge.(3) Mean credit for knowledge concerning sexually transmitted diseases and pregnancy was 5.74±1.69 (out of 9 points), and for knowledge related to contraception 4.50±1.87 (out of 8 points);85.6% obtain above knowledge through TV, radio and internet channels.(4) The age of first sexual intercourse for 57.5% of all objects was 19-21;36.8% had more thanone sexual partners; 13.2% had contraception once they had sex and 84.9% through condoms;and 45.7% believed that occasional sexual intercourse would not lead to pregnancy;33.1% of allobjects underwent repeated abortion,and some even had abortion of five times;62.0% whounderwent repeated abortion had the last abortion less than 6 months ago; and this time ,62.6%didn’t use any contraceptive method. (5) Attitude of doctors’was good to their patients, knowledge of abortion also have introduced,50.8% and 69.9% were not be introduced the types of contraceptive methods and how to use thecontraceptive medicines and devices,98.4% and 88.6% are not provided contraceptive medicinesand devices , to other place accept family planning education.(6) Results showed that education, occupation, the number of sexual partners, contraceptiveusage, length from the first sexual intercourse to now, the status of sexual partners realize andconcern the contraception,cohabitation,awareness of reproductive health knowledge of theunmarried women were factors for repeated abortion.Conclusion(1) Most of unmarried women are people from other regions, they are most attendants andstudents, and mostly not living regularly with their parents, and rarely have sexual topics withtheir parents.(2) The attitude to premarital sex is open of unmarried women，and they are positive about thatthey will use contraceptive in the future and need reproductive health knowledge.(3) Reproductive health knowledge for unmarried women are from the Internet, books, but theydon’t know much about such knowledge, even they have wrong concepts and cognition onreproductive health knowledge.(4) Only a small portion of unmarried women adopt contraception for each sexual intercourseand commonly choose condoms, the length from last abortion to now is short.(5) Doctors Attitude was good to their patients, and they provide some education of inducedabortion, but lack of family planning services.(6) The effect is good of comprehensive application of Logistic regression and decision treemodel.Point out unmarried women with lower level of education, no job, more sexual partners,the fewer frequency of contraception, the longer the length from the first sexual intercourse tonow, the fewer awareness of contraceptive knowledge of sexual partners, sexual partners wereconcerned about contraception lesser, cohabitation, and the less awareness of reproductive healthknowledge are more likely to undergo repeated abortion. |
PDF Full Text Request