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目的研究江苏省使用口服避孕药妇女副反应的发生情况,并探索其影响因素。方法采用横断面研究的方法,使用调查问卷、体格检查表对符合入选标准的已婚妇女进行调查。结果副反应的总发生率为19.34%。苏北、苏中和苏南的副反应发生率分别为22.78%、23.44%和15.03%,差异有统计学意义(P<0.001)。多因素Logistic回归分析显示,育龄妇女口服避孕药副反应的发生存在地区差异,随着年龄减小,人工流产数增加,发生副反应的风险升高。结论江苏省使用口服避孕药妇女的副反应发生率较高。应加强育龄妇女使用口服避孕药前的健康检查,重视避孕药知识的宣传和指导,加强对多次人工流产史妇女的监测,减少副反应发生。
Objective To study the incidence of side effects of oral contraceptives among women in Jiangsu Province and to explore the influencing factors. Methods A cross-sectional study was conducted using a questionnaire and a physical checklist to investigate married women who met the inclusion criteria. Results The total incidence of side effects was 19.34%. The incidences of side effects in Northern Jiangsu, Central Jiangsu and Southern Jiangsu were 22.78%, 23.44% and 15.03%, respectively, with statistical significance (P <0.001). Multivariate logistic regression analysis showed that there were regional differences in the incidence of oral contraceptives among women of childbearing age. As the age decreased, the number of induced abortion increased and the risk of side effects increased. Conclusion The incidence of side effects of oral contraceptives in Jiangsu Province is high. Should be strengthened women of childbearing age to use oral contraceptives before the health check, attention to the promotion of contraceptive knowledge and guidance to strengthen the abortion of many women in the monitoring and reduce the incidence of side effects.