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目的调查北京市海淀区西三旗地区流动人口产后妇女的避孕现况和对避孕知识的知晓情况,分析其避孕知晓的影响因素,为探索适合该人群的避孕健康宣教提供依据。方法选取西三旗地区378名产后1.0~1.5 a的妇女为研究对象,采用自编问卷对产后妇女避孕现况和避孕知晓情况进行调查。结果产后妇女首次性生活的避孕率为93.7%,产后避孕率为84.7%;产后意外妊娠率为6.9%。目前采取的避孕方式以避孕套为主,占88.8%。产后妇女避孕知识平均得分(48.64±16.62)分,低于60分者占71.96%。多元逐步回归分析显示,产后妇女避孕知识总分与受教育程度和年龄呈正相关,受教育程度越高,年龄越大,避孕知识得分越高。结论西三旗地区流动人口产后妇女意外妊娠率偏高;该群体避孕知识贫乏且知识掌握不均衡,并受其年龄和受教育程度的影响。
Objective To investigate the status of contraception and the knowledge about contraception in migrant women in Xisanqi district, Haidian District, Beijing, and to analyze the influential factors of contraception and to provide evidences for contraceptive health education suitable for this population. Methods A total of 378 postpartum women aged from 1.0 to 1.5 years in Xisanqi were selected as study subjects, and the self-made questionnaires were used to investigate the status of contraception and the awareness of contraception among postpartum women. Results The postpartum women’s contraception rate for the first sexual life was 93.7%, the postpartum contraception rate was 84.7%, and the postpartum unwanted pregnancy rate was 6.9%. The current contraceptive method is condom-based, accounting for 88.8%. The average score of postpartum women’s contraception knowledge (48.64 ± 16.62) points, less than 60 points accounted for 71.96%. Multiple stepwise regression analysis showed that the total score of postpartum women’s contraceptive knowledge was positively correlated with education level and age. The higher education level and older age, the higher the contraceptive knowledge score. Conclusion The unexpected pregnancy rate of migrant women in Xisanqi area is high. The contraception knowledge and contraception of this group is poor and affected by their age and educational attainment.