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目的了解青少年未婚非意愿妊娠的原因与影响因素,为降低未婚青少年非意愿妊娠的干预措施提供依据。方法对2008~2012年到枣庄市峄城区妇幼保健院行人工流产术的未婚青少年进行调查。结果调查的760人中,本次妊娠原因是未避孕(从来不避孕)的占73.42%,不同年龄差异有统计学意义(P<0.01);未坚持避孕(通常避孕本次未避孕)的占15.53%,避孕失败的占11.05%。未避孕的558人中,未避孕原因为无思想准备的占40.86%,侥幸心理的占35.13%,不知道如何避孕的占15.41%,其他占8.60%;未坚持避孕的118人中,未避孕原因为侥幸心理的占42.37%,安全期计算失误或体外排精的占35.59%,个人疏忽的占16.95%,原因不明的占5.08%;避孕失败的84人中,失败原因为未按要求正确使用避孕药具的占47.62%,安全期计算失误或体外排精的占38.09%,避孕套破裂滑脱的占9.52%,原因不明的占4.76%。结论未婚青少年非意愿妊娠的原因主要是存在侥幸心理未采取避孕措施或缺乏避孕知识。
Objective To understand the reasons and influencing factors of unwanted unwanted pregnancies among adolescents and provide the basis for reducing interventions for unwanted pregnancies among unmarried adolescents. Methods From 2008 to 2012, we investigated the unmarried adolescent who did abortion in Maternal and Child Health Hospital of Tancheng District, Zaozhuang City. Results Of the 760 people surveyed, 73.42% were non-contraceptive (never contraceptive). The difference was statistically significant (P <0.01). Persons who did not adhere to contraception (usually not contracted this time) 15.53%, contraceptive failure accounted for 11.05%. Among the 558 non-contraceptives, 40.86% did not have contraception because of lack of mental preparation, 35.13% were lucky, 15.41% did not know how to contraception, and 8.60% did not; and 118 of those who did not insist on contraception did not have contraception The reason is lucky psychological accounted for 42.37%, safety period calculation error or in vitro ejaculation accounted for 35.59%, personal negligence accounted for 16.95%, unexplained accounted for 5.08%; Contraceptive failure of 84 people, the failure reason is not as required The use of contraceptives accounted for 47.62%, accounting for errors during the safety period or 38.09% excluding in vitro fertilization, condom collapse and slipping 9.52%, unexplained 4.76%. Conclusions Unmarried teenagers unwanted pregnancy mainly due to the existence of chances of no contraceptive measures or lack of knowledge of contraception.