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目的了解流产服务提供者药物流产知识和态度及各自的影响因素。方法采用多阶段分层随机抽样方法,抽取广东省深圳市和河南计划生育中心及医院的流产服务提供者共658人,进行自填式问卷调查。结果药物流产知识总评分100.0分,最高得分为78.1分,中位数为56.3分;<56.3分占59.6%,≥56.3分占40.4%;多因素分析表明,年龄(OR=1.057),单位地点(OR=2.340)和学历(OR=2.379)与知识得分有关;调查对象认为药物流产缺点的前3位是出血更多(60.2%),失败率更高(49.4%)和处理时间更长(48.8%);20.4%的人偏好药物流产,35.0%的人偏好手术流产;多因素分析表明,单位类别(OR=2.432)与调查对象对流产方式的偏好有关。结论流产服务提供者药物流产相关知识水平不高,年龄小、深圳市流产服务提供者,以及高中以下学历者知识水平较差;偏好药物流产的人所占比例较低。
Objective To understand the abortion knowledge and attitude of abortion service providers and their influential factors. Methods A total of 658 abortion service providers from Shenzhen City, Guangdong Province, Henan Family Planning Center and hospitals were surveyed by self-contained questionnaire using a multi-stage stratified random sampling method. Results The total score of knowledge about medical abortion was 100.0, with the highest score of 78.1 and the median of 56.3; the score of 56.3 was 59.6% and the rate of 56.3 was 40.4%; the multivariate analysis showed that the age (OR = 1.057) (OR = 2.340) and educational attainment (OR = 2.379) were related to knowledge scores. The top three patients believed that the shortcomings of medical abortion were more bleeding (60.2%), higher failure rate (49.4%) and longer treatment time 48.8%); 20.4% preferred medical abortion and 35.0% preferred surgical abortion; Multivariate analysis showed that the unit category (OR = 2.432) was related to the preference of abortion. Conclusions Abortion service providers have a low level of knowledge about medical abortion, and have a low level of knowledge. Abortion providers in Shenzhen, as well as those with academic records at or above the senior high school, have a poor knowledge level; those who prefer medical abortion account for a relatively low proportion.