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为分析山东省节育手术量近年来逐渐下降的原因,掌握避孕节育措施落实是否及时、到位,为科学决策提供参考依据,对山东省7个市地、14个县(市区)、24个村进行调查,其中包括7个知情选择试点村。结果显示,1993年1月1日0时～1996年6月30日24时,样本点有生育现象的已婚育龄夫妇共755对,采取手术避孕者648人,占85.8％;非手术避孕(药具)的107人,占14.2％。其中,非知情选择样本点有生育现象的调查对象共497对,采取手术避孕者占97.2％,非手术避孕者占2.8％;节育及时率4年依次为54.1％,62.3％,81.7％,93.0％,平均为69.4％,逐年呈阶梯状上升趋势。1995年开始推行知情选择试点工作,知情选择样本点有生育现象的调查对象共118对,已采取手术避孕者占40.7％,非手术避孕者占59.3％,与同期非知情选择样本点比较,非手术比例增加56.4％。调查认为,节育手术量下降与我省扎实的基层基础工作、出生人口的下降趋势及知情选择的深入推广有必然的联系。
In order to analyze the reason why the amount of birth control surgery in Shandong province has been declining gradually in recent years, whether the implementation of contraception and birth control measures should be timely and in place should be provided to provide reference for scientific decision-making. Seven cities and prefectures in Shandong Province, 14 counties (cities) Conduct a survey, including seven informed choice pilot villages. The results showed that at 0:00 on January 1, 1993 ~ at 24:00 on June 30, 1996, there were 755 married couples of childbearing age with fertility at the sample site, 648 of whom took surgical contraception, accounting for 85.8%. Non-surgical contraception Medicine) 107 people, accounting for 14.2%. Among them, a total of 497 pairs of subjects with fertility samples were selected for non-informed selection, 97.2% were treated with surgical contraception, 2.8% were non-surgical contraception, 54.1%, 62.3%, 81.7% and 93.0 %, With an average of 69.4%, showing a step-by-step upward trend year after year. In 1995, a pilot program of informed choice was launched. A total of 118 pairs of respondents who had the option of having childbearing in the informed sample were selected. Surgical contraception was taken as 40.7% and non-surgical contraception was 59.3%. Compared with the non-informed sample of the same period, The proportion of surgery increased 56.4%. Survey believes that the decline in birth control and the province’s grass-roots work in a solid foundation, the declining birthrate of the population and the deepening of the informed choice to promote a certain link.