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目的:了解城市流动已婚育龄妇女的性生活满意度以及避孕方法使用对满意度的影响。方法:采用分层-整体-随机的方法,于2010年4月至2013年3月,在乌鲁木齐市六区一县流动人口较集中的社区,对18~50岁的流动已婚育龄妇女进行性生活情况与避孕措施使用情况的问卷调查。结果:在105422名对象中,对性生活“满意”的占50.43%、“偶尔满意”的占48.53%、“不满意”的占1.04%。多因素logistic回归分析显示,与未避孕的对象相比,使用宫内节育器、绝育术和药物避孕的对象,其“偶尔满意”的可能性较高,OR值分别为1.96(95%CI:1.86-2.07)、1.88(95%CI:1.69-2.08)、2.08(95%CI:1.97-2.20);使用宫内节育器的对象性生活“满意”的可能性也较高(OR=1.44,95%CI:1.16-1.79)。结论:有效的避孕措施,特别是宫内节育器的使用,能够提高流动已婚育龄妇女的性生活满意度。
Objectives: To understand the sexual satisfaction of married women of childbearing age in urban areas and the impact of the use of contraceptive methods on satisfaction. Methods: From April 2010 to March 2013, in a community with concentrated floating population in six districts and one county of Urumqi, the method of stratified-holistic-randomized method was applied to migrant married women of childbearing age between 18 and 50 years old Questionnaire of living conditions and contraceptive use. Results: Out of 105,422 subjects, 50.43% of sexual life, “satisfied”, 48.53% of “occasionally satisfied”, and 1.04% of “unsatisfied”. In the multivariate logistic regression analysis, compared with non-contraceptive subjects, those who used IUD, sterilization and drug contraception were more likely to be “occasionally satisfied,” with odds ratios of 1.96 (95% CI: 1.86-2.07), 1.88 (95% CI: 1.69-2.08), 2.08 (95% CI: 1.97-2.20). There was also a higher likelihood of sexual satisfaction in subjects who used an IUD OR = 1.44, 95% CI: 1.16-1.79). CONCLUSIONS: Effective contraceptive methods, especially the use of IUDs, can increase the sexual satisfaction of married women of childbearing age.