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目的了解广州市荔湾区婚检女性婚前性行为及避孕现状,并分析其影响因素,为促进未婚女性有效避孕提供依据。方法采取整群抽样的方法,抽取2014年1月-12月自愿到广州市荔湾区某医院进行婚前医学检查的全部初婚女性进行问卷调查。结果 735名调查对象中,621人承认有婚前性行为,婚前性行为发生率为84.49%。有婚前性行为者的避孕知识知晓率为69.08%,而每次避孕率为42.83%。经多因素Logistic回归分析显示,文化程度高、月收入高和认为未婚先孕影响名誉者的每次避孕率较高(OR=1.914、1.295、1.742)。结论广州市荔湾区婚检女性的婚前性行为发生率较高,有婚前性行为者避孕知识总体水平也相对较高,但每次避孕率较低,需提高未婚女性对未婚先孕不良后果的认识,强化其避孕意识及避孕措施的使用率,减少意外妊娠的发生。
Objective To understand the status of premarital sex and contraception among premarital women in Liwan District of Guangzhou City and analyze its influencing factors so as to provide basis for promoting effective contraception for unmarried women. Methods The method of cluster sampling was used to select all the first-born women who volunteered to go to pre-marital medical examination in a hospital in Liwan District of Guangzhou City from January 2014 to December 2014 to conduct a questionnaire survey. Results Of the 735 subjects, 621 admitted having premarital sex and the incidence of premarital sex was 84.49%. The awareness rate of contraception with premarital sex was 69.08%, while that of contraception was 42.83%. Multivariate Logistic regression analysis showed that each contraceptive rate was high (OR = 1.914,1.295,1.742), with a high level of education, high monthly income and unmarried conception. Conclusion The prevalence of premarital sex was higher in premarital women in Liwan District of Guangzhou City, and the overall contraceptive knowledge of premarital sex workers was relatively high. However, the contraceptive rate of each woman was low, and the unmarried women should be aware of the consequences of unwanted maternity. , To strengthen their contraceptive awareness and the use of contraception, reduce the incidence of unwanted pregnancies.