Unintended pregnancy and its risk factors among university students in eastern China

被引:51
作者
Ma, Qiaoqin [1 ,2 ]
Ono-Kihara, Masako [2 ]
Cong, Liming [1 ]
Xu, Guozhang [3 ]
Pan, Xiaohong [1 ]
Zamani, Saman [2 ]
Ravari, Shahrzad Mortazavi [2 ]
Kihara, Masahiro [2 ]
机构
[1] Ctr Dis Control & Prevent, Hangzhou 310009, Zhejiang, Peoples R China
[2] Kyoto Univ, Sch Publ Hlth, Dept Global Hlth & Socio Epidemiol, Kyoto 6068501, Japan
[3] Ctr Dis Control & Prevent Ningbo Municipal, Ningbo 315010, Peoples R China
关键词
unintended pregnancy; abortion; contraceptive use; university; students;
D O I
10.1016/j.contraception.2007.10.008
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: The study was conducted to determine the prevalence of unintended pregnancy, induced abortion and contraceptive use, and factors associated with unintended pregnancy among Chinese university students. Study Design: A self-administered questionnaire survey with cross-sectional design was administered among students in two universities in Ningbo, China, in November-December 2003. Sociodemographic and behavioral factors associated with unintended pregnancy were identified in both genders using univariate and multivariate analyses. Results: Of sexually active students, 10.6% of male and 11.6% of female students reported their partner or they had a history of pregnancy; 10.0% of male and 11.3% of female students reported their partner or they had a history of induced abortion. The risk factors for unintended pregnancy identified among males by multivariate analysis were older age [odds ratio (OR), 2.12; 95% confidence interval (CI), 1.15-3.88], initiation of sexual activity before high school (OR, 2.45; 95% CI, 1.36-4.44), reported lack of condom use in first sexual activity (OR, 1.71; 95% CI, 1.10-2.64), multiple sexual partners (OR, 1.54; 95% CI, 1.06-2.23), and often used condoms during their lifetime (OR, 1.97; 95% CI, 1.01-3.81). The identified risk factors among females were initiation of sexual activity before high school (OR, 5.12; 95% CI, 1.49-17.68), non-consensual sexual intercourse as first sex (OR, 1.77; 95% CI, 1.08-2.90), multiple partners (OR, 2.75; 95% CI, 1.61-4.71), and sometimes/never (OR, 3.02; 95% CI, 1.16-7.87) or often (OR, 3.92; 95% CI, 1.43-10.73) used condoms during their lifetime. Conclusion: The high prevalence of unintended pregnancies and induced abortions in this population indicates a need for better and targeted sex education and family planning services. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:108 / 113
页数:6
相关论文
共 31 条
  • [21] Is condom use habit forming? Condom use at sexual debut and subsequent condom use
    Shafii, T
    Stovel, K
    Davis, R
    Holmes, K
    [J]. SEXUALLY TRANSMITTED DISEASES, 2004, 31 (06) : 366 - 372
  • [22] Adolescent pregnancy and sexual risk-taking among sexually abused girls
    Stock, JL
    Bell, MA
    Boyer, DK
    Connell, FA
    [J]. FAMILY PLANNING PERSPECTIVES, 1997, 29 (05): : 200 - &
  • [23] Determinants for contraceptive use in young, single, Danish women from the general population
    Svare, EI
    Kjaer, SK
    Poll, P
    Bock, JE
    [J]. CONTRACEPTION, 1997, 55 (05) : 287 - 294
  • [24] Tu XW, 2004, B WORLD HEALTH ORGAN, V82, P274
  • [25] Child sexual abuse, HIV sexual risk, and gender relations of African-American women
    Wingood, GM
    DiClemente, RJ
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1997, 13 (05) : 380 - 384
  • [26] World Health Organization/ UNICEF, 1995, PICT HLTH REV ANN BI
  • [27] Sexual abuse and reproductive health among unmarried young women seeking abortion in China
    Wu, JL
    Wang, LH
    Zhao, GL
    Zhang, XS
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2006, 92 (02) : 186 - 191
  • [28] Wu JL, 2002, CHINESE MED J-PEKING, V115, P851
  • [29] Changing sexual attitudes and behaviour in China: implications for the spread of HIV and other sexually transmitted diseases
    Zhang, K
    Li, D
    Li, H
    Beck, EJ
    [J]. AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 1999, 11 (05): : 581 - 589
  • [30] Access to contraceptive services among unmarried young people in the north-east of China
    Zhang, LY
    Jejeebhoy, S
    Shah, IH
    Zhang, LH
    Hsia, J
    Im-Em, W
    [J]. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE, 2004, 9 (03) : 147 - 154