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流动已婚育龄妇女避孕方法的使用对性生活满意度的影响

         

摘要

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。%To investigate effects of contraceptive methods on sexual satisfaction among migrant married women of childbearing ages.Methods:Stratified cluster sampling was used to recruit qualified subjects i. e.fertile woman aged from 18 to 50 years old in communities of six districts and one county in Urumchi,from April 2010 to March 2013.Questionnaire surveys about sexual life and contraceptive methods use were conducted by trained family planning providers.Results:Among the 105422 qualified subjects,the proportions of satisfaction, occasionally satisfaction and dissatisfaction were 50.43%,48.53% and 1.04%,respectively.Multi-logistic re-gression models analysis showed that,comparing with those without contraceptive method,subjects using IUD,steri-lization or contraceptive drugs had higher possibility of occasionally satisfaction in sexual life with OR=1 .96 (95%CI:1.86-2.07),1.88 (95%CI:1.69 -2.08),2.08 (95%CI:1.97 -2.20),and women using IUD had higher possibility of sexual satisfaction (OR=1.44,95%CI:1.16-1.79).Conclusions:Effective contraceptive methods,especially IUD,can increase the sexual satisfaction of migrant married women of childbearing age.

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