小凉山地区已婚妇女生育节育现状试点调查 - 第三军医大学学报.docVIP

四川省小凉山地区已婚妇女生育节育现状的调查报告 周 波1，孙 冲1，周文秀1，陈喜慧1，何长久1，郭菁2，胡 澜3（1川北医学院医学影像学系四川 南充637007川北医学院学报四川 南充637007） 了解小凉山地区已婚妇女生育节育现状，彝、汉两族已婚妇女生育节育现状。入户调查452户人家，648名已婚妇女的生育与节育状况。本次调查的已婚妇女平均年龄42.715～95岁，中位40岁。35岁、36～49岁、50～63岁和64岁4个年龄段妇女的生育率（人均已生育次数）分别为（彝族/汉族）1.64/1.41，3.14/1.96，3.48/2.77，4.44/4.83绝育术（输卵管、输精管结扎）现用率为（彝族/汉族）0.6%/2.7%，8.8%/34.5%，15.9%/48.3%，4.9%/43.5%。宫内节育器（ntrauterine Device,IUD）的现用率为（彝族/汉族）49.7%/58.7%，71.5%/40.5%，36.4%/36.7%，29.3%/13.0%。小凉山地区彝、汉两族已婚育龄期妇女平均生育次数高于2000年全国水平。IUD使用率呈递增趋势，为目前彝、汉两族育龄期妇女的首选节育措施。IUD使用率差别不大而绝育术则是汉族明显高于彝族（35岁组除外）。彝族；汉族；已婚妇女；生育；避孕节育；现用率 Fertility and of married women in minor Liangshan region of Sichuan Province ZHOU Bo1, SUN Chong1, ZHOU Wen-xiu1, CHEN Xi-hui1, HE Chang-jiu1, GUO Jing2, HU Lan3 (1Department of Medical Imaging, North Sichuan Medical College, Nanchong637007, Sichuan Province, China; 2First Clinical College, Chongqing Medical University, Chongqing 400016, China; 3 Editorial Department, Journal of North Sichuan Medical College, Nanchong 637007, Sichuan Province, China）[Abstract] Objective To investigate the fertility and birth control rates of married women in minor Liangshan region of Sichuan province, and compare them between Yi and Han married women. Methods Twenty-four villages were randomly selected for investigation from 3 towns (Dabao Town, Heizhugou Town, Xinlin Town) and 4 townships (Haqu Township, Jinyan Township, Yangchun Township, Wanping Township) of Ebian Yi Autonomous County in Leshan City of Sichuan Province. Fertility and birth control rates of 648 married women from 452 households were investigated. Their average age was 42.7 years (range15-95 years) with a median age of 40 years. Results The average number of children delivered by per Yi / Han woman at the age of ≤35 years, 36～49 years, 50～63 years and ≥64 years1.64/1.41, 3.14/1.96, 3.48/2.77, 4.44/4.83, respectively. The sterilization rate (ligation of fallopian tubes and vasoligation) was 0.6%/2.7%, 8.8%/34.5%, 15.9%/48.3% and 4.9%/43.5%, respectively, f