背景:精神障碍患者的堕胎行为对女性健康构成主要障碍。然而,很少有研究报道中国严重精神障碍妇女流产的患病率和相关因素。因此,本研究旨在调查农村社区女性患者的流产率,并确定潜在的健康风险。
方法:这是一项针对山东省农村276名18岁及以上严重精神障碍妇女的横断面研究。中国。怀孕史,采用问卷调查法调查妇女的流产史和社会人口学特征。采用Logistic回归分析不同流产行为的相关因素。
结果:研究显示82.61%(228/276)的患者有妊娠史。在有妊娠史的患者中,43.42%(99/228)报告说至少有一次流产,15.79%(36/228)有一个以上。在另一边,31.58%(72/228)的患者发生自然流产,12.72%(29/228)发生人工流产。首次妊娠年龄(aOR0.80,95%CI0.70-0.90)和最后妊娠年龄(aOR1.17,95%CI1.07-1.27)均与流产有关。焦虑与自发性(aOR1.08,95%CI1.02-1.15)和重复流产(aOR1.10,95%CI1.01-1.19)有关。此外,宗教(AOR10.47,95%CI2.81-39.01),儿童数量≥2(aOR0.18,95%CI0.04-0.77),家庭功能(aOR1.31,95%CI1.06-1.63)与人工流产有关。
结论:农村地区患有严重精神障碍的妇女流产率明显高于一般女性,特别是自然流产。妊娠患者的孕龄和焦虑情绪值得关注,并采取预防措施,以避免流产的结局。
BACKGROUND: Abortion behaviors among individuals with mental disorders presented major obstacles to women\'s health. However, few studies reported the prevalence and associated factors of abortion among women with severe mental disorders in China. Consequently, this study aims to investigate the prevalence of abortion among female patients in rural communities and identify potential health risks.
METHODS: This was a cross-sectional study of 276 women aged 18 years and older with severe mental disorders in rural areas of Shandong Province, China. The pregnancy history, abortion history and socio-demographic characteristics of women were investigated by questionnaire. Logistic regression analysis was employed to examine the associated factors for different abortion behaviors.
RESULTS: The study showed that 82.61 % (228/276) of patients had a pregnancy history. Among the patients with a pregnancy history, 43.42 % (99/228) reported having had at least one abortion, and 15.79 % (36/228) had more than one. In the other side, 31.58 % (72/228) of them experienced spontaneous abortion, while 12.72 % (29/228) experienced induced abortion. Age at first gestation (aOR 0.80, 95 % CI 0.70-0.90) and age at last gestation (aOR 1.17, 95 % CI 1.07-1.27) were both associated with abortion. Anxiety was related to spontaneous (aOR 1.08, 95 % CI 1.02-1.15) and repeat abortions (aOR 1.10, 95 % CI 1.01-1.19). In addition, religion (aOR 10.47, 95 % CI 2.81-39.01), number of children≥2 (aOR 0.18, 95 % CI 0.04-0.77), and family functioning (aOR 1.31, 95 % CI 1.06-1.63) were associated with induced abortion.
CONCLUSIONS: Women with severe mental disorders in rural regions have notably higher rates of abortion compared to the general female population, particularly for spontaneous abortions. Gestational age and anxiety of pregnant patients deserve attention and preventive measures to avoid the outcomes of abortion.