摘要
我国男性绝育的规模性开展始于60年代,70～80年代随着男性节育技术的进步而有了更大范围的临床应用,截止到1995年全国历年施术人数累计约近5 000万例。自90年代以来我国总的绝育现用率并未下降且略有上升,但男性绝育术的开展已明显呈下降趋势,1990～1995年年内实施男性绝育手术绝对人数依次分别为309.0万、319.8万、182.9万、97.4万、94.6万和78.3万;以1990年年内施术人数为基数的定基比依次分别是1.0000、1.0348、0.5919、0.3151、0.3063、和0.2534;各年年内新实施男性绝育术人数与各年采用男性绝育总人数之比依次分别为0.1432、0.1374、0.0763、0.0419、0.0413和0.0346;各年年内实施男性绝育术人数与实施女性绝育术人数之比依次分别为0.4460、0.3431、0.2831、0.1884、0.2066和0.1957。自90年代以来我国男性绝育术开展迅速下降的趋势应当引起国家和省市主管部门领导的高度重视。如果不能从全局上做出相应的决策和采取有力的措施扼制这种势头,预测下降趋势将会持续下去。造成我国男性绝育术开展下滑的原因主要有:决策者和管理者倡导男性绝育的力度不够;提供者缺乏手术技术的规范化培训,导致基层服务的可得性差;宣传教育和咨询活动跟不上,人们对男性绝育可接受性差的状况未能得到改善。
Vasectomy was initiated in China in late 1960s,bloomed during the period of 1970s and 1980s along ith the progress of vasectomy techniques,the ac-cumulated cases amounted to about 50 million in1995. The adoption of vasectomy has deceleratedsignificantly since 1990. The cumulative cases of va-sectomy every year from 1990 to 1995 were 3. 09,1. 829,0. 974,0. 946 and 0. 783 million respectively. The relative ratios on fixed base for each year were1. 0000, 1. 0348, 0. 5919, 0. 3153, 0. 3063 and 0. 2534 (1990=1. 0000). The ratios of new vasectomy casesby total number of vasectomy in each year were0. 143, 0. 1374, 0. 0763, 0. 0419, 0. 0413 and 0. 0346.The ratios of vasectomy user by female sterilizationuser from 1990 to 1995 were 0. 4460, 0. 3431,0. 2831, 0. 1884, 0. 2066 and 0. 1957 respectively.The decelerating tendency should arouse the atten-tion of the state and provincial family planning lead-ers. Without a sound state policy and practicablemeasures, it is projected the decelerating tendencywill continue. The main reasons causing the decrease of vasectomy may be attributed to insufficientadvocation of vasectomy by policy makers and ad-ministrators, inadeguate training of providers, lev-els, which caused the low availability of technicalservice at grassroots; lack of education, informationand consultation of vasectomy, which caused pooracceptability of the method. The strategies by au-thorities at different levels play a key role to changethe situation. Meanwhile,we should also promote e-ducation,training and technical service on vasecto-my.
出处
《中国计划生育学杂志》
1997年第3期152-159,共8页
Chinese Journal of Family Planning
关键词
绝育
男性绝育
应用趋势
Vasectomy
Tendency analysis
Determinants
Policy implication
