摘要
目的:探讨非意愿妊娠少女心理健康状况及其影响因素,为制定减少其心身伤害的干预措施提供依据。方法:在妇科门诊对≤26岁33例要求人工流产的未婚少女进行自评焦虑量表(SAS)、抑郁量表(CRS-D)和自编问卷测查。结果:该群体首次性行为年龄为17～24岁,平均年龄(20±2)岁,其中30%有继往人流史(最多达5次),平均人流次数1.57次;SAS(48.88±3.92)高于常模(29.78±0.46),Z=3.995 7,P<0.001,阳性症状检出率45%;少数民族患者CRS-D(33.00±6.80)显著低于汉族(41.26±2.89),F=10.639,P<0.01;高中文化程度的患者抑郁得分均高于初中、专科和本科者,且差异有统计学意义(P<0.05、P<0.01、P=0.00);性伴文化为中学的患者抑郁得分均高于专科、本科者,且差异有统计学意义(P<0.05,P<0.01),性伴文化为中学的患者焦虑得分高于本科者,且差异有统计学意义(P<0.05);比性伴学历高的患者抑郁得分显著高于与性伴同等学历的患者(P<0.05)。结论:非意愿妊娠少女的心理健康水平明显低于中国常模,特别以汉族患者、学生患者更加明显;患者文化程度和性伴文化程度是影响非意愿妊娠青少年心理健康的重要因素。
Objective： To explore psyehological health state of unwanted pregnant adolescents and effect factors,, provide a basis, for intervention. methods： 33 unwanted pregnant adolescents under 26 years underwent induced abortion, then they were evaluated by Self -report Anxiety Scale （SAS）, Center for Epidemiologic Studies Depression Scales （CRS-D） and self -designed questionnaire. Results： The age of first sexual intercourse was 17-24 years and the average age was （20±2） years, 30% of the adolescents had the history of induced abortion （five times）,the average times was 1.57 times, the score of SAS（48.88±3.92） was higher than that of norm （29.78±0.46）（Z=3.9957, P〈0.001）. the detection rate of positive symptoms was 45%; the score of CRS-D in the minorties （33.00±6.80） was lower than that in the Han nationality （41.26±2.89） （F=10.639, P〈0.01）; the score of depression in patients with senior high school education level was significantly higher than those in patients with junior high school. junior college and undergraduate education level （P〈0.05, P〈0.01, P=0.00）; the score of anxiety in patients whose sexual partner was middle school students was higher than that whose sexual partner was undergraduate （P〈0.05）; the score of depression in patients whose education level was higher than that of sexual partner was higher than that in patients whose education level was equal to sexual partner （P〈0.05）. Conclusion： The psychological health state of unwanted pregnant adolescents is bad, particular in Han nationality and students; education levels of patients and sexual partners are main effect of psychological health of unwented pregnent adolescents.
出处
《中国妇幼保健》
CAS
北大核心
2009年第31期4410-4412,共3页
Maternal and Child Health Care of China
基金
国家社科学基金项目〔06XSH015〕
2008年云南大学人文社会科学项目
关键词
青少年
非意愿妊娠
性伴
焦虑
抑郁
Adolescents
Unwanted pregnancy
Sexual partner
Anxiety
Depression
