目的　为研究影响患生殖道感染的妇女利用卫生服务的心理社会因素。方法　采用Aday和Andersen的社会行为模式 ,在 1998～ 1999年对河北省迁安县有生殖道感染症状的已婚妇女共 378例进行了横断面调查。采用SPSS/PC7 5进行统计分析。结果　 46 8%的已婚妇女自述至少有一种生殖道感染的症状 ,其中 2 6 7%的妇女去医疗机构就医。在就医的妇女中 ,6 9 3%就诊 1次。未就诊的妇女中 ,5 3 8%采用自我治疗的方法 ,46 2 %妇女未采用任何治疗措施。Logistic回归分析显示 :妇女有关自我治疗生殖道感染的知识、患病的时间、自我感觉自述有生殖道感染后社会的不良看法、家庭经济收入、对生殖道感染严重性的认识、以及既往患生殖道感染的情况是影响自述有生殖道感染的妇女利用卫生服务的因素。结论　提示很有必要给育龄妇女以及男性提供有关生殖道感染方面的知识 ,减少社会对生殖道感染的不良看法 ,给妇女更多的社会支持 ,提高妇女的地位 ,提高保健服务的质量 The purpose is to study the psychosocial factors that affect the utilization of health services by women affected by genital tract infections. Methods A total of 378 married women with symptoms of genital tract infection in Qian’an County of Hebei Province from January 1998 to January 1999 were surveyed by means of social behavior model of Aday and Andersen. SPSS / PC7 5 statistical analysis. Results 46% of married women reported having at least one symptom of reproductive tract infection, and 26.7% of the women went to medical institutions for medical treatment. Of the women who sought medical treatment, 69.3% visited the hospital once. Of the women who did not receive medical treatment, 53.8% used self-treatment and 46.2% did not take any treatment. Logistic regression analysis showed that women’s knowledge of self-treatment of genital tract infections, the time of illness, self-perceptions of poor society after reproductive tract infections, family income, awareness of the severity of reproductive tract infections, Infections are factors that affect the utilization of health services by women who report reproductive tract infections. The conclusions suggest that it is necessary to educate women of childbearing age and men about reproductive tract infections, to reduce negative perceptions of reproductive tract infections in society, to give more social support to women, to improve the status of women and to improve the quality of health services