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目的:评价民族地区农村妇女生殖健康教育和行为干预的效果。方法:2008年7~8月采取随机整群抽样4个县9个村1 374名18~65岁妇女进行生殖健康知识问卷基线调查,经过2年生殖健康教育和行为干预,2010年7~10月对该项目村的1 317名妇女再次进行问卷调查和干预评价。结果:干预后少数民族农村妇女生殖健康知识知晓率明显上升(P<0.01),相关正向态度和行为形成率明显提高(P<0.01)。结论:“教育+服务”的综合性生殖健康教育干预,对提高民族地区农村妇女生殖健康知识水平,促进其态度转变和形成健康行为效果显著,但仍需要全社会支持促进改善少数民族农村妇女生殖健康持续改善状况。
Objective: To evaluate the effects of rural women’s reproductive health education and behavioral interventions in ethnic minority areas. Methods: From July to August, 2008, a total of 1 374 women aged 18-65 years from 9 villages in 4 counties were enrolled in this study. The baseline survey on reproductive health knowledge was conducted. After 2 years of reproductive health education and behavioral intervention, 7 to 10 In January, a further questionnaire survey and intervention evaluation were conducted on 1 317 women in the project village. Results: After the intervention, the awareness of reproductive health knowledge among ethnic minority rural women increased significantly (P <0.01), the positive attitude and behavior formation rate increased significantly (P <0.01). Conclusion: The comprehensive education on reproductive health education in “education + service” has significant effect on improving rural women’s reproductive health knowledge level, promoting their change of attitude and forming healthy behaviors. However, they still need the support of the whole society to promote the improvement of rural residents in ethnic minorities Women’s reproductive health continues to improve.