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目的 :了解农村育龄妇女避孕节育的知识、行为和态度 ,以及计划生育优质服务现况 ,为提高妇女生殖健康状况提供依据。方法 :采用多阶段抽样方法 ,对湖北省英山县 6 5 4名农村育龄妇女进行面对面问卷调查。结果 :调查对象避孕知识平均得分 2 8.9分 (百分制 ) ,妇女的文化、职业、所受的计划生育服务为其影响因素 ;避孕方法中多使用常见的宫内节育器 (48.5 8% )及女性结扎 (36 .14 % )、男性结扎 (11.6 0 % ) ,其余的则使用率均不足 6 % ;平均妊娠 2 .6 6次 ,有人流史者占 4 8.6 2 % ;仅有 2 0 .0 3%的被调查对象能接受到医生关于避孕方法的讨论 ,6 2 .6 9%的妇女能定期接受到生殖健康 /计划生育检查 ,5 9.94 %的妇女能定期接受生殖道疾病普查 ,避孕节育服务满意率为 4 6 .6 4 %。结论 :贫困地区农村妇女避孕节育知识严重缺乏 ,同时计划生育优质服务可获得性存在不足 ,直接影响其避孕节育知情选择。因此应改善避孕节育的宣传途径、扩大其宣传效力 ,提高农村妇女的社会地位 ,强化计划生育机构优质服务 ,以增进农村育龄妇女的生殖健康。
OBJECTIVE: To understand the knowledge, behavior and attitude of contraceptive control among rural women of childbearing age, as well as the current situation of quality service in family planning, so as to provide basis for improving women’s reproductive health status. Methods: A multistage sampling method was used to conduct a face-to-face questionnaire survey among 654 rural women of childbearing age in Yingshan County, Hubei Province. Results: The average contraceptive knowledge score of the surveyed subjects was 2.9 8.9 (percentage points). Women’s culture, occupation and family planning services were the most influential factors. Contraceptive methods used more common IUDs (48.5%) and women Ligation (36.14%), male ligation (11.6%), the rest were less than 6% utilization rate; an average of 2.66 pregnancies, abortion history accounted for 4 8.62%; only 20.0 3% of the respondents were able to receive a doctor’s discussion of the contraceptive methods, 6 2 6.9% of women regularly received reproductive / family planning examinations, 5 9.94% of women regularly received reproductive tract disease screening and contraception Service satisfaction rate was 46.66%. Conclusion: The knowledge of contraceptive contraception in rural areas in poor areas is seriously lacking. At the same time, the availability of quality service in family planning is not enough, which directly affects the informed choice of contraception. So we should improve the publicity of contraceptive methods, expand the effectiveness of publicity, improve the social status of rural women and strengthen the quality of services of family planning institutions to promote the reproductive health of rural women of reproductive age.