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目的了解杭州临安市妇女宫内节育器(IUD)避孕节育相关知识-态度-行为(KAP)。方法于2009~2012年在杭州临安市随机选取有放置IUD史的已婚育龄妇女进行结构式问卷调查,内容包括一般人口学特征、IUD放置史及不良反应、并发症的发生情况、对当前IUD相关知识的认识和态度等,并对数据进行统计分析。结果对2001份调查资料的分析结果显示,97%的育龄妇女都知道放置IUD后可免费查环查孕。有1623名(81.2%)妇女在放置IUD后6个月内做过检查。93.4%的妇女表示,如果发生IUD不良反应,会选择计划生育中心、大医院或妇幼保健所进行治疗。妇女对当前避孕措施、提供的服务及宣传教育的满意度约为70%;她们认为最容易接受的方式是计生部门的宣传。本地户口的育龄妇女对宣传教育的满意度(76.4%)高于外地户口的妇女(70.0%)。结论仍有30%左右的妇女对当前的避孕节育措施、提供的服务及宣传教育不太满意,在加强避孕节育知识宣传教育的同时还应增加对外地户籍妇女的重视。
Objective To understand the contraceptive-related knowledge-attitude-behavior (KAP) of female IUD in Lin’an City, Hangzhou. Methods Married women of childbearing age with IUD history were randomly selected in Lin’an City, Hangzhou from 2009 to 2012 to conduct a structured questionnaire survey, which included general demographic characteristics, placement history of IUDs and adverse reactions, and the incidence of complications related to the current IUD Knowledge of knowledge and attitude, and statistical analysis of the data. Results Analysis of the 2001 survey data showed that 97% of women of childbearing age knew that IUD was free to check for pregnancy after IUD placement. 1623 (81.2%) women were examined within 6 months after placement of the IUD. 93.4% of women said they would choose a family planning center, a large hospital or a maternal and child health clinic for treatment in case of IUD adverse reactions. Women are about 70% satisfied with the current contraceptive measures, services provided and education campaigns; the way they find it most acceptable is advocacy in the family planning department. The satisfaction of women of childbearing age in local hukou for publicity and education (76.4%) was higher than that of women (70.0%) in overseas accounts. Conclusions: About 30% of women are still not satisfied with the current contraceptive measures, services provided and publicity and education. In the meantime, more attention should be paid to the promotion and education of contraceptive knowledge.