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目的通过分析北京市新婚夫妇对生殖保健、婚前保健有关知识、态度和行为,发现问题,改善服务,为进一步提高北京市婚前保健服务接受率,帮助政府决策提供依据。方法抽取8个区县对其进行婚姻登记和婚前保健的新婚夫妇开展调查,填写统一的问卷各800份,逐项整理,进行Logistic回归分析及作χ2检验。结果新婚夫妇中是否接受过婚前保健服务(婚登组和婚检组)在大多数生殖保健、婚前保健相关知识的知晓比例上存在统计学差异,婚检组的正确知晓率高于婚登组;相应的对保健的认识及行为两组间比较也存在统计学差异。结论婚前保健是进行婚前生殖健康教育的最佳时机。认识不到位是影响婚前保健的主要因素。政府重视,多部门合作是推进婚前保健事业的有力措施。
Objective To find out the problems and improve the service by analyzing the knowledge, attitude and behavior of the newlyweds in Beijing on reproductive health and premarital health care and provide the basis for further improving the acceptance rate of premarital health services in Beijing and helping the government to make policy decisions. Methods Eight districts and counties were recruited to investigate newly married couples whose marriage registration and premarital health care were completed. One hundred and eighty thousand questionnaires were filled in and completed one by one. Logistic regression analysis and χ2 test were conducted. Results The prevalence of prenuptial health services (marriage group and premarital group) in newly married couples was statistically different in most reproductive health care and premarital health-related knowledge, and the correct awareness of premarital groups was higher than that of married couples. Correspondingly, The understanding of health care and behavior between the two groups also have statistical differences. Conclusion Prenuptial care is the best time to prenuptial reproductive health education. Misconceptions are the main factors affecting premarital health care. The government attaches importance to multisectoral cooperation and is a powerful measure to promote premarital health care.