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目的了解农村已婚育龄妇女生殖健康状况和服务需求,为制定相关干预措施和对策提供科学依据。方法采用整群随机抽样法,将甘肃省古浪县西靖乡8个行政村中45岁及以下年龄组已婚育龄妇女作为调查对象,进行生殖健康相关知识知晓率、认知和行为与生殖健康服务需求的问卷调查。结果 795名调查对象,初中或以下文化程度占91.07%;文化程度越高生殖健康相关知识知晓率越高,小学及以下组(χ~2=141.91)、初中组(χ~2=127.93)、高中及以上组(χ~2=189.92)对性病的传播途径、人工流产的危害性、宫颈癌的知晓率差异有统计学意义(均P<0.05);文化程度越高健康认知程度越强,不同文化程度对注重生殖健康以及预防生殖系统疾病(χ~2=138.26)、注重经期卫生和性生活前后卫生(χ~2=38.27)、身体不适时及时就诊(χ~2=20.59)差异有统计学意义(均P<0.05);被调查者最希望了解的生殖健康知识是妇女常见病防治知识,最希望获得生殖健康知识的渠道为通过专科医生获得;67.30%的调查对象愿意接受定期的生殖健康检查。结论甘肃省古浪县西靖乡已婚育龄妇女生殖健康相关知识知晓率较低,生殖健康服务需求需进一步拓展,应加大相关知识的宣传、健康咨询和技术服务,不断提高服务能力,以满足农村群众生殖健康服务需求。
Objective To understand the status of reproductive health and service demand of married women of childbearing age in rural areas and provide scientific basis for making relevant interventions and countermeasures. Methods A cluster random sampling method was adopted to investigate married women of childbearing age in the age group of 45 and below in 8 administrative villages in Xijing County, Gulang County, Gansu Province. The rate of awareness, cognition and behavior and reproduction of reproductive health related knowledge Questionnaire of health service needs. Results The level of education of 795 subjects with junior high school education or below accounted for 91.07%. The higher the level of education was, the higher the awareness of reproductive health was. The rate of awareness about reproductive health was higher in primary and lower education groups (χ ~ 2 = 141.91), junior high school (χ ~ 2 = 127.93) There were significant differences in the transmission of sexually transmitted diseases, the harm of induced abortion and the awareness rate of cervical cancer in high school and above (χ ~ 2 = 189.92) (all P <0.05); the higher the level of education was, the stronger the cognition of health (Χ ~ 2 = 138.26), different period of education (χ ~ 2 = 38.27), and timely treatment (χ ~ 2 = 20.59) in the period of physical discomfort, with emphasis on reproductive health and prevention of reproductive system diseases (χ ~ (All P <0.05); Reproductive health knowledge that respondents most want to know is the common knowledge of women’s disease prevention and control, and the most desirable access to reproductive health knowledge is obtained through specialists; 67.30% of the respondents are willing to accept regular Reproductive health examination. Conclusion Reproductive health-related knowledge of married women of childbearing age in Xijing Township, Gulang County, Gansu Province, is low. The demand for reproductive health services needs to be further expanded. Publicity of relevant knowledge, health consultation and technical services should be stepped up to continuously improve service capabilities. Meet the needs of rural people’s reproductive health services.