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目的:了解武汉市流动人口中已婚妇女生殖保健需求及服务现况,探索出一条适合我国国情的流动人口生殖保健需求及服务的管理方法和措施。方法:采取随机整群抽样的方法,对武汉市江岸、江汉、桥口、汉阳、武昌、青山6个区2205名流动人口已婚妇女进行问卷式调查。结果:流动人口已婚妇女的文化程度普遍偏低;从事的职业以个体经营小商贩为主,在汉生活、居住的条件都非常简陋;他们对生殖保健知识方面的了解率非常低,自我保护意识普遍较差,对妇女生殖保健服务的需求也不够强烈;流动人口已婚妇女生育调节的可得性较差;现居住地的生殖保健服务可得性也较差。结论:应该大力开展生殖保健的宣传教育,调整健康服务取向,以促进传统的妇幼保健、计划生育模式向以提供优质服务为中心的生殖健康模式转变,对提高流动人口的生殖健康十分必要。
OBJECTIVE: To understand the reproductive health care needs and services of married women in the floating population in Wuhan and to explore a management method and measures for the reproductive health needs and services of the floating population that suits our national conditions. Methods: A random cluster sampling method was used to survey 2,505 married women of floating population in 6 districts of Jianghan, Jianghan, Qiaokou, Hanyang, Wuchang and Aoyan in Wuhan. Results: Married women of migrant population generally have a low educational level. The occupations are dominated by self-employed small traders. Living conditions in Han are very simple. Their understanding of reproductive health knowledge is very low. Self-protection The awareness is generally poor and the demand for women’s reproductive health services is not strong enough. The availability of birth control for married women who live in migrants is poor, and the availability of reproductive health care services is also poor. CONCLUSION: Publicity and education on reproductive health should be vigorously carried out. The orientation of health service should be adjusted to promote the transformation of traditional maternal and child health care and family planning modes to reproductive health centered on the provision of quality services. It is necessary to improve the reproductive health of the floating population.