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目的了解穆斯林生殖健康促进项目对宁夏回族已婚居民生殖健康相关知识、态度及行为的干预效果,为政府加强少数民族地区生殖健康技术服务体系建设提供依据。方法采用分层整群抽样方法,对中国计划生育协会在宁夏吴忠市利通区(项目县)和同心县(非项目县)抽取293名回族居民和328名非干预回族居民进行生殖健康知识、态度、行为的问卷调查。结果项目县居民对于淋病、尖锐湿疣、非淋菌性尿道炎等常见性病及其传播途径的认知情况明显优于非项目县,差异均有统计学意义(均P<0.05);项目县回族男性与非项目县回族男性男科健康知识咨询率分别为85.23%和50.35%,观看婚育科教片发生率为88.63%和69.5%,差异均有统计学意义(χ2=28.515,P=0.000;χ2=11.151,P=0.001);项目县回族妇女和非项目县回族妇女妇科就医意识发生率为92.69%和80.22%,观看婚育科教片发生率为75.12%和61.50%,孕早期补充叶酸发生率为22.93%和9.62%,孕期补充钙元素率为68.32%和43.96%,孕期补充维生素率为34.65%和14.48%,定期产前检查率为92.20%和75.94%,差异均有统计学意义(均P<0.05)。结论穆斯林生殖健康促进项目有利于提高宁夏项目县回族居民生殖健康知识,改善生殖健康相关行为。
Objective To understand the intervention effect of Muslim Reproductive Health Promotion Project on knowledge, attitude and behavior of reproductive health of married residents of Hui ethnic group in Ningxia and to provide basis for the government to strengthen the construction of technical service system for reproductive health in ethnic minority areas. Methods A stratified cluster sampling method was adopted to investigate the relationship between reproductive health knowledge and attitudes of 293 Chinese residents and 328 non-intervention Hui residents in Litong district (project county) and Tongxin county (non-project county) in Wuzhong City, Ningxia Hui Autonomous Region by China Family Planning Association , The behavior of the questionnaire. Results The residents of the project county had significantly better knowledge of common sexually transmitted diseases such as gonorrhea, condyloma acuminatum and non-gonococcal urethritis and their transmission routes than non-project counties (all P <0.05) The male and female male health knowledge consultation rate was 85.23% and 50.35% respectively in non-project county and 88.63% and 69.5% in marriage and childbearing education respectively (χ2 = 28.515, P = 0.000; χ2 = 11.151 , P = 0.001). The incidence rates of gynecology visits among Hui women and non-project counties in project counties were 92.69% and 80.22%, 75.12% and 61.50% respectively. The incidence of folic acid supplementation in early pregnancy was 22.93% And 9.62% respectively. The rates of calcium supplementation during pregnancy were 68.32% and 43.96%, the rates of vitamin supplementation during pregnancy were 34.65% and 14.48%, and the regular prenatal tests were 92.20% and 75.94% respectively (all P <0.05 ). Conclusion The Muslim Reproductive Health Promotion Project is conducive to improving the knowledge of reproductive health of Hui nationality residents in project counties of Ningxia and improving their reproductive health related behaviors.