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目的分析我国育龄期妇女免费服用叶酸政策接受度的影响因素,为相关政策制定提供科学依据。方法在山西、重庆、广西三省市各抽取1个县区,对前来当地妇幼保健机构就诊的175名育龄妇女进行问卷调查。结果育龄妇女叶酸知识知晓率普遍较高,免费服用叶酸是育龄妇女增补叶酸的重要途径。79.1%的育龄妇女认为免费服用叶酸政策有必要,经卡方检验,不同省份、民族、户口和常住地的育龄期妇女认为免费领取叶酸服务政策的必要率有统计学差异,因此可以认为省份、民族、户口和常住地是育龄期妇女免费服用叶酸的影响因素。结论加强少数民族地区、城乡结合部等流动人口聚集地的健康教育和政策干预,强化村医或社区医生的责任考核,探索更加方便快捷获取免费叶酸的方式,在城市地区实施免费增补叶酸。
Objective To analyze the influencing factors of the acceptance of folic acid policy for women of childbearing age in China and provide a scientific basis for the formulation of relevant policies. Methods One county was selected from Shanxi, Chongqing and three provinces of Guangxi Province to conduct a questionnaire survey on 175 women of childbearing age visiting the local MCH institutions. Results Women of childbearing age awareness of folic acid knowledge is generally high, free of folic acid is an important way of women of childbearing age folic acid supplementation. 79.1% of women of childbearing age think it is necessary to take the policy of taking folic acid free of charge. According to the chi-square test, women of childbearing age in different provinces, ethnic groups, hukou, and permanent residence think that there is a statistical difference in the rate of free folic acid service policy, Ethnic, hukou and permanent residence are the influencing factors of women taking women of childbearing age free of folic acid. Conclusion Health education and policy intervention in migrant population areas such as ethnic minority areas and urban-rural areas should be strengthened to reinforce the assessment of responsibility of doctors in village or community and to explore ways to obtain free folic acid more conveniently and quickly and implement free folic acid supplementation in urban areas.