论文部分内容阅读
目的:对广州市白云区农村地区已婚育龄妇女进行生殖健康教育干预模式研究,为有效开展健康宣教提供科学依据。方法:2009年3月以村为单位,采取分层整群随机抽样对1 136名18~49岁已婚育龄妇女进行生殖健康认知状况基线调查和健康体检,经过2年生殖健康教育和行为干预,2011年3月对项目村的969名妇女再次进行问卷调查和健康体检,评估干预效果。结果:干预后,农村地区妇女宫颈柱状上皮异位、宫颈腺囊肿、外阴阴道假丝酵母菌病、细菌性阴道病、盆腔炎发病率明显降低(P<0.05)。妇女生殖健康相关知识知晓率、生殖健康相关态度形成率、生殖健康相关行为形成率明显提高。结论:农村参与式的健康宣教可有效提高农村妇女生殖健康意识,降低生殖道感染患病率。
OBJECTIVE: To study the intervention model of reproductive health education for married women of childbearing age in rural areas of Baiyun District of Guangzhou City, and provide a scientific basis for effective health education. Methods: In March 2009, a stratified cluster random sampling was used to survey the baseline reproductive health status of 1 136 married women of childbearing age from 18 to 49 years and their physical examination. After 2 years of reproductive health education and behavior In March 2011, 969 women in the project village were asked to conduct a questionnaire survey and a physical examination again to assess the effect of the intervention. Results: After the intervention, the incidence of ectopic cervical columnar epithelium, cervical gland cyst, vulvovaginal candidiasis, bacterial vaginosis and pelvic inflammatory disease were significantly decreased in rural areas (P <0.05). The awareness rate of women’s reproductive health-related knowledge, the formation rate of reproductive health-related attitudes, and the formation rate of reproductive health-related behaviors increased significantly. Conclusion: Participatory rural health education can effectively raise rural women’s reproductive health awareness and reduce the prevalence of genital tract infections.