目的通过调查张掖市流动人口育龄妇女生殖健康状况,为提高流动人口生殖健康水平提供科学依据。方法采取分层抽样方法,在张掖市甘州区、临泽县、高台县、山丹县4个县(区)随机抽样一个街道和一个乡镇,共调查流动人口育龄妇女2 080人。采用自行设计并经专家评定认可的调查问卷。调查内容包括育龄妇女一般情况,生育史及避孕节育情况,生殖健康知识,对计生服务的需求和满意度等。结果流动人口育龄妇女中采取避孕措施者占78.7%,大多数妇女采取女性绝育或上环方式。通过计生服务站和所居住社区、乡镇获取计划生育技术指导的流动人口育龄妇女仅占22.5%。获取避孕药具的途径主要是自己购买,占71.3%;通过计生部门获取的占19.9%。有88.7%的人未接受过性教育,43.8%的人不知道生殖道感染疾病。50.8%的人未听过性病、艾滋病,超过一半的人不知道性病、艾滋病的传播途径。流动人口育龄妇女最愿接受的生殖健康教育途径中,计生干部宣传、个别咨询、医务人员宣传分别占40.2%、37.8%、36.3%。结论我市流动人口育龄妇女生殖健康知识认知度低,应针对流动人口的特点采取多种健康教育方式,提高其生殖健康认知水平。 Objective To investigate the reproductive health of women of childbearing age in floating population in Zhangye City and provide scientific basis for improving the reproductive health of floating population. Methods A stratified sampling method was used to randomly sample a street and a township in 4 counties (districts of Ganzhou, Linze, Gaotai and Shandan) in Zhangye, and investigated 2 080 women of childbearing age. Use self-designed and approved by the experts questionnaire. The survey included the general situation of women of childbearing age, fertility history and contraception, reproductive health knowledge, family planning services, demand and satisfaction. Results 78.7% of the women of childbearing age who were in floating population were contraceptives, and most of the women adopted female sterilization or Sheathing. Through the family planning service stations and the communities inhabited, only 22.5% of the women of reproductive age are migrant women of childbearing age who receive technical guidance from family planning. Access to contraceptives was mainly purchased by themselves, accounting for 71.3%; 19.9% ​​were obtained through the family planning department. 88.7% of people did not have sex education and 43.8% did not know the disease of genital tract infection. 50.8% of people have not heard of STD and AIDS, and more than half of them do not know the STD or AIDS transmission. Floating population women of childbearing age most willing to accept reproductive health education channels, family planning cadres advocacy, individual counseling, medical staff publicity accounted for 40.2%, 37.8%, 36.3%. Conclusion The awareness of reproductive health of floating population women of floating population in our city is low. A variety of health education methods should be adopted according to the characteristics of floating population so as to raise their cognition level of reproductive health.