摘要
目的了解成都市已婚流动女性妇科疾病的认知程度及行为现状,为今后女性流动人口生殖健康的提高提供科学依据。方法采用应答推动的抽样方法抽取在成都市区工作的18~60周岁已婚流动女性进行面对面访谈。调查其妇科疾病认知程度及行为现状,并采用非条件Logistic回归探索影响已婚妇科疾病的认知程度。结果 384名调查对象中,妇科健康知识平均（76.5±11.4）分,67.71%的女性妇科疾病认知程度较高（17分）。多因素分析发现,文化程度低、离家时间长、未接受过生殖健康信息或服务者妇科健康知识认知程度低。每日清洗外阴者262名（68.23%）,打工以来做过妇科体检者220名（57.29%）,来成都市后进行妇科检查者仅63名（16.41%）,不经常使用安全套者301名（78.39%）,做过人工流产者205名（53.39%）,多次人工流产者102名（26.56%）,妇科疾病认知程度较高者的保健行为高于妇科疾病认知程度较低者（P〈0.05）。结论虽然已婚流动女性的妇科健康知识及态度相对较好,但妇科保健行为及避孕措施依然低下,人工流产比例较高。在已婚流动妇女中加强妇科保健及生殖健康知识的教育,建立起积极的信念与态度,对已婚流动妇女改变妇科保健行为具有重要意义。
Objective To understand the cognition and behavior status of gynecological diseases among floating married women in Chengdu,provide a scientific basis for improvement of reproductive health among the floating female population. Methods The floating married women aged 18- 60 years old were selected from urban area of Chengdu city for a face- to- face interview. Cognition and behavior status of gynecological diseases were investigated. Unconditional logistic regression analysis was used to explore the cognition of gynecological diseases. Results Among 384 respondents,the average score of gynecological health education was（ 76. 5 ± 11. 4） points,67. 71% of the women had high cognition of gynecological diseases（ 17 points）. Multivariate analysis showed that cognition levels of gynecological health knowledge were low among the women with low educational level,away from home for a long time,never receiving reproductive health information or service. Among 384 respondents,262 women（ 68. 23%） cleaned vulva daily,220 women（ 57. 29%） had received gynecologicalexamination since work,only 63 women（ 16. 41%） had received gynecological examination since coming to Chengdu, 301 women（ 78. 39%） often had sex without condoms,205 women（ 53. 39%）had abortion history,and 102 women（ 26. 56%） had multiple abortion history. The proportion of taking health care behaviors among the women having high cognition of gynecological diseases was statistically significantly higher than that among the women having low cognition of gynecological diseases（ P〈0. 05）. Conclusion Although the cognition and attitude of floating married women to gynecological health knowledge are at high level,the frequencies of gynecological health care behaviors and contraception measures are low,and abortion rate is high. Publicizing gynecological health care and reproductive health knowledge education among floating married women and helping them to establish positive beliefs and attitudes are of great significance to change their gynecological health care behaviors.
出处
《中国妇幼保健》
CAS
2015年第36期6562-6566,共5页
Maternal and Child Health Care of China
基金
美国自然科学基金〔70673067〕
关键词
女性流动人口
妇科疾病
认知
生殖健康
Female floating population
Gynecological disease
Cognition
Reproductive health
