中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2011年
12期
868-872
,共5页
生殖健康服务%居住流动性%未婚%结果评价
生殖健康服務%居住流動性%未婚%結果評價
생식건강복무%거주류동성%미혼%결과평개
Reproductive health service%Residential mobility%Single person%Outcome assessment
目的 了解青岛地区未婚流动人口生殖健康知识、态度及相关行为特征及干预效果.方法 采用社区干预试验,选择青岛市10个工作场所的1800名流动人口未婚女性分为基本组和全面组,基本组仅进行宣传和免费发放避孕套,全面组除此外进行发放服务卡、热线电话、播放生殖健康知识录像、讲座和同伴教育等.分别在于预前后进行问卷调查,分析两组干预效果.结果 生殖健康信息可及性涉及4个方面的知识,生殖健康知识得分涉及16个问题,改善态度积极性方面的7个问题,干预前、后都明显提高(P＜0.01),但全面干预组的效果更明显,尤其是避孕节育知识和性健康知识提高明显;在行为干预方面,患生殖道疾病就诊的比例基本组从干预前的32.0％( 286/895)上升到59.2％ (482/814),全面组由干预前的31.9％(275/862)上升到80.8％(651/806) (P ＜0.01).在避孕行为方面,干预后在使用和坚持使用避孕措施方面显著高于干预前(P＜0.05),但干预后两组间差异无统计学意义.结论 上述两种干预方案是可行和有效的,并且全面干预组的效果更加明显.
目的 瞭解青島地區未婚流動人口生殖健康知識、態度及相關行為特徵及榦預效果.方法 採用社區榦預試驗,選擇青島市10箇工作場所的1800名流動人口未婚女性分為基本組和全麵組,基本組僅進行宣傳和免費髮放避孕套,全麵組除此外進行髮放服務卡、熱線電話、播放生殖健康知識錄像、講座和同伴教育等.分彆在于預前後進行問捲調查,分析兩組榦預效果.結果 生殖健康信息可及性涉及4箇方麵的知識,生殖健康知識得分涉及16箇問題,改善態度積極性方麵的7箇問題,榦預前、後都明顯提高(P＜0.01),但全麵榦預組的效果更明顯,尤其是避孕節育知識和性健康知識提高明顯;在行為榦預方麵,患生殖道疾病就診的比例基本組從榦預前的32.0％( 286/895)上升到59.2％ (482/814),全麵組由榦預前的31.9％(275/862)上升到80.8％(651/806) (P ＜0.01).在避孕行為方麵,榦預後在使用和堅持使用避孕措施方麵顯著高于榦預前(P＜0.05),但榦預後兩組間差異無統計學意義.結論 上述兩種榦預方案是可行和有效的,併且全麵榦預組的效果更加明顯.
목적 료해청도지구미혼류동인구생식건강지식、태도급상관행위특정급간예효과.방법 채용사구간예시험,선택청도시10개공작장소적1800명류동인구미혼녀성분위기본조화전면조,기본조부진행선전화면비발방피잉투,전면조제차외진행발방복무잡、열선전화、파방생식건강지식록상、강좌화동반교육등.분별재우예전후진행문권조사,분석량조간예효과.결과 생식건강신식가급성섭급4개방면적지식,생식건강지식득분섭급16개문제,개선태도적겁성방면적7개문제,간예전、후도명현제고(P＜0.01),단전면간예조적효과경명현,우기시피잉절육지식화성건강지식제고명현;재행위간예방면,환생식도질병취진적비례기본조종간예전적32.0％( 286/895)상승도59.2％ (482/814),전면조유간예전적31.9％(275/862)상승도80.8％(651/806) (P ＜0.01).재피잉행위방면,간예후재사용화견지사용피잉조시방면현저고우간예전(P＜0.05),단간예후량조간차이무통계학의의.결론 상술량충간예방안시가행화유효적,병차전면간예조적효과경가명현.
Objective To study knowledge,ability and related behavior of reproductive health among unmarried women migrants in Qingdao area,Shandong and evaluate effectiveness of basic intervention,including provision of free condom and health education and enhanced intervention,including healthy sex,contraception and health-care seeking behavior.Methods A community intervention trial was conducted among 1800 unmarried women migrants aged 18 -29 years in 10 workplaces of Qingdao.Basic intervention included health knowledge publicity and distribution of free condoms,and enhanced intervention included distribution of very important person (VIP) service cards,hotline telephone service,broadcasting digital versatile disc (DVD) of reproductive health knowledge,health lectures,peer education,and so on,in addition to health knowledge publicity and distribution of free condoms.Effectiveness was evaluated using questionnaire before and six months after intervention.Results After intervention,awareness of reproductive health and attitude to reproductive health improved significantly among the women migrants,as compared to those before intervention,particularly in knowledge of contraception and sexual health with enhanced intervention (with more than 20％ of them aware) ( P ＜ 0.01 ).About effectiveness on health-care seeking behavior,59.2％ (482/814) and 80.8％ (651/806) of the women migrants with reproductive tract infections would visit physicians after basic and enhanced intervention,as compared to those of 32.0％ (286/895) and 31.9％ (275/862) before them,respectively (P＜0.01).About effectiveness on contraceptive behavior,persistent and proper use of effective contraception methods improved significantly after intervention,as compared to that before it ( P ＜ 0.05 ),but with no significant difference between the two group with basic and enhanced intervention.Conclusions Both basic and enhanced intervention is effective and feasible in women migrants,more effective for enhanced one.
