CAJ | 학술논문

城市497对，城乡结合部47对，农村706对。在城市、城乡结合部和农村地区母亲大专及以上文化程度者分别占68．41％、8．51％和0．71％，年龄≥35岁者分别占59．00％、4．26％和1．70％，地区间比较差异有统计学意义（χ2＝838．904、855．914，P＜0．001）。第一胎鉴定为病残儿116（9．28％）人，各地区第一胎女孩比例均高于男孩。接触有害毒物的母亲有68人，父亲77人，其中农药接触均最多；有烟酒嗜好的母亲和父亲的比例分别为1．68％和44．80％，城市父亲抽烟人数多于城乡结合部和农村地区，接触有害毒物的人数少于城乡结合部和农村地区（χ2＝55．619、19．243，P均＜0．001）。有畸形儿生产史的母亲第一胎畸形儿的生育率75．86％（88/116）高于无畸形儿生产史者的0．26％（3/1134）（χ2＝890．987，P＜0．001）。结论：文化程度低、接触有害毒物的农村地区和35岁以上的城市地区再生育夫妇是孕前及孕期优生指导的重点人群。
성시497대，성향결합부47대，농촌706대。재성시、성향결합부화농촌지구모친대전급이상문화정도자분별점68．41％、8．51％화0．71％，년령≥35세자분별점59．00％、4．26％화1．70％，지구간비교차이유통계학의의（χ2＝838．904、855．914，P＜0．001）。제일태감정위병잔인116（9．28％）인，각지구제일태녀해비례균고우남해。접촉유해독물적모친유68인，부친77인，기중농약접촉균최다；유연주기호적모친화부친적비례분별위1．68％화44．80％，성시부친추연인수다우성향결합부화농촌지구，접촉유해독물적인수소우성향결합부화농촌지구（χ2＝55．619、19．243，P균＜0．001）。유기형인생산사적모친제일태기형인적생육솔75．86％（88/116）고우무기형인생산사자적0．26％（3/1134）（χ2＝890．987，P＜0．001）。결론：문화정도저、접촉유해독물적농촌지구화35세이상적성시지구재생육부부시잉전급잉기우생지도적중점인군。
Aim: To describe the main population characteristics of the reproductive couples of Henan Province . Methods:Self-assessment questionnaire was used to investigate 1 250 reproductive couples from project sites in Henan Province using cluster sampling method .Results:In the survey population , 497 people lived in city area , 47 in urban are-as and 706 in rural areas.Mother with a college degree or above in city , urban and rural areas accounted for 68.41%, 8.51%and 0.71%,and mother aged more than 35 years accounted for 59.00%, 4.26% and 1.70%,respectively, and there were significant differences among the 3 areas(χ2 =838.904,855.914,P<0.001).Among the first birth,the constit-uent ratio of girls was higher than boys in all areas , and the proportion of disabled children was 9.28%(116/1 250).68 mothers and 77 fathers were exposed to toxic or hazardous substances , and the exposure frequency to pesticides was the highest.The proportions of the mothers fond of smoking and alcohol were 1.68%, and 44.80%in fathers.The proportion of fathers who had smoking history was higher and exposure to harmful poisons was lower in city than those in rural and ur -ban areas(χ2 =55.619,19.243,P<0.001).The birth defect rate of the first birth of the mothers with a history of de-formed children was 75.86%, higher than those without a history of defects (0.26%)(χ2 =890.987,P<0.001).Con-clusion:The reproductive couples with low education level and exposure to harmful poisons in rural and urban areas , and aged over 35 years in urban area need to strengthen pre-pregnancy and pregnancy eugenic guidance .