当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
19期
1-2,3
,共3页
生殖健康%生殖道感染%社区卫生服务%育龄期%计划生育对策
生殖健康%生殖道感染%社區衛生服務%育齡期%計劃生育對策
생식건강%생식도감염%사구위생복무%육령기%계화생육대책
Reproductive health%Reproductive tract infection%Ommunity health service%Child-bearing period%Countermeasures against family planning
研究城市社区育龄妇女生殖健康影响因素及计划生育对策。方法采用整群分层抽样方法选取深圳市福田区已开展社区卫生服务的8个社区中1311名育龄妇女进行问卷调查，分析生殖道感染情况、年龄、婚姻状况、文化程度、医疗费用、对疾病认识、社区卫生服务利用情况、避孕方式、家庭月收入。结果(1)生殖道感染率41.1%；(2)不同年龄、婚姻状况、文化程度、医疗费用、对疾病认识、社区卫生服务利用情况、避孕方式的患者间，生殖道感染发生例数比较，差异有统计学意义（P＜0.05）；(3)生殖道感染的发生与年龄、婚姻状况、医疗费用、避孕方式呈正相关，与文化程度、对疾病认识、社区卫生服务利用、家庭月收入情况呈负相关。结论已婚、高龄、自费、采用宫内节育器避孕、文化程度和家庭月收入较低、无法正确利用社区卫生服务的患者是发生生殖道感染的高危人群，应加强生殖健康知识宣教，构建信息互享平台，转变生育控制模式，加大财政专项投入力度，完善生殖健康服务。
研究城市社區育齡婦女生殖健康影響因素及計劃生育對策。方法採用整群分層抽樣方法選取深圳市福田區已開展社區衛生服務的8箇社區中1311名育齡婦女進行問捲調查，分析生殖道感染情況、年齡、婚姻狀況、文化程度、醫療費用、對疾病認識、社區衛生服務利用情況、避孕方式、傢庭月收入。結果(1)生殖道感染率41.1%；(2)不同年齡、婚姻狀況、文化程度、醫療費用、對疾病認識、社區衛生服務利用情況、避孕方式的患者間，生殖道感染髮生例數比較，差異有統計學意義（P＜0.05）；(3)生殖道感染的髮生與年齡、婚姻狀況、醫療費用、避孕方式呈正相關，與文化程度、對疾病認識、社區衛生服務利用、傢庭月收入情況呈負相關。結論已婚、高齡、自費、採用宮內節育器避孕、文化程度和傢庭月收入較低、無法正確利用社區衛生服務的患者是髮生生殖道感染的高危人群，應加彊生殖健康知識宣教，構建信息互享平檯，轉變生育控製模式，加大財政專項投入力度，完善生殖健康服務。
연구성시사구육령부녀생식건강영향인소급계화생육대책。방법채용정군분층추양방법선취심수시복전구이개전사구위생복무적8개사구중1311명육령부녀진행문권조사，분석생식도감염정황、년령、혼인상황、문화정도、의료비용、대질병인식、사구위생복무이용정황、피잉방식、가정월수입。결과(1)생식도감염솔41.1%；(2)불동년령、혼인상황、문화정도、의료비용、대질병인식、사구위생복무이용정황、피잉방식적환자간，생식도감염발생례수비교，차이유통계학의의（P＜0.05）；(3)생식도감염적발생여년령、혼인상황、의료비용、피잉방식정정상관，여문화정도、대질병인식、사구위생복무이용、가정월수입정황정부상관。결론이혼、고령、자비、채용궁내절육기피잉、문화정도화가정월수입교저、무법정학이용사구위생복무적환자시발생생식도감염적고위인군，응가강생식건강지식선교，구건신식호향평태，전변생육공제모식，가대재정전항투입력도，완선생식건강복무。
Objective To study the influencing factors of reproductive health of women in city community and its planning counter measures. Methods 1311 cases of childbearing age women in Futian District, Shenzhen city were collected by stratified sampling method and questionnaire survey was conducted. Then reproductive tract infection, age, marital status, education level, medical expenses, understanding of disease, utilization of community health service, contraception, family monthly income.Results (1)The rate of reproductive tract infections was 41.1%; (2)The difference of reproductive tract infections cases in different age, marital status, education level, medical expenses, understanding of disease, utilization of community health service, contraception, family monthly income had statistically significant; (3)Reproductive tract infection was positively correlated with age, marital status, medical expenses and contraceptive methods and negatively correlated with education level, understanding of disease utilization of community health service, monthly family income.Conclusion Married, older, own expense, intrauterine device, low educational level and family income, unable to correctly use the community health service patients are high-risk population of reproductive tract infection. Should strengthen the reproductive health knowledge education, build information sharing platform, change birth control mode, increasefinancial support, improve the reproductive health services.
