旬阳县农村已婚育龄妇女生殖健康现状调查.docVIP

旬阳县农村已婚育龄妇女生殖健康现状调查【中图分类号】R173 【文献标识码】A 【文章编号】1672－3783(2012)07－0431－02 【摘要】 目的：了解旬阳县农村已婚育龄妇女生殖健康状况，生殖健康知识、态度、行为及其影响因素,为制定相关干预措施提供科学依据。方法：2011年8-9月，在旬阳县赵湾、蜀河、甘溪、城关四个镇，使用国家计生科研所编制的问卷调查20-49岁的农村已婚育龄妇女各300名，并进行妇科、实验室检查和乳腺检查，数据采用SPSS12.0软件进行分析处理。 结果：问卷有效回收率为99.5%。农村已婚育龄妇女生殖系统疾病的患病率为45.98%(549/1194)，其中38.4%(459/1194)为生殖道感染患者，有生殖道感染症状患者就医率为48.99%；其中患1种生殖系统疾病者占27.9%，合并2种生殖系统疾病者占13.7%，合并3种或以上者占4.4%；发病率从高到低依次为宫颈疾病31.3%(374/1194)、阴道疾病11.1%(132/1194)、乳腺疾病9.7%(116/1194)、生殖器官肿瘤2.8%(33/1194)、其他妇科疾病1.7%(20/1194)和盆腔炎性疾病0.4%(5/1194)。统计分析结果显示：育龄妇女年龄为45-49岁、家庭平均收入2次、不定期妇查、无清洗下身单独的盆、更换内裤时间过长，是患生殖道感染的影响因素，且均有统计学意义(P 2, no regular gynecologial examination, no separate salver for private parts, and long time to replace the underwear were the statistically significant influencing factors of reproductive tract infections (P 0.05). The proportion of married women of childbearing age in high school and higher education level accounted for 4.9%, 9.6% were illiterate. There were statistically significant difference among women with different education level in regard to reproductive health knowledge, attitudes, and behaviors (P 0.05). More than 50% of women of childbearing age liked to get the publicity of the reproductive health diseases by the way of reproductive health treatment discount card.Conclusion: The prevalence of the reproductive system disease of rural married women in Xunyang County was high. The majority was reproductive tract infections, with the low rate of health-seeking behavior, and affected by many factors. Rural women’’s knowledge, attitudes and behaviors of reproductive health need to be improved. Based on the needs of rural women, the family planning department should take a more intuitive, direct and economical way of the health education and detection and treatment of reproductive health, and carry out reproductive health quality services actively. 1